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NEW CHILD/FAMILY REGISTRATION

Catechetical Ministry - Children's Formal Program

If your child/children have already been enrolled in the program click here for the proper form.

Name(Last,First)__________________________________________________________

Address__________________________________________________________

Phone _________________________________________________________________

Emergency#_____________________ Family Email Address_________________________________________

Parent(s)________________________

(Mother Maiden Name)_____________

Date of Entrance_________________

Level/Grade Entered______________

School Attending_________________

_______________________________

General Remarks:

DATE AND PLACE OF CHILD'S

Birth____________________________

Baptism_________________________

First Communion__________________

Confirmation_____________________

First Penance_____________________

General Remarks:_________________________________________________ _______________________________
Registration Fee Per Family is as follows:
$100.00 for 1 child in program
$150.00 for 2 children in program
$200.00 for 3 or more children in program

Additional Sacramental Fee for Confirmation: $40.00

Additional Sacramental Fee for Eucharist: $75.00

Late Fee after June 29th, 2007: $25.00

Fee enc.___________Check #____________Cash_________

For Office use only: Date Received___________________

Checks to be made payable to: Sacred Heart P.O Box S Haworth, NJ 07641 The above information is due in R.E. office by June 29, 2007 THANK YOU!