Religious Education Registration Form

Sessions

Grades Pre-K thru 8 - Saturdays, 9:00-10:30 A.M. in the school.
Grade Pre-K-6 - Saturdays until mid-April, 9:00-10:30 A.M.
Middle School (Grade 7-8) - Saturdays until December 23rd, 9:00-10:30 A.M.
Confirmation Classes (Grade 9-11) | Begin Sunday January 7, 2018 with Mass at 5:00-6:00 P.M. Youth Mass once a month at 5:00 from Sunday, January 7th - March 25th, 2018 at 5:00pm.

Tuition

$_75____ - per student ($___150____ maximum per family)
$_10____ -Late fee after September $__50___ - Grade 10 Retreat/Confirmation
Make checks payable to: Saint Michael Parish

__________________________________

Contact Information

Update?
Required*

	None of my information has changed.
	Info, address, phone email, etc. changed since last year.

Registered in this parish?
Required*

	Yes
	No

Last Name

Required*

Address

Street 1*

Street 2

City*

State*

Zip*

Father's Name

Required*

Mother's Name (Include Maiden Name)

Required*

If the Faith Formation material will be mailed to a different address, please enter it here

Street 1

Street 2

City

State

Zip

Primary Phone

Required* --

Secondary Phone

Required*

Emergency Contact Name

First Name*

Last Name*

Emergency Contact Relationship

Required*

Emergency Phone Number

Required* --

Child 1

Child's Name

First Name*

Last Name*

Birth Date

Required* //

Gender
Required*

	Male
	Female

Grade

Required*

Sacraments Completed
Required*

	Baptism
	Eucharist
	Reconciliation
	Confirmation

Completed Sacraments Location and Dates

Text (Multiple Lines)*

Class Preference

Required*

Please reference the Class information at the top of this page.

Child 2

Child's Name

First Name

Last Name

Birth Date

Gender

	Male
	Female

Grade

Sacraments Completed

	Baptism
	Eucharist
	Reconciliation
	Confirmation

Completed Sacraments Location and Dates

Text (Multiple Lines)*

Completed Sacraments Location and Dates

Class Preference

Please reference the Class information at the top of this page.

Child 3

Child's Name

First Name

Last Name

Birth Date

Gender

	Male
	Female

Grade

Sacraments Completed

	Baptism
	Eucharist
	Reconciliation
	Confirmation

Completed Sacraments Location and Dates

Text (Multiple Lines)*

Class Preference

Please reference the Class information at the top of this page.

Child 4

Child's Name

First Name

Last Name

Birth Date

Gender

	Male
	Female

Grade

Sacraments Completed

	Baptism
	Eucharist
	Reconciliation
	Confirmation

Completed Sacraments Location and Dates

Text (Multiple Lines)*

Class Preference

Please reference the Class information at the top of this page.

Additional Details

Special Needs/Medication

Please list child's name & needs. Send procedure plan to parish office if needed.

Was each child registered here in Faith Formation last year?
Required*

	Yes
	No

If No, who, where & grade?

Parent Signature
Required*

I acknowledge that as the parent/guardian, this information will be submitted to the parish for use in registration.*

Yes

Once you submit this form, the confirmation page will have information to help you calculate your tuition and make an online payment.