Date:

Registered: St.Roch Church

Religious Education

2020-2021

Child Lives With:

Child’s Name (First and Last) Gender Grade in School (2020-2021) Birth (Date and Place) Baptism (Date and Church) First Communion (Date and Church) Confirmation
1. confirmation
2. confirmation
3. confirmation
4. confirmation

*Note: We will need a copy of certificates for every sacrament (i.e. Baptism, First Communion) each child has received.

Annual Tuition& Fees

1 Child - $115.00

2 Children - $175.00

3 Children - $225.00

Sacramental Fee:There will be an additional charge on the year that the child will receive a sacrament.

First
Communion/Confirmation:
$50 per Child

PLEASE LIST ANY MEDICAL CONDITIONS THE CHILD MAY HAVE

Emergency Contact Information
(In order of preference)




Agreement/Authorization
  • I have read and received a copy of the rules and regulations for the Religious Education Program
  • My Child and I have understood and agree to follow the rules and regulations of the Religious Education Program.
  • In the event of an emergency, I understand that I will be notified by personnel from the parish. If I cannot be notified, the person(s) listed above will be notified. If neither myself, nor the contacts that I have provided above can be reached, I give permission to the parish to call the necessary medical personnel and have them administer any medical treatments/procedures they deem necessary.

Note: By signing below, you are in agreement and give authorization to all points listed above.