RELIGIOUS EDUCATION REGISTRATION

  • ST. LEO’S/HOLY ROSARY PARISH

ASHLEY, PA

RELIGIOUS EDUCATION REGISTRATION FORM

 

I AM REGISTERING MY CHILD FOR THE FOLLOWING: (Please check all that apply.)

_______C.C.D. Classes______ First Penance______ First Communion_______  Confirmation

STUDENT’S NAME:___________________________________________________________________

STUDENT’S ADDRESS:___________________________________________________________________________

STUDENT’S PRESENT SCHOOL:_______________________________________GRADE _________

CHURCH & DATE OF STUDENT’S BAPTISM:_____________________________________________

(Within two weeks, please submit a copy of your child’s Baptismal certificate if he/she was not baptized in this parish.)

CHURCH & DATE OF STUDENT’S FIRST PENANCE:______________________________________

CHURCH & DATE OF STUDENT’S FIRST COMMUNION:___________________________________

THE STUDENT _________IS __________IS NOT A MEMBER OF THIS PARISH.

                                  (CHECK ONE)

(If the student is not a member of this parish, a letter from the child’s current pastor which allows for religious instruction at St. Leo’s/Holy Rosary must be sent to Father Dang within two weeks.  The letter must also indicate the dates of the child’s attendance at the home parish’s religious education program.)

WHERE DID THE STUDENT ATTEND RELIGIOUS INSTRUCTION DURING 2019-2020?

_____________________________________________________________________________________

PLEASE LIST ANY CONDITIONS WHICH MAY AFFECT STUDENT’S ATTENDANCE OR CLASSROOM CONDUCT:_____________________________________________________________

PARENT/GUARDIAN’S NAME:_________________________________________________________

PARENT/GUARDIAN’S ADDRESS:______________________________________________________

PARENT/GUARDIAN’S PHONE:_________________________________________________________

PARENT/GUARDIAN’S EMAIL  ADDRESS: ______________________________________________

ARE YOU A MEMBER OF ST. LEO’S/HOLY ROSARY PARISH?________YES_______NO

EMERGENCY CONTACT(NAME):______________________________________________________________

PHONE:__________________________RELATION TO STUDENT_____________________________