Diocese of Palm Beach
Holy Redeemer Religious Education Program
Family Registration Form 2007 - 2008
Family Information
Telephone: (day) ______________ (evening) ______________ Email:
Please indicate medication (R) or learning disability (LD) which may effect your child's performance in class.
Class Day Student Name(s) Grade File Complete New to Program  
Registration File is complete when we have on file for each child complete individual registration
and a copy of child's Baptismal Certificate.
Tuition and Fees One Child Two Children Three or More Per Child Amount Due
Tuition, Books & Assessment Fees $75.00 $120.00 $150.00    
First Communion Class Fee       $25.00  
Confirmation Class Fee (includes robe rental)       $35.00  
TOTAL DUE  ---------------------------------------------->
PAYMENT.................CHECK #________ CASH ________

Please make checks payable to Holy Redeemer Catholic Church
Payment in full is expected at the time of registration, but NO ONE WILL BE TURNED AWAY DUE TO INABILITY TO PAY. Please discuss your family's needs with the Director.

My child(ren) will attend the religious education classes and related events at Holy Redeemer Catholic Church with my permission and intention. I agree that it is my responsibility to assist my child(ren)in learning the requirements of the Religious Education Program and fulfilling them to the best of our ability.


Signature of Parent ____________________________________

Date: _________________________