Families Must Be Registered at and Attend Mass at Sspp to Register for Rel Ed Programs

***PLEASE COMPLETE BOTH

SIDES OF THIS FORM*** FAMILY LAST NAME ______

**FAMILIES MUST BE REGISTERED AT AND ATTEND MASS AT SSPP TO REGISTER FOR REL ED PROGRAMS

Household Address ______

# StreetCity/Town Zip

Household Phone (If applicable)______Registered as parishioners at SSPP? Yes No

Mother’s Cell Phone ______Father’s Cell Phone ______

Mother’s Name______Mother’s Email ______

Father’s Name______Father’s Email ______

Step Parent’s Name (If residing with child) ______Cell Phone ______

Circle Where Appropriate : Married Divorced Separated Remarried Single

**PLEASE NOTIFY US IF CUSTODY ARRANGEMENTS WILL AFFECT ATTENDANCE

Please chooseDay/Time: GradesK-5 ____ Sunday after 9:30 Mass until 11:45

Grades 6-9 _____ Sunday9:30 Mass until 11:45

(6-9 students MUST attend 9:30 Mass before class if attending Sunday)

Grades 6-9 _____Tuesday evenings 7:00-8:30

Student Name ______

FirstLast (if different) M/F Date of Birth

School Grade ______Rel Ed Grade ______School Attending ______

Student Name ______

FirstLast (if different) M/F Date of Birth

School Grade ______Rel Ed Grade ______School Attending ______

Student Name ______

FirstLast (if different) M/F Date of Birth

School Grade ______Rel Ed Grade ______School Attending ______

Student Name ______

FirstLast (if different) M/F Date of Birth

School Grade ______Rel Ed Grade ______School Attending ______

***PLEASE COMPLETE BOTH SIDES OF THIS FORM***

IF REGISTERING FOR THE FIRST TIME, PLEASE INCLUDE THE FOLLOWING WITH THIS FORM:

**** COPIES OF BAPTISMAL CERTIFICATES PLUS PENANCE AND FIRST EUCHARIST CERTIFICATES (GRADES 2+)

IF SACRAMENTS WERE MADE AT SSPP PLEASE INDICATE HERE ______(NO CERTIFICATE NECESSARY)

****PHOTO CONSENT AND RELEASE FORM (SEPARATE FORM)

SACRAMENTAL INFO: (X) IF RECEIVED

STUDENT NAME ______BAPTISM_____ RECONC ______1ST EUCHARIST ______

ALL FEES AS STATED BELOW ARE NON-REFUNDABLE AND DUE AT TIME OF REGISTRATION

NO ONE WILL BE DENIED BECAUSE OF FINANCIAL REASONS – PLEASE CONTACT US IF THIS IS A CONCERN

*CREDIT CARD PYMT WILL BE ACCEPTED ON A SEPARATE FORM *

1 CHILD $85, 2 CHILDREN $145, 3 CHILDREN $185, 4 CHILDREN $220 $35 EACH ADDITIONAL CHILD

WHERE DID YOUR CHILD(REN) ATTEND RELIGIOUS ED LAST YEAR? ______

IF ANY OF YOUR CHILDREN HAVE ANY DISABILITIES OR SPECIAL NEEDS WE NEED TO BE AWARE OF, PLEASE INDICATE :

FOOD ALLERGY TO ______ADHD ______ADD______LEARNING DISABILITY ______

HEARING ______OTHER ______

PLEASE INDICATE IN WHICH AREAS YOU WOULD BE ABLE TO VOLUNTEER:

CATECHIST ______CATECHIST AIDE ______SUBSTITUTE: SUNDAY _____ TUESDAY ______

HALL MONITOR: SUNDAY ______TUESDAY ______

FOR OFFICE USE ONLY:

T KW FP PYMT PDS______REG DATE ______

TUITION DUE ______PYMT AMT ______PYMT DATE ______

CHECK # ______CASH ______CREDIT CARD ______