Religious Education Registration 2019-2020

Thank you for registering.  Please contact the Religious Education Office (248-349-8837) if you have any questions.

Religious Education Registration/Registro 2019-20
2019-2020 RELIGIOUS FORMATION REGISTRATION

Registration for the 2019-2020 Religious Formation sessions has begun. Please fill out the attached form and return it to the Religious Formation office by mail, drop it off at the office or you can complete and pay here. Mail-in registrations will be taken through the summer.
Date/Fecha: //
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Student(s) Last Name / Apellido de Estudiante(s)
Phone (Primary/Primario) --
Address/Dirección
E-mail(s)/Correo(s) Electronico
Father/Padre/Guardian
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If none, enter NONE
Cell Phone/Celular --
Work Phone/Trabajo -- ext
Mother/Madre/Guardian
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If none, enter NONE
Cell Phone/Cellular --
Work Phone/Trabajo -- ext
Parent Address if Different/Direccion de padre o madre, si es diferente
Student Information/Informacion de Estudiante
Name (First Student)
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Gender/Género
Date of Birth/Fecha de Nacimiento //
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Grade, Fall 2019 / Grado Que Cursa Classes in Spanish are only available Pre-K through 3rd Grade Clases en Español están solo disponibles de Pre-K hasta 3er. grado.
Sacraments Received/ Sacramento Recibidos
Session/Sesión
Class Day Select One Sunday is for Pre-K/K ONLY
Grade Select ONE -- Classes in Spanish are only available Pre-K through 3rd Grade Clases en Español están solo disponibles de Pre-K hasta 3er. grado.
Name (SECOND STUDENT)
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Gender/Género
Date of Birth/Fecha de Nacimiento //
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Grade, Fall 2019 / Grado Que Cursa Classes in Spanish are only available Pre-K through 3rd Grade Clases en Español están solo disponibles de Pre-K hasta 3er. grado.
Sacraments Received/ Sacramento Recibidos
Session/Sesión
Class Day
Grade Select ONE -- Classes in Spanish are only available Pre-K through 3rd Grade Clases en Español están solo disponibles de Pre-K hasta 3er. grado.
Name (THIRD STUDENT)
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Gender/Género
Date of Birth/Fecha de Nacimiento //
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Grade, Fall 2019 / Grad Que Cursa Classes in Spanish are only available Pre-K through 3rd Grade Clases en Español están solo disponibles de Pre-K hasta 3er. grado.
Sacraments Received/ Sacramento Recibidos
Session/Sesión
Class Day
Grade Select ONE -- Classes in Spanish are only available Pre-K through 3rd Grade Clases en Español están solo disponibles de Pre-K hasta 3er. grado.
Name (FOURTH STUDENT)
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Date of Birth/Fecha de Nacimiento //
  •  
Gender/Género
Grade, Fall 2019 Classes in Spanish are only available Pre-K through 3rd Grade Clases en Español están solo disponibles de Pre-K hasta 3er. grado.
Sacraments Received/ Sacramento Recibidos
Session/Sesión
Class Day
Grade Select ONE -- Classes in Spanish are only available Pre-K through 3rd Grade Clases en Español están solo disponibles de Pre-K hasta 3er. grado.
PARENTS - PADRES DE FAMILIA
SMALL GROUP-PARENT FAITH FORMATION CLASSES CLASES PARA PADRES DE FAMILIA DE FORMACION EN LA FE
~ Faith formation Classes during Religious Ed time (English) Room 11
Monday
5:15 pm to 6:30pm - Information – Laura S – laurastroup@yahoo.com or Kate M – molnarsjk5@gmail.com
Wednesday
5:30pm to 6:45pm - Information – Lesley T – lesleytauro@yahoo.com


~ Clases de formación en la Fe Durante el Horario de Catesismo (Español) Family Center
Lunes
5:15pm to 6:30pm - Information - Claudia Alvarado - calvarado@hfnovi.com
Miércoles
5:30pm to 6:45pm - Information - Cladia Alvarado - clavarado@hfnovi.com
~ You are always welcome to join these Small Groups any time during the school year!
MEDICAL RELEASE/EMERGENCY INFORMATION
FORMULARIO MEDICO
PARENT OR GUARDIAN AUTHOIZATION
AUTORIZACION DEL PADRE OR TUTOR
Authorization/Autorizacion
I hereby authorize the treatment by a qualified and license physician of any condition which, in the opinion of such physician, is deemed necessary and appropriate. This authority is granted only after a reasonable effort has been made to reach me.

I further authorize the person who presents the minor to sign the Acknowledgment of Receipt of Notice Privacy Rights that may be presented by the physician or health care facility.

This authorization is completed and signed of my own free will with the sole purpose of authorizing medical treatment deemed necessary and appropriate by the treating physician. I acknowledge that it is my responsibility to submit a new form if any of the above information changes.
Family Doctor
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Doctor's Phone -- ext
Health Insurance Company
Policy Number
Group ID
Contacts
EMERGENCY CONTACT(S) / CONTACTO(S) DE EMERGENCIA

You must have at least one contact.
Contact Name
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Relationship
Contact Phone -- ext
Contact Name (Secondary)
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Relationship
Contact Phone (Secondary) -- ext
Please list any allergies, medical problems, behavioral issues or other pertinent information.
(i.e. Diabetes, Asthma, ADD, ADHD, Autism, Dyslexia, Seizure Disorder, Allergies, etc)
Student Information
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Signed by Parent or Guardian
Today's Date //
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Payment
Tuition Fees Select the number of children you are registering.  
Selection Extended

One Child/Un Niño | $125.00

Two Children/Dos Niños | $200.00

Three or more Children/tres o más Niños | $280.00

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Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type

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