Please note that if you have a child coming into the program for the first time, you need to fill out a "new-child" registration form. Click here for that form. This form is only for children already enrolled in our program.

Family Name______________________________________________

ADDRESS________________________________________________________

_________________________________________________________________

PHONE(Day)________________(Eve.)_________________EMERGENCY or Cell Phone _______________________

Family Email Address:__________________________________________________________

CHILDREN CURRENTLY IN PROGRAM _____

GRADE --September 2007

___________________________________ _______________

___________________________________ _______________

___________________________________ _______________

SCHOOLS ATTENDED______________________________________________ PHONE:____________________

Registration Fee Per Family is as follows:

Additional Sacramental Fee for Confirmation: $40.00

Additional Sacramental Fee for Eucharist: $75.00

Late Fee after June 29th, 2007: $25.00

Please note that any registrations received after June 29th,07 will have an additional fee of $25. If the registration fee is a problem for any family, please call Mary at 201 384 6454

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!