Religious Education Registration Form

Registration Form 2021 -2022 - Please complete this form for each child you are registering. Click the “Submit” button at the bottom to send your online registration. Then bring or mail your payment and relevant documents to:
Sacred Heart Religious Education
215-35 38th Avenue
Bayside, NY 11361
Attn: Georgette Lyons

Check one *

First Time Registration

Re-registration

All children registering for the first time must submit their Baptismal Certificate even if baptized here at Sacred Heart. Tuition for one child is $115 per year and $95 for each additional child. Each family will be asked to meet a yearly parish contribution of at least $100. Please contact the Rectory for Parish registration at 718-428-2200.

Students Last Name *

Student's First Name *

Student's Address *

City *

State *

Zip Code *

Home Phone Number *

Cell Phone Number

Email *

Student's Date of Birth *

Student's Grade as of September *

School as of September *

Personal and Confidential Information - It has been our experience that sometimes our work with the children is ineffective because of certain family or personal problems of which we are unaware. If there is any special information we should have about your child, please indicate it here. (E.g. any physical handicaps, IEP’s, reading problems, health problems, learning disabilites, etc.). This information will be kept confidential!

Student's Family Information

Father's Last Name *

Father's First Name *

Father's Occupation *

Father's Religion *

Mother's Maiden Last Name *

Mother's First Name *

Mother's Occupation *

Mother's Religion *

What language is spoken at home? *

Are you a registered parishioner of Sacred Heart Church? *

Religious Education

Was child in a Religious Education Program before?

Yes

Parish Where Religious Ed was attendend

Parish Name

Length of Time Attended

Parish Address

Sacramental Information

Baptism - Please enter Church, address, and date of Baptism. *

Baptismal Certificate - please upload Baptismal Certificate

Maximum upload size: 104.86MB

Communion - Please enter Church, address and date of Communion

Reconciliation - Please enter Church, address and date of Reconciliation

Emergency Information - IF WE CANNOT REACH YOU in the event of an emergency, who can we call during Religious Education Class?

Name of Emergency Contact *

Phone Number *

Relationship to child *

Please provide the names and grades of your other children registered in our program.

I pledge to take seriously my responsibility to attend Mass each weekend with my child. My child will attend religious class regularly. *

I am aware that my child will be presented the Child Lures Program sometime this year. *

Tuition is $115.00 for one child and $95.00 for each additional child

If you are human, leave this field blank.

Sacred Heart Religious Education Registration