Religious Education Registration - 2019/2020

Welcome to Religious Education at Assumption Parish! Please enter the information for your child or children and then proceed to the bottom of the form to enter parent/guardian information and emergency contact details. The fee is $20/one child, $35/two children, $45/three or more children. - Thank you!

Child #1

Please complete the following fields.

First Name

Last Name

Child's Nickname

Date of Birth

Gender

Male Female

Grade Level as of September 2019

School

Sacraments Completed (check all that apply)

Baptism - Catholic Baptism - Non-Catholic First Reconcilliation First Communion N/A

Date of Baptism (if applicable)

Place of Baptism - Church, City/State, Other Denomination (if applicable)

Date of First Communion (if applicable)

Place of First Communion - Church, City/State, Other Denomination (if applicable)

Child #2

Please complete the following fields for your child. The fields are marked optional for the families who are only enrolling one child in Religious Education.

First Name

Last Name

Child's Nickname (optional)

Date of Birth

Gender Male Female

Grade Level as of September 2019

School

Sacraments Completed (check all that apply) Baptism - Catholic Baptism - Non-Catholic First Reconcilliation First Communion N/A

Date of Baptism (if applicable)

Place of Baptism - Church, City/State, Other Denomination (if applicable)

Date of First Communion (if applicable)

Place of First Communion - Church, City/State, Other Denomination (if applicable)

ADDITIONAL CHILDREN MAY BE ENTERED AT THE BOTTOM OF THE FORM.

Parent/Guardian Information

Parent/Guardian Name

Address

Cell Phone

Home Phone

Work Phone

This address will receive a confirmation email

Are you a registered parishioner?

Yes No Unsure

If you are not a parishioner, to which parish do you belong?

Secondary Parent/Guardian (please fill out this section if applicable)

Check if address is the same as above. same address

Address

Cell Phone

Home Phone

Work Phone

Emergency Contact Information

Please provide the name and phone number for TWO people to be called in the event that we cannot reach either parent/guardian.

Emergency Contact #1 Name

Emergency Contact #1 Phone Number

Emergency Contact #2 Name

Emergency Contact # 2 Phone Number

Please list others who are authorized to pick-up your child in addition to the parents and/or guardians and emergency contacts.

Please let us know if there are any other special circumstances regarding your child being picked up or dropped off.

PROCEED TO THE BOTTOM OF THE PAGE IF YOU ARE READY TO SUBMIT YOUR APPLICATION.

Child #3

Please complete the following fields for your child. The fields are marked optional for the families who are only enrolling one child in Religious Education.

First Name

Last Name

Child's Nickname (optional)

Date of Birth

Gender Male Female

Grade Level as of September 2019

School

Sacraments Completed (check all that apply) Baptism - Catholic Baptism - Non-Catholic First Reconcilliation First Communion N/A

Date of Baptism (if applicable)

Place of Baptism - Church, City/State, Other Denomination (if applicable)

Date of First Communion (if applicable)

Place of First Communion - Church, City/State, Other Denomination (if applicable)

Child #4

First Name

Last Name

Child's Nickname (optional)

Date of Birth

Gender Male Female

Grade Level as of September 2019

School

Sacraments Completed (check all that apply) Baptism - Catholic Baptism - Non-Catholic First Reconcilliation First Communion N/A

Date of Baptism (if applicable)

Place of Baptism - Church, City/State, Other Denomination (if applicable)

Date of First Communion (if applicable)

Place of First Communion - Church, City/State, Other Denomination (if applicable)

Registration Fees & Payment

Registration Fees

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

We are glad you're here! Simply fill in the form to register your child(ren) for Religious Education.

Classes for 1st - 10th grade will be held on Sunday mornings from 10:15 - 11:15 a.m. in the St. Mary of the Assumption Parish Hall. Mass is held on Sunday mornings at 9:15 a.m. Students are strongly encouraged to attend Mass prior to Religious Education each Sunday. Also, for the safety of our students, please be sure to accompany your child into the building in order to check them in. We also encourage parents to come inside to pick up their children at 11:15 a.m.

For assistance with registration, please contact Michelle at the parish office at 413-743-2110 or michelle@saintmaryscatholic.org.

Religious Education Registration - 2019/2020

Description

Please Fix the Following