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Our Lady of Consolation RELIGIOUS EDUCATION PROGRAM
REGISTRATION FORM 2008 – 2009
Phone: 973-839-3444 Email: olcgen@optonline.net
GRADES 1 - 8
Registration form is due by June 1, 2008 or sooner.
An additional late fee of $25.00 will be charged after June 1st
Please circle one: FALL SUMMER HOME STUDY
(Must be approved by Religious Ed Director)
Non-refundable instructional material cost: $40.00 (make check payable to: OLC Religious Education)
NON-PARISHIONER FEE = $250.00
Method of Payment: CASH_________________ CHECK #___________________
Pupil Information:
Name____________________________________________________________________________________
(Please Print) Last First M.I.
Home Phone:_____________________________________________________________________________
Mailing Address:__________________________________________________________________________
Date of Birth:___________________City:__________________________________State:_______________
School Attending_____________________________Grade in Sept.2008____________________________
CCD Grade registering for in 2008____________CCD Grades completed_________________________
Parent/Guardian Information:
Father’s Name_______________________ ______________________________________________________
(Please Print) First Last Religion
Father’s Phone: Work#____________________________Cell#____________________________________
Mother’s Name___________________________________________________________________________
(Please Print) First Last Maiden Religion
Mother’s Phone: Work#____________________________Cell#____________________________________
Parent’s Email address:_____________________________________________________________________
Emergency Contact Phone__________________________________________________________________
(Please give name if this number is other than a parent (i.e. grandparent, neighbor, etc.)
For Office use only: Initials_____________Date__________________
Candidate’s Sacramental Information: Copies of Sacramental Certificates must be enclosed if Sacraments were not received at O.L.C. Church.
Baptism______________________________________________________________________
Mo/Day/Year Church Address
1st Communion________________________________________________________________
Mo/Day/Year Church Address
1st Reconciliation (Penance)
_____________________________________________________________________________ Mo/Day/Year Church Address
NEW CCD STUDENTS: Copies of Baptismal, 1st Communion & 1st Reconciliation certificates
must be enclosed if sacraments were not received at Our Lady of Consolation Church.
PLEASE COMMENT ON THE FOLLOWING INFORMATION BELOW:
To best serve your child, please inform us of any physical or academic difficulties that might hinder your child’s learning or participation in class.
Learning disabilities (Please explain)_________________________________________________________
Hearing Impaired____________________ Hyperactive________________________
Allergies____________________________ Asthma____________________________
Please Explain:
All families must be OLC registered parishioners who are committed to our Total Stewardship
Program.
PLEASE CONSIDER VOLUNTEERING YOUR TIME IN ONE OR MORE OF THE FOLLOWING AREAS: (Please check)
Teacher________Teacher’s Aide/Substitute________ Office Help__________ Phone Chain_________
Please list the ministry/ministries you are currently involved in.
____________________________________ ____________________________________
____________________________________ ____________________________________
I give permission for my child/ren to be photographed during our activities for future PowerPoint presentations and publicity. YES or NO
Signed________________________________________________
Rights of Non-Custodial Parents: This parish Catechetical Program abides by the provisions of the Buckley amendment with respect to the rights of non-custodial parents. In the absence of a court order to the contrary, we will provide the non-custodial parent with unofficial copies of records. If there is a court order specifying that there is to be no information given, it is the responsibility of the custodial parent to provide the catechetical leader with an office copy of the court order.
Note: If there is presently a restraining order against your spouse, we will need a copy of that part only that shows the order.
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