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2012 2013 Registration Form

2012 2013 Registration Form

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Published by olpnp

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Published by: olpnp on May 07, 2012
Copyright:Attribution Non-commercial

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05/07/2012

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I.
 
FAMILY INFORMATION
Child’s Last Name:Parent/Guardian Name(s):Mailing Address: (Street):(City, State, Zip):E-Mail Address: Language Spoken at Home:Home Phone: Cell: (Name):Emergency Contact: (Name) Phone:
II.
 
PROGRAM CHOICES
 
Grades K-6 meet on Wednesday OR Thursday afternoons from 3:30pm - 4:45pm
 
 
Grades 7 and 8 only meet on Wednesday Evening from 7:15pm – 8:30pm
 
 
See handbook for details on the Family-Based (FB) Program
 
A.
 
RETURNING STUDENTS:
Grades K-8 (Grade 9 students do not need to register.)
 List children who were registered in the Program in 2011-2012 ONLY. If you are enrolling an additionalsibling for the first time, add their information in Section III.
CHILD’S NAME GRADE SCHOOL CHOICE OF SESSION (
Check 
)
(In Sept ’12)
WED
THUR
FB
WED
THUR
FB
WED
THUR
FB
WED
THUR
FB
B.
 
NEW STUDENTS:
Grades K-8
 A copy of your child’s Baptismal Certificate must be submitted unless they were baptized at OLP. Also provide verification of any previous Religious Ed and sacraments received at other parishes.
CHILD’S NAME: Date of Birth:Boy or Girl: Grade in Sept. 2012: School Attending:Date of Baptism: Place of Baptism:Date of First Eucharist: Place of First Eucharist:Mother’s Maiden Name: Mother’s Religion:Father’s Name: Father’s Religion:Choice of Session: (
Check 
)
WED
THUR
FAMILY-BASEDCHILD’S NAME: Date of Birth:Boy or Girl: Grade in Sept. 2012: School Attending:Date of Baptism: Place of Baptism:Date of First Eucharist: Place of First Eucharist:Choice of Session: (
Check 
)
WED
THUR
FAMILY-BASED
Our Lady of Peace Parish Religious Education Program 2012-2013 Registration Form
Check #: ____________Date Received: _______Amount: ____________Volunteer: __________

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