PUBLIC/PRIVATE SCHOOL STUDENT

Baptized ___ 1st Comm ___
New/Nuevo___
Continuing/Continuación___
PUBLIC/PRIVATE SCHOOL STUDENT
St. Joseph Church – Children’s Faith Formation/Clases de Catecismo
Religious Education 2016-2017
Please Select One Class per Child:
Wednesday/Miércoles 4:00 – 5:00 pm -1st Comm___ 2nd Comm___ 3rd gr___ 4th gr___ 5th gr___ 6th gr___
Wednesday/Miércoles 5:30–6:30 pm - 1st Comm__ 2nd Comm__ OCIC 1st yr__ OCIC 2nd yr__OCIC7th+__
1ST Conf ___ 2nd Conf ___
Name/Nombre:___________________________________________________________________________________
First
Middle
Last
Address/Dirección:_______________________________________________________________________________
City, Zip/Ciudad, CP: ________________________ Email/Correo Electrónico:___________________________
Home Phone/Teléfono: (
) __________________ Birth Date/Fecha de Nacimiento: ___________________
Birth City/Lugar de Nacimiento: ______________ State/Estado ________ Grade In Fall/ Grado: ______
Is your child’s primary language English?
Es la lengua maternal de su niño/a Ingles?
YES
SI
NO
NO
Other _______________________
Otra ________________________
Does your child have special needs?
Tiene su niño/a necesidades especiales?
YES
SI
NO
NO
If “YES” describe ___________________
Describa __________________________
A copy of your child’s baptism certificate must be included with registration. Pls attach.
Una copia del Certificado de Bautismo tiene que ser incluida cuando se registre. Pls fije.
Mother/Madre: __________________________________________________________________________________________
First
Maiden
Last
Phone/ Teléfono:
Home/Casa ______________________ Work/Trabajo _______________________Cell/Celular ______________________
Father/Padre: ____________________________________________________________________________________________
First
Middle
Last
Phone/ Teléfono:
Home/Casa ______________________ Work/Trabajo _______________________Cell/Celular ______________________
Are you registered members at St. Joseph Church:
YES
Es usted miembro registrado en la Parroquia de San José? SI
NO
NO
If no, please register with the parish no later than September 1st.
Si no, por favor regístrese en la Oficina de la Parroquia antes del 15 de Septiembre.
Registration is due by August 15th. Fees are $50 per child or $125 for a family of three or more and must be
paid at the time of registration. 2nd yr Sacrament classes are $75 per child. Fee is nonrefundable.
Checks are payable to "St. Joseph Church" or cash accepted. PAYMENT IN FULL AT TIME OF REGISTRATION.
Registraciones abiertas hasta el 15th Augustre. El Donativo requerido para registrarse es de $50 dólares por
niño/a y $125 dólares por tres niño/a de una sola familia. Cheques a nombre de
“St Joseph Church” o se acepta efectivo. PAGO EN SU TOTALIDAD EN EL MOMENTO DEL REGISTRO.
For Office Use Only:
Amt. Paid: __________ Check/Cash ___________
Baptism Certificate Rec’d ______________
Certificate
Entered in Books
Baptismal Church Notified
Book # _________
Page # ___________ Registry # ___________
Parish Soft
Priest ___________________
Be a Catechist______ Volunteer in Class_____ Donate Supplies _____ Completed _________
Newly enrolled students, please call the office first for proper placement. Office: 707-447-2354 @ M-F 9A-4P
Los estudiantes recién inscritos, por favor llame a la oficina primero para asegurar la colocación correcta.