2019-2019 Religious Education Registration Form

 

 

 

OUR LADY OF PEACE

Religious Education Registration

2019-2020

 

        Family Status – Please check one:                               _____returning to program                                      _____new to program

         If new to program, please attach a copy of child(s) Baptismal Certificate and a letter from your previous parish stating grades attended in their program.

 

        Please Print

 

        Family LAST Name (If child’s is different, please give that one first):__________________________________________________________________

 

        Address:__________________________________________________________City/Town____________________________________Zip_________

                                                                                                                       Emergency

        Phone No:____________________Cell No____________________Contact & Phone No:__________________________________________________

 

                                    FATHER’S INFORMATION                                                                                                MOTHER’S INFORMATION

 

          Father’s Name:________________________________________________                       First & Maiden Name:_________________________________________

 

          Address (if different from above)_________________________________                         Address (if different from above)________________________________

 

          E-Mail_________________________________Religion______________                           E-Mail_______________________________Religion_______________

                                                                                                                                                           

 

Please list names of children attending program and complete the following:

 

       

Child’s

Last Name

 

Child’s

First Name

 

Date

Of Birth

 

Religious Ed Grade

 

Sacraments Received

 

Baptism         Penance       Eucharist

 

List Special Education

Service Needs/Food Allergies

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

There are many things you can do to help in your child’s Religious Education experience.  Here are some ideas.  Please circle the areas in

                        which you would like to assist.

 

 

Teacher                        Substitute Teacher                   Assistant in classroom (occasionally)                          Hall Monitor

 

               I can help in the following ways________________________________________________________________________________

 

                                                                                                                                   

FEES                                                                                                               CLASS TIMES: Check preferred time. Office reserves

                                                                                                                                                                  the right to final schedule due to class sizes.

$40.00 per student (Grades Pre-K – 10)                                                                    (Pre-K)     During 10:00am Mass _____

$85.00 per family (3 or more - Grades Pre-K-8 ONLY)                               (Gr. K-8)  8:55am                   _____             

$60.00 per student – Confirmation – Includes Retreat                                              (Gr. 9)       8:55am                        _____             

                                                                                                                                                (Gr. 10)     8:55am                  _____             

*Replacement fee will be charged for lost textbooks.                                               (Gr. 11)     Confirmation:  Seven weeks in Fall   _____                                       

 

           

 I have read the enclosed contract and agree to its terms.__________________________________________________________________________

                                                                                                                                                Parent/Guardian Signature

 

DROP OFF OR MAIL TO:

Our Lady of Peace Religious Education Office

10950 Main Street

Clarence, NY 14031

(Checks payable to:  Our Lady of Peace Religious Education)

Total Enclosed:  $__________

Office Use Only

Registration Amount $__________                             Cash $__________                 Date__________________                     

 

Number of Children____________                            Waiver__________                 Check Number__________