St. Edward
Religious Ed. Program
Registration Form Fall 2010—Spring 2011
Grades 1-8 and
Confirmation Grades 9-10
Please fill out a separate
registration form per student. Please Print Clearly.


Parent Information:
Father’s
Name: ___________________________________________
Mother’s
Name:
___________________________________________
Address:
Street
Address:
________________________________________________
City:
___________________________________________________________
State:
Contact Information:
Home
Phone 1 ( _____)
________________Cell. Phone (_____)__________________________
Email
Address _________________________________
New Student Information:
Baptismal and First Communion Information and
a copy of your child’s baptismal certificate are required.
(Name
of Church, City, State, and Date)
_______________________________________________________________________________
__________________________________________________________________________________________________________________
Registration Information:
The registration fees are: One childà$45, two childrenà$80, three or more childrenà$100. Please make
checks payable to St. Edward Church.
Tuition is waived for children of catechists. Teacher applicants may e-mail
Linda Sendobry: LindaBSend@aol.com
or call the Parish Office at 860-684-2705.
Registration forms requested by August 15,
2010.
Please bring your completed registration
form during office hours or send it by mail to the office address. (St. Edward
the Confessor/
Parent/Legal Guardian Permission:
I, [print name] _____________________________,
am the parent or legal guardian of the child listed on this form. He/She has my permission to attend religious education classes at St.
Edward’s the
Parent/Legal Guardian signature:
________________________________________
Date: __________________________