REGISTRATIONFOR by D5D29A5

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									SS Peter & Paul                            GENERATIONS OF FAITH                                              PLEASE
RC Faith Community
17 Grove Street                             REGISTRATION FORM                                              COMPLETE
Williamsville, NY 14221                          2012-2013                                                THIS FORM BY
(716) 632-2678
www.ssppreled@roadrunner.com                                                                              JULY 1ST 2012


                   Families must be registered with and attending Mass at SS Peter & Paul Parish
                                          to register for Rel Ed programs

         Child lives with (please circle) Both Parents Mother Father                            Other________________


Father’s Information                          Mother’s Information                       Step-Parent Information
                                                                                    (If residing with registered child)

Name: __________________________           Name:_________________________                   Name:______________________
 IF REGISTERING FOR THE FIRST TIME, PLEASE INCLUDE THE FOLLOWING WITH THIS REGISTRATION FORM:
Address:________________________      Address:_____________________          Cell Phone:___________________
          SACRAMENT RECORDS – copies of Baptismal, Penance & First Eucharist Certificates (grades 2+) If sacraments were
        _______________________________  ____________________________          *IF PARENTS ARE DIVORCED/SEPARATED
          GRADE LEVELS ATTENDED at previous parish(es). We require information on their attendance and what program

Home Phone ___________________             Home Phone _________________          WE REQUIRE BOTH CUSTODIAL PARENTS’
   This information can be obtained from previous parishes upon your request and mailed or faxed directly to us.

Cell Phone _________________                Cell Phone ___________________                         INFORMATION


                 E-MAIL __________________________________________

      We plan to email program information as much as possible to save on paper and postage.
                     If you do NOT have an email address, please check here _______


                 This is a family program, using the model of whole community catechesis. Full
                 family involvement is at the heart of the program. Parents are committed to their
                 own faith formation and that of their children on a daily basis. Families gather once
                 monthly, beginning with 11:30 AM Mass. We will follow Mass with a shared meal,
                 an age appropriate lesson on a specific theme, and a family activity. Preschoolers
                 may be taken with staff to do a separate activity.

           PLEASE INCLUDE ALL STUDENTS’ INFORMATION BELOW
                           (PRESCHOOL-10TH)

                                                                                                   Grade
                      Child’s First/Last Name                        M/F        Birth date         as of
                                                                                                    Sept
                                                                                                   2012




                                **********PLEASE COMPLETE OTHER SIDE**********
    IF REGISTERING FOR THE FIRST TIME, PLEASE INCLUDE THE FOLLOWING WITH
    THIS REGISTRATION FORM:

   SACRAMENT RECORDS – copies of Baptismal, Penance & First Eucharist Certificates
    (grades 2+)
   If sacraments were made at SSPP, we have records on file.
   GRADE LEVELS ATTENDED at previous parish(es). We require information on their
    attendance and what program was used.

    This information can be obtained from previous parishes upon your request and
    mailed or e-mailed directly to us.


                                    FEES - KDG-9TH GRADE

                  1 CHILD…$80; 2 CHILDREN…$135; 3 CHILDREN…$170
                    4 CHILDREN…$200; $30 EACH ADDITIONAL CHILD

                    No one will be denied because of financial reasons
                       Please contact our office if this is a concern



   Where did your child(ren) attend Religious Ed last year? _______________

   Do any of your children have any disabilities or special needs we need to be aware of,
    such as medications, food allergies, hearing etc.? If yes please explain:
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________


                 If you are interested in being a leader for a break-out group
                             during GOF, please check here ______




               OFFICE USE ONLY: T FP PYMT KW_____                 PDS_______

                Registration Date________         Tuition due____________

                 Pymt amt ____________ Check # _______ Cash ______

           Pymt Date _____ Credit Card* ____ *MUST COMPLETE SEPARATE FORM




                    **********PLEASE COMPLETE OTHER SIDE**********

								
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