2017-2018 Registration for Returning Students Please indicate each child presently enrolled in the S.F.X. Religious Ed Program and who will be returning for the next school year:

Family Last Name: ___________________________________

Returning Child’s First Name: _________________ Grade (2017/2018): _____ Day School: _______________

Returning Child’s First Name: _________________ Grade (2017/2018): _____ Day School: _______________

Returning Child’s First Name: _________________ Grade (2017/2018): _____ Day School: _______________

Returning Child’s First Name: _________________ Grade (2017/2018): _____ Day School: _______________

PLEASE CIRCLE the name of your child(ren) which may need special assistance / needs in the classroom and indicate the need on the back of this form.

** Children Entering Program For First Time: ** (if applicable)

New Child’s First Name: _____________________ Grade (2017/2018): _____ Day School:_______________

PLEASE INDICATE YOUR SESSION PREFERENCE ( in order of preference: 1, 2, 3)

____Sunday, 9:00 -10:15 a.m. ____Wed., 4:00-5:15 p.m ___Wed., 6:15-7:30 p.m.

           (Kdg – Grade 8)                                     (Kdg – Grade 8)                     (Grades 1 – 8)

*** Classes will be filled on a first-come, first-served basis. ***

Submitting your registration early increases your chance of getting into your preferred session. ****************************************************************************************************************

TUITION FEES:   (circle one)                                                  After May 31, 2017                                                  SACRAMENTAL FEES:  (circle if applies)

1 Child $ 230.00                                                                          1 Child $280.00                                                         Gr. 2 $ 65.00

2 Children $ 300.00                                                                  2 Children $350.00                                                  Gr. 4 $ 40.00

 Family Plan $ 350.00                                                               Family Plan $400.00                                               Gr. 6 (Bible) $ 20.00

Tuition $__________________ (plus if applicable) Sacramental Fees $__________ = TOTAL $ ___________

Payment enclosed: $_____________________ (circle one)     Deposit         OR         Full Payment

(Please make checks payable to St. Francis Xavier Religious Education)

Signature of Parent/Guardian: ____________________________________________________________________ Home Phone: ( ) ___________________________ Cell Phone: ( ) ___________________________

I prefer to be contacted at the following number: ( ) ________________________________ (This number will be used for any emergency & school closing through School Reach Contacts along with your home number)

 THIS REGISTRATION FORM MUST BE RETURNED NO LATER THAN MARCH 15, 2017

You can return it by mail, or drop it off at either the rectory or Rel. Ed. office

For office use only: Amount Received Check No. Date Received Volunteer Form