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ST.
BENEDICT PARISH
RELIGIOUS EDUCATION
REGISTRATION FORM
GRADES:
K-12
Last Name __________________________
Father’s Name ________________
PHONE (w)____________
Religion ____________
Mother’s Name _______________
PHONE (w)____________
Religion ____________
Address _________________________________________
Zip ___________
Email address __________________(mom)
__________________(dad)
Home phone ______________________
Please provide the following for each child you
are registering and circle the Sacraments received. Please bring Baptismal
certificate to class if you are in the 2nd or 11th grade.
Class times( all classes held in our school
building)
High School— Sunday from 5:00-6:45
Confirmation —Sunday from
5:30-6:45
Grades
k-8
Sunday from 5:30-6:40
BOOK FEE– 25 dollar per
child with a maximum fee of 75 dollars per family.
Enclosed: $______________
PARISH
REGISTRATION– Families of
all students must be formally registered in the parish.
If you are not registered in the parish, please complete a
registration card and turn it in with this form.
COMMENTS–
Please list any special needs for students or any other comments below.
OFFICE USE
Fee______________
Registration _____________
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