School Year 2012/2013 Date received ________

Office use only

Registration Fee Paid_____ Amount______ Check Number_______

Registration Form: St. Bridget Religious Education Program-(1 - 8 Only)

Child's Name _ Male__ Female__

Family Name First Middle Date of Birth RE grade

Address___________________________________________________________________________________

Number Street Town Zip

Home Telephone______________ Cell Phone________________

E-Mail__________________________________________________

Work Telephone____________________ Work Telephone____________________ ____________________

Mother Father Number in case of Emergency

Public School Attending_____________________________________________ Grade in September_________

Father (or Guardian's) Name_____________________________________________Religion__________________

Address (If different from above)____________________________________________________

Mother (or Guardian’s)Name_____________________________________________________Religion__________________

Maiden Name___________________________

Church/Place of Marriage_______________________________________ ______________________________.

City/State

_______________________________________________________________________________

**Baptism of child**_______________________________ ________________________________________

Church City/State Date of Baptism

The Baptismal Certificate must be shown to the Director of Religious Education unless the child was baptized at St. Bridget.

If the child was baptized at St. Bridget, the correct is helpful for research.

First Holy Communion/date____________ Church_____________________ City/Town________________

First Penance/date___________________Church_____________________ City/Town________________

_______________________________________________________________________________

Our Religious Education Program depends on Parents who volunteer their valuable time to make our Program run well.

Which of the following would you be willing to do?

#1 Teach a group of children: At school ____ #2 Substitute__ #3 Teacher's aide__#4 Office help___ #5 Monitor___

If your child has any learning problem or medical problem that the Religious Education Teacher should be

aware of, please indicate on this form or see to it that the teacher is made aware of such.

Signature of Parent______________________________________________ Date______________

TO PRINT THIS REGISTRATION FORM, PRESS CTRL+P

RELIGIOUS EDUCATION TUITION IS AS FOLLOWS:

One child $75.00

Two children $125.00

Three or more

Children $150.00

As always tuition can be paid in installments or if there is a genuine hardship tuition can be waived.

The hours for walk-in registration are as follows:

Tuesday evening, August 28, 7:00 – 8:30pm

Wednesday evening, August 29 7:00- 8:30pm

All walk-in registrations will be held in the Religious Education Office in the School.

Schedules for classes will eventually be posted on this website. In the meantime schedules may be picked up at the rectory.

TO PRINT THIS REGISTRATION FORM, PRESS CTRL+P