OUR LADY OF PERPETUAL HELP CATHOLIC CHURCH RELIGIOUS EDUCATION REGISTRATION 2013-2014

Registration Closing Date: Friday, September 13, 2013 Return to: 929 Harvard Clovis CA 93612 Questions? Call Karen Mentlewski at 299-4270 FAMILY LAST NAME: __________________________________________________________________________________________________________________________________________ FATHERS NAME: __________________________________ MOTHERS NAME: ___________________________________ MAIDEN NAME: _______________________________________ STREET ADDRESS: ________________________________________________________APT_____________CITY: _____________________________ ZIP CODE:_______________________ HOME TELEPHONE: ________________________________ CELL PHONE: ________________________________ E-MAIL: ____________________________________________________

Registration Information: Preschool - Sixth Grade

Classes begin September 24 and 25 $50.00 per student Students full name:
1.

Early Bird: $45.00 if received by August 16!

Has student received these Sacraments?
Baptism First Confession First Communion Baptism First Confession First Communion Baptism First Confession First Communion Baptism First Confession First Communion NO NO NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES YES YES

Age:

Date of Birth:

Grade in Fall:

Completed Religious Education classes:

Year attended & name of Church:

Tuesday Wednesday Wednesday La clase de

Class 4:00 Class 4:00 Class 6:15 viernes 6:00

2.

Year attended & name of Church:

3.

Year attended & name of Church:

4 .

Year attended & name of Church:

Religious Education Ministry - sharing the Good News with others.

I would be willing to (please circle) TEACH or ASSIST on (day & time of class) ___________________________ in grade: _________. Name: ______________________________ Phone: ________________________ E-mail: ________________________
FOR OFFICE USE ONLY Date Received: ______ Tuition:______ Amt pd. ________ Check #: ______ Cash: ____ Bal. _______ P Data ______ K Data _______ Class List _____

Fee: $50.00 per student Early Bird $45.00 if received by August 16!! Students Full Name:
1.

Grades 7 - 9 & 1st / 2nd Year Confirmation Sundays 4:005:15 p.m.

When & where did student attend Religious Education classes? Year attended & name of Church:
1

Classes begin September 22, 2013

Name of Jr. High/ High School

AGE

DATE OF BIRTH

GRADE

Has student received these Sacraments? Baptism First Confession First Communion Baptism First Confession First Communion Baptism First Confession First Communion Baptism First Confession First Communion
NO NO NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES YES YES

2.

Year attended & name of Church:

3.

Year attended & name of Church:

4.

Year attended & name of Church:

Registration Information: Catholic Adult Sacramental Preparation and RCIA classes: Thursdays 6:308:30 p.m. Fee: $50.00 per student Early Bird $45.00 if received by August 16!! Classes begin September 12 , 2013
FULL NAME Birthdate If you are Catholic, have you received these Sacraments?
1

If you are not Catholic, were you baptized? NO NO YES YES

Name of Church & approx. date

1.

2.

Baptism First Confession First Communion Baptism First Confession First Communion

NO NO NO NO NO NO

YES YES YES YES YES YES

List each student with medical information of which we need to be aware. Are there any special needs?
STUDENTS FULL NAME
1. 2. 3.

Medical information and any special needs