St. Martin de Porres Catholic Church
CHILDREN’S RELIGIOUS EDUCATION REGISTRATION 2019-2020
STUDENT-FAMILY INFORMATION

Today’s Date: ________________________ Student’s Date of Birth ________________________
Student’s Name: __________________________________________________________________
                        Last Name                       First Name                        Middle Name
Address: ______________________________________ City: _________________ Zip ________
Phone: ____________________________ Cell? Y N Alt. phone # __________________________
Name of Student’s School: ____________________________________________ Grade: _______
Primary Contact Email: _________________________________________________________________________________

STUDENT SACRAMENTAL INFORMATION

Sacraments Received
Baptism:   Y  N    DATE_________    NAME OF PARISH______________________________
Reconciliation: (Penance)  Y  N  DATE_________ NAME OF PARISH___________________
Eucharist:  Y  N  DATE____________ NAME OF PARISH_____________________________
Confirmation:  Y  N  DATE__________NAME OF PARISH_____________________________

Was your child registered in a Parish Religious Education Program or Catholic School in 2018-2019? Y or N

PARENT INFORMATION

Mother’s Name: ________________________________ Maiden Name: _______________________
Catholic? Y or N   Baptized Y or N   1st Communion Y or N   Confirmation Y or N
Religion, if not Catholic ______________________________________________________________________
Father’s Name: ____________________________________________________________________
Catholic? Y or N   Baptized Y or N   1st Communion Y or N   Confirmation Y or N
Religion, if not Catholic ______________________________________________________________________
Is your family registered in our Parish? Y or N

FEES

Sunday Class Fee: $50.00/student
Sacramental Preparation Fee: Year 1(1st Reconciliation Preparation) - $25.00; Year 2 (1st Eucharist/Confirmation Preparation) - $35.00
Middle School Confirmation Preparation - $80.00 (INCLUDES RETREAT)
Registration fees for Religious Education Classes include textbooks and materials used for class. Fees for 1st Reconciliation & 1st Eucharist/Confirmation preparation cover the cost of books. If the tuition causes a financial hardship, please make arrangements with the Program Director.
Amt. pd._______Date________Cash _____Check#______Bal. Due ______ Bapt. Cert. Rec’d. ____