2015-2016 St Jude Church Office for Faith Formation Class Registration Form
Regular Family Mass attendance is the life blood of our Parish and the most important part of the curriculum. Families are warmly encouraged to attend as often as possible.
Traditional - G.I.F.T. (Growing in Faith Together) - SuRE*
Family’s Last Name______Home Phone #______
Father’s Name______Mother’s Name______
Address______
Email Address______
Please circle if applicable: Single Parent Parent(s) deceased
Custodial Parent, if different from above______
Non-parental guardianship*
Custody/Visitation issues* (Anyone who may not visit or transport your child according to a court order.)
*A COPY OF THE CUSTODY SECTION OF THE COURT CERTIFIED DIVORCE DECREE
MUST BE ATTACHED TO REGISTRATION FORM.
Mailing to additional address? If so, ______
Mom Work Phone______Dad Work Phone______
Mom Cell Phone______Dad Cell Phone______
Other Emergency Contact, Relation to Child and Phone______
______THE PARENT/FAMILY POLICY HANDBOOK CAN BE ACCESSED AT
PARENTS INITIAL stjudeblairstown.parishesonline.com “FAITHFORMATION” –option
FEES: For the first child $150.00 For the second child $80.00 For the third child $40.00
SACRAMENT FEES: First Eucharist $85.00 Confirmation $125.00
**$30.00 early bird discount per family if registered by June 1st **
To hold your child’s place in class, registration must be accompanied by a minimum deposit of $10.00 per child with payment in full prior to the beginning of classes. If necessary, contact the Parish Office (362-6444) to establish suitable payment arrangements.
------Please Do Not Write Below this Line------
-- PARISH OFFICE USE ONLY!!!_-- ______
1st Child ______2nd Child ______
3rd Child ______
Tuition Due ______
**Discount applied ______
Sacrament Fee’s ______
Subtotal______
Deposit ______
Balance Due______ / Deposit Received:
Date______
Amount $______Cash/Check#______
Tuition Payment Received:
Date:______
Amount ______Cash/Check#______
Please indicate child’s grade for 2015-2016. Below indicate 1st and 2nd choice for child’s class.
If applicable, circle the sacramental preparation program for this child. Additional fees apply.
1ST CHILDS NAME DOB SEX GRADE Level Sept ‘15
______FIRST LAST
SACRAMENT AND DATE RECEIVED: q BAPTISM q PENANCE q FIRST EUCHARIST
*NAME & LOCATION OF CHURCH ______
SPECIAL NEEDS: medical, learning disabilities, physical: ______
_____Sunday 9-10:15am _____Tuesday 4:15-5:30pm ______G.I.F.T. Level 1, 3-8 (SPECIAL
Level 1-8 Level 1-8 Requirements, please speak to PCL)
_____ SuRE 8:30am-12:30pm Levels 4-8 June 23, 24, 25,26,29,30 and July 1, 2, 3 2015 no absences permitted
Limited Enrollment- Mandatory Attendance and 4-Stay Connected Events/Parents Init. ______
______Reconciliation and First Eucharist (2nd Level or older?) ______Confirmation (8th Level or older?)
2nd CHILDS NAME DOB SEX GRADE Level Sept. ‘15
______FIRST LAST
SACRAMENT AND DATE RECEIVED: q BAPTISM q PENANCE q FIRST EUCHARIST
*NAME/ & LOCATION OF CHURCH ______
SPECIAL NEEDS: medical, learning disabilities, physical: ______
_____Sunday 9-10:15am _____Tuesday 4:15-5:30pm ______G.I.F.T. Level 1, 3-8 (SPECIAL
Level 1-8 Level 1-8 Requirements (please speak to PCL)
_____ SuRE 8:30am-12:30pm Levels 4 – 8 June 23, 24, 25,26,29,30 and July 1, 2, 3 2013 no absences permitted
Limited Enrollment- Mandatory Day Attendance and 4-Stay Connected Events/Parents Init. ______
______Reconciliation and First Eucharist (2nd Level or older?) ______Confirmation (8th Level or older?)
3rd CHILDS NAME DOB SEX GRADE Level Sept.’15
______FIRST LAST
SACRAMENT AND DATE RECEIVED: q BAPTISM q PENANCE q FIRST EUCHARIST
*NAME & LOCATION OF CHURCH ______
SPECIAL NEEDS: medical, learning disabilities, physical: ______
_____Sunday 9-10:25am _____Tuesday 4:15-5:30pm ______G.I.F.T. Level 1, 3-8 (SPECIAL
Level 1-8 Level 1-8 Requirements (please speak to PCL)
_____ SuRE 8:30am-12:30pm Levels 4 – 8 June 23, 24, 25,26,29,30 and July 1, 2, 3 2015 no absences permitted
Limited Enrollment- Mandatory Day Attendance and 4-Stay Connected Events/Parents Init .______
______Reconciliation and First Eucharist (2nd Level or older?) ______Confirmation (8th Level or older?)