Religious Education Registration

Use this form to register for Religious Education classes.

REGISTRATION FOR GRADES 1-10 (2013/2014 SCHOOL YEAR)
St. Paul Parish Religious Education
10 Atwood Street, Wellesley, MA 02482
781-235-5012 | e-mail: stpaulreligioused@comcast.net

Office Use Only
Date: ________________
Check# ________________
Amount:________________

Sessions

GRADE 1-5	SUNDAYS	10:15 to 11:15 A.M.
GRADE 1-5	WEDNESDAYS	2:00 to 3:00 P.M.
MIDDLE SCHOOL (GRADE 6-8)	SUNDAYS	5:00 to 6:00 P.M.
CONFIRMATION (GRADE 9-10)	SUNDAYS	5:00 to 6:00 P.M.

Tuition

$80.00 per student, $160.00 maximum per family

Grade 2 Reconciliation/First Communion materials : additional fee of $20.00

Grade 10 Retreat/Confirmation : additional fee of $125.00

Make checks payable to : St. Paul Religious Education

Registrant Information

Family Name

Required*

Address

Street 1*

Street 2

City*

State*

Zip*

Phone

Required* --

Mobile / Emergency #

Required*

Father's Name

First Name*

Last Name*

Mother's Name

First Name*

Last Name*

Should Rel. Ed. mail to an additional address?

	No
	Yes

If so, enter additional address:

Street 1

Street 2

City

State

Zip

Student 1

Name

First Name

Last Name

School Attending

Grade in Upcoming School Year

Session

Please select the session Student 1 will be attending

Special Needs

Please select any special needs for Student 1

Notes

Please enter any notes regarding Student 1

Has Student 1 received First Communion / Penance?

	Yes
	No

Student 2

Name

First Name

Last Name

School Attending

Grade in Upcoming School Year

Session

Please select the session Student 2 will be attending

Special Needs

Please select any special needs for Student 2

Notes

Please enter any notes regarding Student 2

Has Student 2 received First Communion / Penance?

	Yes
	No

Student 3

Name

First Name

Last Name

School Attending

Grade in Upcoming School Year

Session

Please select the session Student 3 will be attending

Special Needs

Please select any special needs for Student 3

Notes

Please enter any notes regarding Student 3

Has Student 3 received First Communion / Penance?

	Yes
	No

Student 4

Name

First Name

Last Name

School Attending

Grade in Upcoming School Year

Session

Please select the session Student 4 will be attending

Special Needs

Please select any special needs for Student 4

Notes

Please enter any notes regarding Student 4

Has Student 4 received First Communion / Penance?

	Yes
	No

Parental / Guardian Notes

Are you willing to assist the program as one of the following?

	classroom teacher
	classroom assistant
	volunteer

Photography Permission
Required*

There are times that we might take group or individual photos of your child for OUR newsletters, website, or bulletin boards. Do you give approval for your child to be photographed for these resources?*

	Yes
	No

Payment

Payment Total

Please reference "Tuition" section for fees*

How will you be paying?
Required*

	by check, mailed to address at top of form
	online through "Online Giving"

	For security purposes, please enter the two words that appear in the box below. Required*

Religious Education Registration

Sessions

GRADE 1-5

GRADE 1-5

MIDDLE SCHOOL (GRADE 6-8)

CONFIRMATION (GRADE 9-10)

Tuition