RE Registration Form
Forms
Office:  Amt paid $ ___   ck  or  cash 2017 ó 2018 Religious Education Family Registration Form St. Elizabeth, St. Anthony, St. Peter     Which Mass does your family attend?       St Elizabeth    9am  or  1pm       St Anthony   11am        St. Peter    5pm  or  7pm  Which Religious Ed class are you registering for?   St. Elizabeth 10:15am Sun    11:40am Sun (Spanish)    St. Anthony 10:15am Sun       St Peter 6:30pm Fri  (Spanish) Fatherís Full Name  _______________________________  Motherís Full Name ________________________________________ Fatherís cell________________________  Motherís cell___________________________  Home Phone _____________________ Home Address __________________________________________________  City______________  Zip code ________________ Emergency contact:   Name & Phone  __________________________________  Relationship ____________________________ _________________________________________________________________________________________ Student #1   First Name____________________________  Last Name  ______________________________ Grade _____   Date of Birth  __________  Any allergies?  Yes   or   No   If yes, explain ________________________________            Has your child been Baptized?   Yes  ___   No ____  What Church?__________________  Year? __________            Has your child made their First Communion?    Yes ___   No ____             How many years has child taken Religious Ed class?  __________ years      Student #2   First Name___________________________  Last Name  _______________________________ Grade _____   Date of Birth  __________  Any allergies?  Yes   or   No   If yes, explain ________________________________            Has your child been Baptized?   Yes  ___   No ____  What Church?__________________  Year? ___________            Has your child made their First Communion?    Yes ___   No ____             How many years has child taken Religious Ed class?  __________ years      Student #3   First Name___________________________  Last Name  _______________________________ Grade _____   Date of Birth  __________  Any allergies?  Yes   or   No   If yes, explain ________________________________            Has your child been Baptized?   Yes  ___   No ____  What Church?__________________  Year? ___________            Has your child made their First Communion?    Yes ___   No ____             How many years has child taken Religious Ed class?  __________ years      Student #4   First Name___________________________  Last Name  _______________________________ Grade _____   Date of Birth  __________  Any allergies?  Yes   or   No   If yes, explain ________________________________            Has your child been Baptized?   Yes  ___   No ____  What Church?__________________  Year? ___________            Has your child made their First Communion?    Yes ___   No ____             How many years has child taken Religious Ed class?  __________ years      ___________________________________________________________________________________________________________ ď BAPTISMAL CERTIFICATES ARE REQUIRED FOR ALL STUDENTSĒ  We would like family involvement with providing snacks and drinks occasionally.  Are you able/willing to help in this regard?    Yes ____  No _____  Do we have your permission to share your contact information with the Snack Coordinator?  Yes ____  No _____ REGISTRATION FEES                                        $25 per child / $75 maximum ó If this is a financial hardship, please discuss with RE Director and/or parish office staff. ALL ADULTS HELPING WITH OUR CHILDREN WILL NEED TO PARTICIPATE IN THE DIOCESAN SAFE ENVIRONMENT  WORKSHOP.