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
  •  
Father's E-mail Address
Father's Phone Number --
Mother's Name
  •  
Mother's Maiden Name
Mother's E-mail Address
Mother's Phone Number --
Family Address
Child #1
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 #2
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 #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
Payments
First Communion Sacrament Fee  
Quantity Extended

First Communion Sacrament Fee | $100.00

First Communion Sacrament Fee

  •  
Confirmation  
Quantity Extended

Confirmation Fee | $100.00

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

  •  
Text Fees  
Quantity Extended

Text Book Fees | $25.00

Text Book Fees per Student

  •  
Pre-Confirmation for Level 7  
Quantity Extended

Pre-Confirmation for Level 7 | $50.00

Pre-Confirmation for Level 7 for Holy Fire Retreat.

  •  

Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type

  •  

 
Online Giving

Online Giving

Secure and Convenient Donate now!