Office Use Only: CAT____

PD____ AMT____ Chk_______

                                            
Student Grade level:

                                                                                                                                                                          

                                                            2008-2009   St Francis of Assisi Student Registration Form   

  Office Use: Family Last Name:                                                                                     Student Last Name:

Begin here to fill in form:       Are you registered in the parish?  Yes___    No___     Fees:    $30-1 child [$40 if late]    $35 for 2 [$45 if late]     $40 for 3 [$50 if late]

Return this form with fees to the office by June 20th 2008                LATE FEES APPLICABLE AFTER JUNE 20 2008 UNLESS YOU ARE NEWLY REGISTERED IN THE PARISH

.

Last name of head of household First Name: 

Title (circle/underline)  Mr.  Dr.  Suffix (circle/underline) Sr.  Jr.    III

Street Address 1:    

Street Address 2 :  

City/State:                               Zip Code:

Father’s Home phone:                 Work:                        Cell:    

Email:                    Send Email when possible?  Yes         No    

Mother’s Home phone:              Work:                    Cell:    

Email:                 Send Email when possible?  Yes             No

Last name of spouse

First name:

Title (circle/underline)    Ms.  Mrs.   Dr.

 

Mailing address if different from street address:

City/State:                       Zip Code:

 

Adult Volunteers:

Name:      can help Sun. Mornings as a catechist for grade:             or I can

can substitute for grades:   a monitor for classrooms [underline]: Yes   No  

I (name]:    

would like to:   be an Adult Education Presenter [underline]: Yes   No   

Topic for presentation

help set up/clean for Adult Ed[underline]: Yes   No

Guardian Information (if you are a guardian or foster parent):

  Your Name:  

Relationship to child:

Home phone:                   Work:                            Cell:                                  

Email:  

Address:                           City:

State:              Zip:

Student: Last Name:                  First Name:                 

Nickname:                                 Sex:  M___   F___                           Date of Birth             /          /   

My child has already received the following sacraments[underline]:  Baptism   First Penance   First Communion   Confirmation 

My child will receive religious education in [underline]:  CCD      Home School     Other (explain) 

This year my child needs to be enrolled in the program/classes for [underline]:  Baptism   First Penance   First Communion   Confirmation 

Indicate CCD gradelevel 2008-2009 school year      Secular school gradelevel 2008-2009 school year:        school name:   

Special information (allergies, other medical, educational, etc) that we should know

 

Student: Last Name:                  First Name:                 

Nickname:                                 Sex:  M___   F___                           Date of Birth             /          /   

My child has already received the following sacraments[underline]:  Baptism   First Penance   First Communion   Confirmation  

My child will receive religious education in [underline]:  CCD      Home School     Other (explain)  

This year my child needs to be enrolled in the program/classes for [underline]:  Baptism   First Penance   First Communion   Confirmation  

Indicate CCD gradelevel 2008-2009 school year      Secular school gradelevel 2008-2009 school year:        school name:   

Special information (allergies, other medical, educational, etc) that we should know

 

Student: Last Name:                  First Name:                 

Nickname:                                 Sex:  M___   F___                           Date of Birth             /          /   

My child has already received the following sacraments[underline]:  Baptism   First Penance   First Communion   Confirmation  

My child will receive religious education in [underline]:  CCD      Home School     Other (explain)  

This year my child needs to be enrolled in the program/classes for [underline]:  Baptism   First Penance   First Communion   Confirmation  

Indicate CCD gradelevel 2008-2009 school year      Secular school gradelevel 2008-2009 school year:        school name:   

Special information (allergies, other medical, educational, etc) that we should know