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Religious Education Registration 2019-2020

This Fall 2019, we will maximize the use of the facilities in the new Parish Center and Aquinas Hall to accommodate the Religious Education classes. We will do everything possible to have students enrolled in their first choice of sessions on a first come, first served basis. We provide all necessary materials for classes. However, we are in need of more catechists and assistants to facilitate our Religious Education program. If you are able to help in one of these areas, please check the appropriate box in the form below. Thank you!

Schedule of Classes

Grades 1-6: Wednesday 6-7:15 p.m. AND Sunday 8:00-9:15 a.m. or 10-11:15 a.m.
Grade 7-8: Wednesday 6-7:15 p.m. AND Sunday 8:00-9:15 a.m. or 11:15 a.m.-12:30 p.m. or 6:15-7:30 p.m.
Grade 9: Sunday 6:15-8 p.m.
RCIA for Children & Teens (non-baptized): Sunday 11:15 a.m.-12:30 p.m.

Tuition will be calculated as you fill out the form, please pay with a Credit Card or use your Bank Account Information* (Preferred Method).

Tuition for 2019-2020:

Fees will be calculated as you work through the registration form.

Fees	April-May: Early Bird	June-July: Summer Fee	August: Regular Fee
Grades 1 -8, RCIA	$ 50.00 per child	$ 60.00 per child	$ 90.00 per child
Add: Sacramental Fee for 2^nd Grade & RCIA Year 2 students	$ 30.00 per child
Confirmation III - 9^thGrade	$ 30.00 per teen
RE Independent Study (Gr. 1,3-7)	$ 40.00 per child
Catholic Home School	$ 30.00 per child (Families need to register in 1^st & 2^nd grade or 7-9^th Grade for the preparation and reception of the Sacrament)
Catholic School	$ 30.00 per child (Families need to register in 2^nd grade or 9^th Grade for the reception of the Sacrament)

Contact Information

Last Name

Required*

Parish Envelope #

Required*

Address

Street 1*

Street 2

City*

State*

Zip*

Father's Name

First Name*

Last Name*

Father's Religion

Required*

Mother's Maiden Name

First Name*

Last Name*

Mother's Religion

Required*

Primary Phone

Required* --

Whose Phone Is This?
Required*

	Mother's Cell
	Mother's Work
	Father's Cell
	Father's Work
	Home
	Other

Secondary Phone

--

Whose Phone Is This?

	Mother's Cell
	Mother's Work
	Father's Cell
	Father's Work
	Home
	Other

Primary Email

Required*

Secondary E-mail

Emergency Contact Name

First Name*

Last Name*

This must be someone other than the parents who lives in Charlotte.

Emergency Contact Relationship

Required*

Emergency Phone Number

Required* --

Indicate Your Permission for Medical Emergencies
Required*

If the legal guardian and/or emergency contact persons cannot be reached, the bearer of this form is authorized to act on my behalf to seek medical treatment as deemed necessary for the child/children listed in this registration form.*

	Yes
	No

Indicate Your Permission for Photos
Required*

I give permission for my child/children's pictures to be used in all parish and diocesan publications.*

	Yes
	No

Child 1

BAPTISM CERTIFICATE is required before students can enter classes and for reception of the Sacraments. Please make sure the Religious Education Office has a copy on file. FIRST COMMUNION CERTIFICATE is also required for the reception of the Sacrament of Confirmation.

Student's Full Name

First Name*

Middle Name

Last Name*

Gender
Required*

	Male
	Female

Grade

Required*

Birth Date

Required* //

Place of Birth

Required*

Sacraments Completed
Required*

	Baptism
	Eucharist
	Confession

Allergies/Medical/Special Instructions for Disabilities

Class Choice

See note above for Grades/Time Information *

Student Registration FeeRequired*

		Selection	Extended

	Grades 1, 3-8, RCIA
	Grade 2, RCIA Year 2
	Confirmation III - 9th Grade
	RE Independent Study (1, 3-7)
	Catholic School / Home School (grade 2 or 9)

Child 2

BAPTISM CERTIFICATE is required before students can enter classes and for reception of the Sacraments. Please make sure the Religious Education Office has a copy on file. FIRST COMMUNION CERTIFICATE is also required for the reception of the Sacrament of Confirmation.

Student's Full Name

First Name

Middle Name

Last Name

Gender

	Male
	Female

Grade

Birth Date

//

Place of Birth

Sacraments Completed

	Baptism
	Eucharist
	Confession

Allergies/Medical/Special Instructions for Disabilities

Class Choice

See note above for Grades/Time Information

Student Registration Fee

		Selection	Extended

	Grades 1, 3-8, RCIA
	Grade 2, RCIA Year 2
	Confirmation III - 9th Grade
	RE Independent Study (1, 3-7)
	Catholic School / Home School (grade 2 or 9)

Child 3

BAPTISM CERTIFICATE is required before students can enter classes and for reception of the Sacraments. Please make sure the Religious Education Office has a copy on file. FIRST COMMUNION CERTIFICATE is also required for the reception of the Sacrament of Confirmation.

Student's Full Name

First Name

Middle Name

Last Name

Gender

	Male
	Female

Grade

Birth Date

//

Place of Birth

Sacraments Completed

	Baptism
	Eucharist
	Confession

Allergies/Medical/Special Instructions for Disabilities

Class Choice

See note above for Grades/Time Information

Student Registration Fee

		Selection	Extended

	Grades 1, 3-8, RCIA
	Grade 2, RCIA Year 2
	Confirmation III - 9th Grade
	RE Independent Study (1,3-7)
	Catholic School / Homeschool Grade 2 or 9)

Additional Details

Was each child registered here in Religious Education last year?
Required*

	Yes
	No

If No, who, where & grade?

Are you willing to serve as a catechist for one of your children's classes?
Required*

	Yes
	No

Can you serve as an assistant for one of the classes?

	Yes
	No

Parent Signature
Required*

I acknowledge that as the parent/guardian, this information will be submitted to the parish for use in registration.*

Yes

Order Summary

Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type Credit Card
ACH / eCheck

Credit Card

Name on Card
First Name*	Last Name*

Card Number* - - -

Accepted Types

Security Code (CVV2)* | What's this?

Expiration Date*

Billing Address

Street 1*

Street 2

City*

State*

Zip*

Provide the billing address

Phone Required* -- Provide a contact phone number for the billing contact.

Email

ACH / eCheck

Name on Account
First Name*	Last Name*

Routing Number*

Account Number*

What type of account is this?*
Checking
Savings

Billing Address

Street 1*

Street 2

City*

State*

Zip*

Provide the billing address

Phone Required* -- Provide a contact phone number for the billing contact.

Email

Spam Capture

Religious Education Registration 2019-2020

Schedule of Classes

Tuition for 2019-2020:

Fees will be calculated as you work through the registration form.

Grades 1, 3-8, RCIA

Grade 2, RCIA Year 2

Confirmation III - 9th Grade

RE Independent Study (1, 3-7)

Catholic School / Home School (grade 2 or 9)

Grades 1, 3-8, RCIA

Grade 2, RCIA Year 2

Confirmation III - 9th Grade

RE Independent Study (1, 3-7)

Catholic School / Home School (grade 2 or 9)

Grades 1, 3-8, RCIA

Grade 2, RCIA Year 2

Confirmation III - 9th Grade

RE Independent Study (1,3-7)

Catholic School / Homeschool Grade 2 or 9)