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Religious Education/Youth Ministry Registration Form
2009-2010

Please complete the online form below or download and print the form. If you print the form, please complete it and place it in the collection basket with the required fees before September 1st. See numbers 2 & 3 below for fee information. Thank you.

 
 
1. Please fill out the information below for your child/children in grades pre-school 3 & 4 through 11.
    Include those who may be attending Catholic School.
2. Complete and submit the form online.
    Please place the supply fee (with your name) in the collection basket or send to the parish office before
    September 1. A discount will be given parishioners who pay before September 1.
  Parishioners     Non-Parishioners
  $50.00 1 child paid before 9/01/09 $100.00 per child
  $60.00 after 9/01/09  
  $85.00 2 or more children paid before 9/01/09  
  $100.00 after 9/01/09  
3. ADDITIONAL NON-DISCOUNTABLE SACRAMENTAL FEE for grades 2 (First Reconciliation), 3 (First Eucharist), and 11 (Confirmation) $10.00.

 
Family Surname
 >
Home Phone
 Cell Phone
Father's Last Name
 First Name
 Middle Name
Father's Religion
Mother's Last Name
 First Name
 Maiden Name
Mother's Religion
Street Address
City
 State
 ZipCode
Email Address 1
 Email Address 2
Are you registered at Holy Cross?
YesNo
If no, Where are you registered?
Child's Surname, if different
Parent's Marital Status
MarriedDivorcedSeparatedSingle
If you are registering a child for pre-school, please indicate pre-3 or pre-4.
Child's Name Grade Birth Date School Attending
Please list any allergies, medications or medical conditions or learning needs we need to be aware of in order to provide the safest and best possible religious education experience for you child.
New Student Information:
New students only: Please provide date(s), church(es), and location(s) for all sacraments (Baptism, First Communion, Confirmation) for all children.
Name Sacrament Date Church Location
Please use the area below to add any additional information, if needed.


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