ORDINARY TIME 2012

PARISH RELIGIOUS EDUCATION REGISTRATION 2010-2011

Registration Form:

Family Name:
Parents' Name:	Father: Mother: (include maiden name)
Mailing Address:
City:
State:
Zipcode:
Phone:
Cell:
Email:

Name of Student	DOB	Grade	Sacraments*
			B R E C

			B R E C

			B R E C

			B R E C

A recent copy of Baptismal Certificate must be forwarded with payment. For information on how to obtain those records, please contact the office at 437-0238 for assistance.

Baptismal Certificate must be on file or submitted with registration

All children MUST be signed in and out of each class.

Name of adult dropping off and picking up student:

List the names of adults you authorize to pick up your child/children after class:

*Baptism Reconciliation Eucharist Confirmation

Registration Fee:	$30 per Student	Through July 31, 2011
	$50 per Student	After July 31, 2011

	Out of Parish Fee: $100 (with a letter from the Pastor giving permission.) Tuition assistance is available though St. Jude Outreach Ministry.

Name of person completing this form:

Checks should be made payable to St. Jude Mission.

Please mail to St. Jude Mission:

ATTN: David Marcus
1404 College Avenue
Alamogordo, NM 88310

Registration will not be considered complete until payment and recent copy of baptismal certificate are received.