Religious Education Registration Form Sacred Heart Religious Education RegistrationSacred Heart Religious Education RegistrationRegistration 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 Education215-35 38th AvenueBayside, NY 11361Attn: 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 * Parent's Marital Status * Married Separated Divorced Mother Deceased Father Deceased 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 No 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 Drop a file here or click to upload Choose File 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 Submit
