St. Angela Merici Parish

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Christian Formation Info

Christian Formation Registration Form:

Child's Name
Date of Birth
Home Address
Home Phone
Cell Phone
Parish
Email Address
Father's Name
Father's Religion
Mother's Name (including Maiden Name)
Mother's Religion
Marital Status
Child's Grade
School Attending
Who is responsible for religious education?
Was child baptized Catholic?
Date of Baptism
Place of Baptism
Has your child received the sacraments appropriate to his/her age? (i.e. third grader has received Baptism, Penance, First Communion)
Are there any problems we should be aware of? (i.e. Learning Disabilities, medications, allergies, stressful family situation, etc) This information will be kept confidential. It helps with sensitivity needs for the child.
Would you be willing to help in the program?Teacher
Substitute
Aide
Office Help
In Case of Emergency if you cannot be reached: (Please supply Name, Phone # and Relationship)
  

Religious Education Fee Schedule
The registration fee is $30.00 per child. The registration fee for families with 2 or more children in the program is $50.00. The registration fee for a family with 3 or more children is $60.00. Non-parishoner registration fee is $50.00 per child.
 
2010 VBS Info
Register by completing the form below:

Name
Street Address
City, State, Zip Code
Home Phone
Cell Phone
Other Phone
Email Adress
Parents Name(s)
Emergency Contact Info
Allergies and/or Medical Conditions
School Grade Just Completed
Other Pertinent Information
  

St. Angela Church * 1640 Fawcett Avenue * White Oak * PA * 15131 * 412-672-9641
(a PA Charitable Trust)