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ONLINE REGISTRATION 2021 - 2022
Registration for 2021-2022 Religious Education Classes
IF YOU ARE REGISTERING MORE THAN 3 CHILDREN, PLEASE STOP BY THE OFFICE TO REGISTER IN PERSON.
OK
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1.
Is the Person Registering the Parent? If Yes, Please go to Question 3
(Required.)
2.
Only fill out this Section if you are NOT the parent:
Your Name:
Relationship to the Student (ex. Aunt; Grandparent; Friend)
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3.
YOUR INFORMATION - (the person registering)
(Required.)
Name
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Address
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Address 2
City/Town
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State/Province
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ZIP/Postal Code
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Email Address
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Phone Number
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4.
FATHERS INFORMATION: (Please enter NONE in each field if no information is available).
(Required.)
First and Last Name of Father
Cell Phone Number
Email:
Race/Ethnicity
Religion: (if not Catholic, please specify)
If Catholic, please list the Sacraments the FATHER has received (Baptism, Penance, First Communion, Confirmation):
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5.
MOTHERS INFORMATION: (Please put None if no information is available)
(Required.)
First and Last Name of Mother
Cell Phone Number
Email:
Race/Ethnicity
Religion: (if not Catholic, please specify)
If Catholic, please list the Sacraments the MOTHER has received (Baptism, Penance, First Communion, Confirmation):
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6.
ADDITIONAL FAMILY INFORMATION:
(Required.)
Primary Language Spoken at Home
Parents Marital Status: (Married in the Church; Married, Civilly; Divorced; Living together, not married; Single; Widow(ed)
Are you a registered member of St. Martin's Parish?
Home Phone (if different from Cell Phone number):
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7.
STUDENT ONE INFORMATION INFORMATION - Please answer all fields. Put NONE if not applicable:
(Required.)
Name of the Student
With whom does the Student Live (EX. Both parents; Mother; Father)
Birth Date of Student:
Current Grade in 2021/2022:
Gender (Male or Female):
Please list the Sacraments the Student HAS received (Baptism/Reconciliation/First Communion/Confirmation)
Did this child attend Religious Education Last Year?
Languages the Child Speaks (please note the level of fluency)
Does this Student have any medical concerns? If yes, Please explain.
Does this Student take any medications? If yes, please explain.
Does this student have any allergies? If yes, please explain.
Does this child have any behavioral or mental health issues (ex. depression, anxiety)? If Yes, please explain
Does this child have any learning disabilities? (Ex. ADHD, Dyslexia)
If Yes, please explain.
Is there anything else we should know about your child that would help us better understand him or her?
Please go to Question 10 if you are only registering one child.
8.
STUDENT TWO INFORMATION INFORMATION - Please answer all fields. Put NONE if not applicable:
Name of the Student
With whom does the Student Live (EX. Both parents; Mother; Father)
Birth Date of Student:
Current Grade in 2021/2022:
Gender (Male or Female):
Please list the Sacraments the Student HAS received (Baptism/Reconciliation/First Communion/Confirmation)
Did this child attend Religious Education Last Year?
Languages the Child Speaks (please note the level of fluency)
Does this Student have any medical concerns? If yes, Please explain.
Does this Student take any medications? If yes, please explain.
Does this student have any allergies? If yes, please explain.
Does this child have any behavioral or mental health issues (ex. depression, anxiety)? If Yes, please explain
Does this child have any learning disabilities? (Ex. ADHD, Dyslexia)
If Yes, please explain.
Is there anything else we should know about your child that would help us better understand him or her?
Please go to Question 10 if you are only registering two children.
9.
STUDENT THREE INFORMATION INFORMATION - Please answer all fields. Put NONE if not applicable:
Name of the Student
With whom does the Student Live (EX. Both parents; Mother; Father)
Birth Date of Student:
Current Grade in 2021/2022:
Gender (Male or Female):
Please list the Sacraments the Student HAS received (Baptism/Reconciliation/First Communion/Confirmation)
Did this child attend Religious Education Last Year?
Languages the Child Speaks (please note the level of fluency)
Does this Student have any medical concerns? If yes, Please explain.
Does this Student take any medications? If yes, please explain.
Does this student have any allergies? If yes, please explain.
Does this child have any behavioral or mental health issues (ex. depression, anxiety)? If Yes, please explain
Does this child have any learning disabilities? (Ex. ADHD, Dyslexia)
If Yes, please explain.
Is there anything else we should know about your child that would help us better understand him or her?
*
10.
SELECT A SESSION: Please Select a Session (You may check multiple sessions - for example, you have a teen to register along with younger children):
(Required.)
TUESDAY (taught in English): In person Classes will be from 7:00 PM to 8:30 PM.
WEDNESDAY - (taught in Spanish/Bilingual). In person Classes will be from 7:00 PM to 8:30 PM.
SATURDAY - (taught in Spanish/Bilingual). In person Classes will be from 3:45 PM to 5:15 PM.
NON BAPTIZED CHILDREN: (English) In person Classes will be from 5:30 - 7:00 pm on Saturdays
NON BAPTIZED CHILDREN: (Spanish) In person classes will be from 5:30 - 7:00 PM on Saturdays
TEEN SACRAMENT CLASS FOR GRADES 9 - 12 : This class is for those teens who need a Sacrament. In person classes meet on Fridays from 7:00 - 9:00 PM.
11.
Tuition Information: Below are the tuition costs for Religious Education. After receiving your registration, we will send you an email with the total cost. You
MUST
come to the office to make for payment and to finalize your registration.
Your registration is NOT complete until meet with us in person!
TUITION PER CHILD: $75
BOOK FEE PER CHILD: $25
SACRAMENTAL FEE PER CHILD (Second Year Preparation): $30
CONFIRMATION ROBE: $10 (Second Year Preparation)
OUT OF PARISH FEE: $25 (per child)
Please use the comment box for any questions
12.
I, the father/mother/guardian of the family fully understand that we are the primary educators of our faith and are responsible to practice Catholic teachings including participation in weekly Sunday Mass.
Agree
Disagree
13.
I understand that I am responsible for being ON TIME to Religious Education Classes (online and in person classes).
Agree
Disagree
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14.
I understand that pictures taken during Religious Education classes and activities may be used in parish publications, the website and on parish social media. To opt out, please see Faith Formation staff for the necessary paperwork.
(Required.)
Agree
Disagree
15.
I understand that if my student is in the second year of preparation for a sacrament, he/she will be required to attend additional formation activities. For Reconciliation and First Communion this will be one - day on site retreats. For Confirmation, this is a 1 day retreat plus a weekend retreat. I understand that these retreats will have an additional cost.
Agree
Disagree
16.
I understand that my child, in first and second year preparation for Confirmation is required to perform service hours as part of their formation for Confirmation.
Agree
Disagree
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17.
I accept all the responsibilities to pay the annual fee for the Religious Education of my child.
(Required.)
Agree
Disagree
Current Progress,
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