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St. Bonaventure Religious Formation Program

174 Ramsey Street – Paterson, NJ 07501 -  973-279-1016

 

Religious Education Registration Form – for new registrations only

 

Please check the appropriate box,

 

            I am registering my child for the following program(s):

            __        Kindergarten

            __        Grade One to Grade Eight Religious Education

                                                Specify grade in September 2008-09 ________

            __        Confirmation (a two year process begun in high school)

           

Name ___________________________________________________________________________________________

                                    Last name                                 First Name                                Middle Name

 

Address _________________________________________________________________________________________

City ___________________________________________  State _____________________ Zip Code ___________

Phone _________________________________________  Emergency Phone ______________________________   

Date of Birth _____________________________ Place of Birth (City) ________________________ (State) __________

School Attending _____________________________________________________    City ________________________

**Mailing Address**

If different from above: _________________________________________

_________________________________________

 

**Parent Information**

 

Father’s Name ______________________________________________________________________________________________

Birthday ____/____/____ Place of Birth (City) __________________________________      (State) ___________________

Baptism Date ____/____/____ Church of Baptism ______________________________ City/State __________________

Did you receive First Communion? __________                                        Did you receive Confirmation? ___________

Mother’s Full Maiden Name __________________________________________________________________________

Birthday ____/____/____ Place of Birth (City) ___________________________________     (State) _____________

Baptism Date ____/____/____ Church of Baptism ______________________________ City/State __________________

Did you receive First Communion? __________                                        Did you receive Confirmation? ___________

 

SACRAMENTAL RECORD

The following section must be completed for your child to register within our religious education program. If you child was baptized at St. Bon’s, please indicate that in the space provided. If not, please fill out the appropriate information. If you have not done so, please have the church of Baptism forward a copy of the baptismal certificate to our office. Please include dates.

 

Baptism   ____/____/____                                Church ______________________________________ City/ST __________________________

Penance   ____/____/____                               Church ______________________________________ City/ST __________________________

Eucharist ____/____/____                                Church ______________________________________ City/ST __________________________

 

 

 

 

 

 

In the event of an emergency, the following information is most helpful:

Allergies (check appropriate lines)

___ Dogs                    ___ Cats                     ___Birds                     

___Other Animals (specify) __________________________________________________________________

___ Milk/Dairy              ___ Chocolate             ___ Wheat/flour         

___ Other food allergies (specify) _____________________________________________________________

___Other allergies or medical info, we should be aware of (specify) __________________________________

 

 

 

Because so many households are one parent households, please specify the name of the parent or guardian that mailings should be sent to: ______________________________________________________________

 

 

Finally, to foster parental and family involvement, if you would like the other parent to be notified of special events/meetings, please indicate their name, address and phone below:

_________________________________________________

_________________________________________________

_________________________________________________

Phone: ___________________________________________

 

 

 

 

 

Please return this form and fee to:

 

St. Bonaventure Church

Religious Education Office

174 Ramsey Street

Paterson, NJ 07501-3215

 

 

 

REGISTRATION FEE:

One child - $40.00

Two children - $65.00

Three or more - $75.00

 

 

 

 

 

 

For Office Use Only:

Date rcv’d _______________

Amnt rcv’d _______________

Invc sent ________________

Full pymnt rcv’d ___________

__Cash __ Check #________

Registered in Parish ________