Registration will take place after all the Masses on the weekends of June 11,12 & June 18,19

Please complete the form below and bring any necessary paperwork and fees with you.  No forms with incomplete information, missing baptismal information or missing fees will be accepted.

Last Name: _______________________  **Parish ID Number (From envelopes): _____________

Fathers First Name: ____________ Mothers First Name: _____________ Mother’s maiden name:___________

Mailing Address: ______________________________

                       ______________________________

Home Phone Number: ______________________      Additional Phone Number: (cell, work): _______________

E-Mail Address: ________________________________________

***Volunteer: (Catechist, Assistant, Attendance Help, Other): _________________________________________

1. Child’s Name: ___________________________     Grade:___________  Birth date: ______________

*Baptismal Church: ________________________      Baptismal Date: ___________________________

2. Child’s Name: ___________________________     Grade:___________  Birth date: ______________

*Baptismal Church: ________________________      Baptismal Date: ___________________________

3. Child’s Name: ___________________________     Grade:___________  Birth date: ______________

*Baptismal Church: ________________________      Baptismal Date: ___________________________

4. Child’s Name: ___________________________     Grade:___________  Birth date: ______________

*Baptismal Church: ________________________      Baptismal Date: ___________________________

*If child was not baptized at St. Boniface Martyr Parish and this is a new registration please attach copy of Baptismal certificate.

**Parish ID is on your Offertory Envelopes.  If you do not get envelopes you must check your Parish registration status with the Parish Main Office at 676-0676 before registering for Religious Education, Thank You.

***Volunteers are necessary for a successful program.  Please volunteer in some capacity, Thank you.

Program Choice:

After-school program meets Tues. (gr. 1-3)-3:45-4:45pm; Wed. (gr. 4-5)-3:45-5pm; Thrs. (gr. 6,7,8)-7 to 8:15pm

After-school program (grades 1-8):  ______                

Family Program meets every other Sunday from 9 to 10am.

Family Program (available for grades 1 through 6 only): ___________

Fee: $90 per child – $180 max per family (Sacrament Fees extra)

PARISH USE ONLY: PAYMENT INFORMATION: _______________________________________________

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