Saint John Paul II Parish Community

Faith Formation Office

2052 Lakeview Rd., Lake View, New York 14085

2018-2019Faith Formation Registration

Family Name______

Address______

______

Home Phone______Email______

Mother’s cell phone______Father’s cell phone ______

Father’s Name______Religion______

Mother’s Name______Religion______

  1. Are you registered members of a Catholic parish? YES / NO (please circle one)
  2. If yes,where?______
  3. If no, do you wish to register at Saint John Paul II Parish? YES / NO

Please list all children who will participate in our program this year:

Name (First, Last) / SEX / Birthdate / If new to program:
Place of Baptism / Grade level in September, 2018 / (For Office Use only)

IF YOU ARE NEW TO THE PROGRAM, WE WILL REQUIRE A COPY OF YOUR CHILD(REN)’S BAPTISMAL CERTIFICATE TO COMPLETE YOUR REGISTRATION.

CONFIDENTIAL STUDENT MEDICAL INFORMATON

Please complete this section if your child(ren) has any physical conditions or learning challenges that require special classroom accommodations or considerations. (Please call 627-9397, if you would like to discuss special considerations)

Child’s Name ______Please indicate the nature of the condition: ______

Please give detailed information regarding this condition, including medication ______

______

______

______

SACRAMENTAL INFORMATION

  • Do any of the children you listed require baptism?YES / NO

If YES, who?______

  • If any of your children are presently past Second Grade, but have not yet received the Sacrament of Penance and Reconciliation, please indicate:______
  • If any of your children are presently past Third Grade, but have not yet received their First Holy Communion, please indicate:______

NON-REFUNDABLE TUITION AND FEES:

REGISTERED PARISHONERS: $75.00 for one child; $130 for two children; and $190.00 for three or more children.

If circumstances prevent you from paying the full tuition when registering, a $25.00 deposit is required.

NON- PARISHIONERS:$80.00 for each child/no discount for multiple children.

If circumstances prevent you from paying the full tuition when registering, a $50.00 deposit is required.

FAMILY AT THE CENTER:$80.00 per family

If circumstances prevent you from paying the full tuition when registering, a $25.00 deposit is required

SACRAMENTAL PREPARATION FEES per child: This fee covers the cost of additional sacramental texts, retreats, resources for parent/child sessions, celebration of the sacrament, etc.

1st Reconciliation2nd Grade$35.00

1st Eucharist3rd Grade$35.00

Confirmation10th Grade$50.00

No. of children ______Tuition$______

-Discount if registered by June 1, 2018$ - 15.00

+ Sacramental fees, if applicable$______

= Total amount due$______

-Catechist/Classroom Aide Approved Discount$ - ______

(Discuss with Barb Manley volunteer opportunities )

-Down payment$ - ______

BALANCE OWING$______

Please include tuition and any applicable sacramental fees with the form. Make the check payable to Saint John Paul II Parish or go online at ‘Donate Now’, 2018-2019 Faith Formation Payment for Registration & Sacramental Fees for SJPII Parishioners or Non- Parishioners (separate tabs).

NOTE:ALLoutstanding balances are due no later thanJanuary 6, 2019. Payment arrangements can be established through the Faith Formation Office, and made at Now’thru the Faith Formation Installment Payment Plan.

MEDIA RELEASE

_____ I GIVE MY CONSENT to Saint John Paul II Parish Community to use the name and photos of my child(ren) taken during Faith Formation Classes (including, but not limited to, the Hamburg Sun, Angola and Hamburg Pennysavers, Western New York Catholic, the St. John Paul II website, social media pages and parish bulletin) for the purpose of announcing, promoting and report about Our Faith Formation Classes.

_____ NO, I DO NOT CONSENT to release my child(ren)’s name and photos.

Media Release Parent Consent Signature ______