2018-19 Religious Ed Registration

 Clipart -- Religious Education

St. Jude Religious Education

2018-2019 Religious Education Registration

Please fill out your family information and return forms by September 1 to avoid a late fee of $20. Cost per child: $70 (Family $140). Placement cannot be guaranteed due to space limitations. You can return this form to the parish office or drop it into the collection basket on the weekend.

(PLEASE PRINT)

Family Last Name______________________Address____________________________

Father (Guardian) ______________________Mother (Guardian)___________________

City/State ___________________ Zip __________Home Phone__________________

Work Phone_____________Cell Phone___________

Registered Parish Member at:

________________________________________________________________________

Children Listed below live with:Both _____Father_____Mother_____Other______

Emergency Contact Person __________________________________________________

Home Phone _________________Cell Phone ___________________

E-mail Address ___________________________________________________________

+Required used to announce weather closing & other urgent information

  * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 

Please list all children below living at home under the age of 18 who have not been confirmed

Child’s Name ____________________________________________________________

Gender ________ Date of Birth ______________

School Attending ___________________________Grade (September 2018)________

Please check which sacraments they have received:

____ Baptism      ____Eucharist    ____Reconciliation      _____Confirmation

SpecialNeeds/Allergies ____________________________________________________

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Child’s Name ____________________________________________________________

Gender ________ Date of Birth _____________

School Attending_____________________________Grade (September 2018)_______

Please check which sacraments they have received:

____ Baptism     ____Eucharist     ____Reconciliation    _____Confirmation

SpecialNeeds/Allergies_____________________________________________________

+ Please add additional children on the back as needed   +