Religious Education Registration Form

PLEASE NOTE:
PLEASE NOTE: PLEASE NOTE: Submission of this form requires full payment. If you wish to be considered for a scholarship or would like a payment plan, please call Pat Krier at 312-642-2498 or email pkrier@st-mikes.org.
Family Information
Please enter the Family last name and primary residence information for the family and children.
Father's Name
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Father's E-mail Address
Father's Phone Number --
Mother's Name
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Mother's Maiden Name
Mother's E-mail Address
Mother's Phone Number --
Family Address
Child #1
Name
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Birth Date //
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Approximate Baptism Date  
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Church Where Baptism Took Place remaining
Grade Level in the Fall
Parent Responsible for Child's Religious Education remaining
Parent Child Resides With remaining
Child #2
Child's Name
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Birth Date //
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Approximate Baptism Date  
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Church Where Baptism Took Place remaining
Grade Level in the Fall
Parent Responsible for Child's Religious Education remaining
Parent Child Resides With remaining
Child #3
Child's Name
  •  
Birth Date //
  •  
Approximate Baptism Date  
  •  
Church Where Baptism Took Place remaining
Grade Level in the Fall
Parent Responsible for Child's Religious Education remaining
Parent Child Resides With remaining
Child #4
Child's Name
  •  
Birth Date //
  •  
Approximate Baptism Date  
  •  
Church Where Baptism Took Place
Grade Level in the Fall
Parent Responsible for Child's Religious Education
Parent Child Resides With
Volunteer!
Volunteer Options
Explanations and Comments Here
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Payments
First Communion Sacrament Fee  
Quantity Extended

First Communion Sacrament Fee | $125.00

First Communion Sacrament Fee

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Confirmation  
Quantity Extended

Confirmation Fee | $100.00

Confirmation, Holy Fire Retreat at the Cathedral, in-house retreat and necessary sacramental supplies.

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Text Fees  
Quantity Extended

Text Book Fees | $40.00

Text Book Fees per Student

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Pre-Confirmation for Level 7  
Quantity Extended

Pre-Confirmation for Level 7 | $75.00

Pre-Confirmation for Level 7 for Holy Fire Retreat.

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Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type

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