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