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Holy Family Religious Education Center - Registration
The Holy Family Center for Religious Education
303 Paris Street, East Boston, MA 02128
Phone: 617.567.6509 Fax: 617.567.2561
Registration Application
School Year 2011 - 2012
Office use only
__________________________________________________________________________________________________________________________
Name:_______________________________________________________________________________________________
FIRST FULL MIDDLE LAST
Home Address:_______________________________________________________________________________________
City:__________________________________ Zip:______________ Home Phone: ______________________________
(Area Code & Phone No.)
Date of Birth: _________/_________/_____________(Month/Day/Year)
FEMALE:______________________ MALE__________________
New to Holy Family Center: Yes No (Circle One)*
If yes, prior religious education: _________________________________________________
Date of Baptism: _____________/____________/____________(Month/Day/Year)*
Church of Baptism:________________________________________ City & State: __________________
Date of First Holy Communion____________/______________/________________(Month/Day/Year)*
Church of Holy Communion:_______________________ City & State: ___________________
School Student Attends:_________________________________ Grade in Sept 2008:______
Special Needs:_____________________________ Learning Disabilities:_________________
Health Information/Allergies:___________________________________________________
Language spoken at home:_____________________________________________________
Mother's Name___________________________________________________________________________
FIRST FULL MIDDLE LAST
Father's Name____________________________________________________________________________
FIRST FULL MIDDLE LAST
Name of Parent/guardian responsible for receiving mail:________________________________________________
Parent/guardian's email address: ____________________________________________________________________
In case of emergency and if we can't contact the parent/guardian first, please list two other responsible adults we should contact.
Name:________________________________________________ Relationship:__________________________________
Area Code and Phone Number:__________________________________________________
Name:________________________________________________ Relationship:__________________________________
Area Code and Phone Number:__________________________________________________
*Please note*: If it is your first year with the Holy Family Center, and your child received Baptism or First Holy Communion somewhere other than Sacred Heart Parish, you must present your child's Baptismal Record and/or First Communion Record. We will be happy to make a copy and return the original to you.
2011 Pricing:
Please see Mrs. Cheryl DeModena in the office or call her at 617.567.6509 to make payments or payment plans.
$70.00 for the 1st child in a family
50.00 for the 2nd child
30.00 for the 3rd child
__________________
$150.00 total for 3 or more students in a family.
Please Note: Those children attending Catholic Schools in grades 2, 9 and 10 must also register as part of our
Sacramental Program at a cost of $25.00.