Religious Education for Children

Parish Registration #: ______Date: ______

St. Francis of Assisi – Religious Education

REGISTRATION FORM – 2017-18 – FOR CHILDREN IN Grades K-5

Tuesday – Afternoons 4:30 - 5:45 pm GRADES K, 1, 2 & 3 ONLY! Tues. evenings All Grades: 6:15 - 7:30 pm

or Wednesday afternoons All Grades: 4:30 - 5:45 pm

PLEASE PRINT!

FAMILY’S LAST NAME:
Please list beginning with oldest child in RE. / Date of Birth
&
Grade in
2017/2018 / Class Day:
TUE. 4:30 pm or TUE.
6:15 pm
or Wed. / Received Baptism?
Please write
CATHOLIC, OTHER, or NONE / Received
First Reconcil-
iation? ************ First
Communion?
Yes or No / Received Confirmation?
Yes or No
1.
2.
3.
4.

Parent Names / Religion of Parents: ______

→ Does your child/children live part time or full time with another parent or guardian? ______If yes, please explain on reverse side; and fill out additional Second Parent/Guardian Form.

Home phone: ______Cell phone: ______

Address: ______

Street City Zip

E-mail: ______

Emergency contact: ______Phone: ______

______Yes, I will gladly help with RE as a Catechist or Aide.

PLEASE ALSO FILL OUT REVERSE SIDE

Please understand that your child’s enrollment in our program is dependent on positive behavior. Continued disruptive behavior will result in a parent/child plan for improved behavior. If this goal is not met, we will help provide resources for you to teach your child at home. → Please initial that a positive, cooperative attitude is in everyone’s best interest: ______

* List your child’s learning disability, food allergies, or other circumstance that might affect his/her class participation, including anything we should be aware of in your family. Our goal is to be aware and sensitive to the needs of every child and family enrolled in our Religious Education; and to provide a positive learning environment.

______

Name of Parish & grades attended RE: ______

Name of school your child attends: ______

PARISHIONER FEE – We are registered in Parish, attend church & contribute to the offertory on a regular basis: $40.00 per child. Families with 3 + children = $95.00 per family.* Late fee – after Oct. 7 + $10.00

NON PARISHIONER FEE: $100.00 for one child, $200.00 for two, $250.00– 3 or more children

┼ First Communion Class: Please add $25.00 per child to Registration Fee + a copy of your child’s Baptism Certificate. Read and sign Parish Info Sheet.

HOME STUDY: $25.00 per child, or families with 4 + children = $75.00 per family.

* Fees may be paid in installments; or if necessary you may apply for tuition assistance. Please contact Helen Herman if you have any questions.

** In appreciation for our Catechists or Aides who volunteer on a regular basis, their RE tuition fees are waived with the exception of the Sacramental Fee.

OFFICE INFO: Registration Fee: ______Sacramental Fee: $25.00 per child: _____

* LATE FEE AFTER OCT. 7: + $10.00 Baptism Certificate: ______

TOTAL DUE: ______AMOUNT PAID: ______

Cash: ______Check: ______

Payment Schedule: ______*Tuition assistance: ______

Sacramental Preparation Students – for Eucharist & Reconciliation Grades 3-12 only Reconciliation & Eucharist book fee: $25.00: ______

______ Parent signature