Registration RE

  
   
 

 

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This page was last edited on: Friday, May 23, 2008 03:41:05 PM


 
 

Tuition
 $65 - 1 child
$80 - 2 Children
$100 - 3 or more
 Please return by 5/31/07
after that $15 late fee
Good Shepherd Spiritual Formation
RE-REGISTRATION FORM FOR 2007-2008
(please complete all parts as directed)
Family Information
FAMILY NAME: 
  Father Mother
First Name
Last Name
Home Address
Cross Street
City
State
Zip
Home Phone
Work Phone
Mobile Phone
E-Mail
Religion

PARENTS ARE:  Married     Separated     Divorced     Single     Widowed

Send Mail to:  Father  Mother  Both  Other (fill out below)
Other Name: (Mr. Mrs. Ms) 
Other Address
Other City   State   Zip 

Children live with (click one):  Both Father  Mother Other
If divorced, who has custody rights (click one) Father  Mother Other

Would you be interested in being a catechist/teacher?  What Level? 

 
Name of person who has authority to pick-up my children & agree to any emergency medical treatment in case parent/guardian cannot be reached:
Name 
Relationship    Phone
 

STUDENT INFORMATION
Family Name  
CHILD #1

First Name
Last Name 

Registering for level:
Name of School for 2006-2007
School Grade Level
Name of last year's Catechist: 

List any allergies and/or learning needs we should know:

New Information -  fill out the new info form below instead of this section    Click Here to go to it.
  Not enrolled last year -  fill out the new info form below instead of this section    Click Here to go to it.
            

 
CHILD #2

First Name
Last Name 

Registering for level:
Name of School for 2006-2007
School Grade Level
Name of last year's Catechist: 

List any allergies and/or learning needs we should know:

New Information -  fill out the new info form below instead of this section    Click Here to go to it.
  Not enrolled last year -  fill out the new info form below instead of this section    Click Here to go to it.

 
 
CHILD #3

First Name
Last Name 

Registering for level:
Name of School for 2006-2007
School Grade Level
Name of last year's Catechist: 

List any allergies and/or learning needs we should know:

New Information -  fill out the new info form below instead of this section    Click Here to go to it.
  Not enrolled last year -  fill out the new info form below instead of this section    Click Here to go to it.

            

 
CHILD #4

First Name
Last Name 

Registering for level:
Name of School for 2006-2007
School Grade Level
Name of last year's Catechist: 

List any allergies and/or learning needs we should know:

New Information -  fill out the new info form below instead of this section    Click Here to go to it.
  Not enrolled last year -  fill out the new info form below instead of this section    Click Here to go to it.

 

WHEN FORM IS COMPLETE, PRINT SCREEN
and turn into the Spiritual Formation Office with your Registration Fee

NEW INFORMATION/NEW ENROLLMENT FORM

FILL OUT BELOW ONLY IF THERE IS NEW INFORMATION OR ENROLLMENT 
FROM LAST YEAR
 

STUDENT INFORMATION
Family Name 
CHILD #1

First Name   Last Name 
Sex   Male   Female

Date of Birth
First Reconciliation Date:       Have not received First Reconciliation
First Communion Date:          Have not received First Communion
Confirmation Date:                    Have not received Confirmation

Registering for level:
Name of School for2006-2007
School Grade Level

Please Indicate class preference day by 1st & 2nd Choice:

Mon Tues Wed Thurs  Fri Sat
1st 1st 1st 1st 1st 1st
2nd 2nd 2nd 2nd 2nd 2nd

List any allergies or pertinent information we should know:
        

 
CHILD #2

First Name   Last Name 
Sex   Male   Female

Date of Birth
First Reconciliation Date:       Have not received First Reconciliation
First Communion Date:          Have not received First Communion
Confirmation Date:                    Have not received Confirmation

Registering for level:
Name of School for2006-2007
School Grade Level

Please Indicate class preference day by 1st & 2nd Choice:

Mon Tues Wed Thurs  Fri Sat
1st 1st 1st 1st 1st 1st
2nd 2nd 2nd 2nd 2nd 2nd

List any allergies or pertinent information we should know:
 
CHILD #3

First Name   Last Name 
Sex   Male   Female

Date of Birth
First Reconciliation Date:       Have not received First Reconciliation
First Communion Date:          Have not received First Communion
Confirmation Date:                    Have not received Confirmation

Registering for level:
Name of School for2006-2007
School Grade Level

Please Indicate class preference day by 1st & 2nd Choice:

Mon Tues Wed Thurs  Fri Sat
1st 1st 1st 1st 1st 1st
2nd 2nd 2nd 2nd 2nd 2nd

List any allergies or pertinent information we should know:
        

 
CHILD #4

First Name   Last Name 
Sex   Male   Female

Date of Birth
First Reconciliation Date:       Have not received First Reconciliation
First Communion Date:          Have not received First Communion
Confirmation Date:                    Have not received Confirmation

Registering for level:
Name of School for2006-2007
School Grade Level

Please Indicate class preference day by 1st & 2nd Choice:

Mon Tues Wed Thurs  Fri Sat
1st 1st 1st 1st 1st 1st
2nd 2nd 2nd 2nd 2nd 2nd

List any allergies or pertinent information we should know:

WHEN FORM IS COMPLETE, PRINT SCREEN 
and turn into the Spiritual Formation Office with your Registration Fee


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