Religious Ed Form Forms

 

 

St. Malachy Church/Elementary Religious Education

 

Family Information  (Complete a separate form for each child in grades 1-6. For the oldest child, please fill out the entire form including family information. For each additional child, complete the student information at the bottom of the form. Submit all forms for your children in grades 1-6 together)

 

            Custodial Parent's Name:  

        Street Address:   

            City:      State:                           

            Telephone:       

            Email  Address: 

 

Emergency Contact Information

                                    Parent Cell Phone:  

                                    Other emergency contact:   Name:     Telephone:  

 

Parent/Volunteer Information:  Are you willing to help in the program in any of the following ways?

                                    As a catechist              Grade preference?  

                                         As a summer catechist, I would need child-care for preschool age children

                                     As a substitute catechist

                                     As an aide to the coordinators for hospitality, paperwork, errands, etc.

                                     As a child-care provider for preschool children of summer catechists

 

Fees:    (Make checks payable to St. Malachy Church)

                _____$75.00 - One child     _____$110.00 - Two children   <_____$145.00 - Three or more

           

            (Office Use)  Paid:  Check #_______      Check Date________  Amount________

 

_______________________________________________________________________________

Student's Name  

     Sex        Birthdate   

     Sacraments:  Baptized       Date(if known) 

                              Eucharist      Date(if known)  

                              Reconciliation     Date(if known)  

 
            Religious Education Class         

                        Choose program for 2008/2009:

                  Grade  _____                  Session                                 _____Summer Intensive (June 2-13, 8:00-11:00)

                                                                                                            _____Sunday Program  

 

            Special Needs: List any allergies, medical conditions, or learning considerations:

 

Date Submitted to Faith Formation Office