Church of the Assumption Religious Education Program +
113 Chiego Place
Roselle Park, NJ 07204
908-245-1107
908-499-8260
Religious Education Registration Form (for new students entering the program)
Child’s name _________________________________________________________
Child’s date of birth ______________Place of birth ____________________________
Address: __________________________________________________________________
____________________________________________________________________________
Home Phone: ___________________________email:____________________________
Daytime contact & (cell) phone:__________________________________________________ _
School Attending: ______________________________ grade in September ________
If the child attended another Religious Education Program last year, please indicate below and attach
child’s records:
___________________________________________________________
Father’s Name __________________________Father’s Religion________________________
Mother’s Name __________________________Mother’s Religion_______________________
Mother’s Maiden Name _____________________
To whom should the mail be addressed: ❏Both parents ❏Mother ❏Father ❏ ___________
Language spoken at home: ❏English
___________________________
❏Spanish
❏Other
Please check your class choice: (subject to availability)
Grades 1-5 are offered on:
Sunday mornings 9:00 - 10:15 a.m.
Grades 6-9 are offered on:
Tuesday afternoons 3:45 - 5:00 p.m.
Wednesday afternoons 3:45 - 5:00 p.m.
Sunday mornings 9:00 - 10:15 a.m.
Tuesday evenings 7:00 - 8:15 p.m.
♡ To have a strong, healthy Religious Education Program, we encourage parent involvement.
Please prayerfully consider if God is calling to you to volunteer for one of the following:
___ Catechist/Teacher ___ Substitute Catechist ____ Classroom Aide _____Office Assistant
___ Hospitality ___ Crafts ___ Phoning
__________________________________
Other:
Your Name: _______________________________________________________
Please complete the other side, too!
Sacramental History:
please attach a copy of the certificate(s).
Date of Baptism: _______________________
Church of Baptism: ______________________________________________________
Church of First Reconciliation (Confession) _______________________________________
Date of First Communion __________________________________________
Church of First Communion ________________________________________________
How often does your family attend Mass? ❏ regularly ❏ sometimes
❏ rarely
Please list names and ages of siblings:
____________________________________________________________________________
___________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Is there anything we need to know about your child in order to serve him/her better
(allergies/special needs/etc.)?
____________________________________________________________
____________________________________________________________
Please read and sign:
I have received and agree to follow the guidelines in the Parent Handbook.
I understand that prayer and Mass attendance is important and will strive to help my
children practice the Catholic faith.
Fee: $75 for one child, $115 for two children, $150 for three or more children
****$25 additional fee for Sacramental Preparation (Eucharist, Confirmation)****
Please make checks payable to The Church of the Assumption.
Amount enclosed__________________ check #______________ balance due _______________
Parent’s signature ___________________________________________________________
Church of the Assumption Religious Education Program
113 Chiego Place, Roselle Park, NJ 07204 + 908-245-1107 [email protected]
2011-2012 Re-Registration Form - School Year Program (September-May)
To whom should we address your mail?___________________________________________
Father’s Name _____________________________________________________________
Mother’s Name _____________________________________________________________
Address: ___________________________________________________________________
Home Phone: _____________________________e-mail_______________________________
Daytime contact & phone:__________________________________________________ ____
Grades 1-5 are offered on:
•
Sunday mornings 9:00 - 10:15 a.m.
•
Tuesday afternoons 3:45 - 5:00 p.m.
•
Wednesday afternoons 3:45 - 5:00 p.m.
Full name of child
Grades 6-9 are offered on:
•
Sunday mornings 9:00 - 10:15 a.m.
•Tuesday evenings 7:00 - 8:15 p.m.
grade ‘11-12 1st choice
___________________________ _______
___________________________ _______
___________________________ _______
2nd choice
__________ _________
__________ _________
__________ _________
If any student is new to the program, please request a “new student” registration form.
Is there anything we need to know about any child in order to serve him/her better
(allergies/special needs/etc.)?
____________________________________________________________
____________________________________________________________
♡ Are you being called to serve in our Religious Education Program? Are you available to
substitute? Please let us know.
_____I can teach._____ I prefer to substitute.
Grade preference: ______
Please read and sign:
I have received and agree to follow the guidelines in the Parent Handbook.
I understand that prayer and Mass attendance is important and will strive to help my
children practice the Catholic faith.
Fee: $75 for one child, $115 for two children, $150 for three or more children
****$25 additional fee for Sacramental Preparation (Eucharist, Confirmation)
Please make checks payable to The Church of the Assumption.
Amount enclosed__________________ check #______________ balance due _______________
Parent’s signature ___________________________________________________________
$10 late fee per month for re-registrations received after May 25.