UNDER CONSTRUCTION – NOT CURRENTLY WORKING Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.I want to enroll / Yo query enlista: One StudentTwo StudentsThree StudentsFour StudentsToday's Date / Fecha de Hoy *DateTimeEnter the current four digit Year, for example 2001. *Father's Cell / Padre Cellular *Fathers Full Name / Nombre completo del papa *FirstLastI would like to receive text messages and updates / Me Austria reciter menses de text y actualizaciones *YesNoFather's Full Email Address / Coreo electronic del papa *Father's Language *EnglishEspanolVietnameseKoreanFather's address / Direction de papa *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMother's full name / Nombre complete de la mama *Mother's cell / Telefono de la mama *I would like to receive text messages and updates / Me Austria reciter menses de text y actualizaciones (mama) *YesNoMother's Language / Idioma de la mama *EnglishEspanolVietnameseKoreanMother's email address / Correo electronica de mama *Mother's address / Direction de mama *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmergency Contact / Contacto de la persona por emergencia *FirstLastEmergency contact relationship / Relacion typo *— Select Choice —PapaMamaAunt / TiaUncle / TioBrother / HermanoSister / HermanaCousin / CuginoFriend / AmigoEmergency Contact Cell / Cellular de la persona contact por emergency *I would like more information and guidance about preparing to receive the sacaraments. Me gustaria reciter was information y orientacion sober la preparation para recipe los Sacramentos.xI understand that sacramental preparation includes classes, participation, and formation as part of my faith journey. Entiendo question la preparacion sacramental include cases, participacion y formacion como parte de me camino de fe.xFamilies agree to attend Mass regularly throughout the year. Las families se comprometen a asistir a Misa regularmente durante todo el ano. *xFamilies will make every effort to arrive on time and attend all scheduled classes. Las families harass todo lo possible por llegar a Tiempo y asistir a sodas las closes programados. *xAfter 3 absences or excessive tardiness, a make-up session may be required during the summer. Despise de 3 ausencias or retraces excesivos, se podia requirer Una session de recuperacion durante el Verano. *xInitials of your first and last name- Signature acknowledgment of Absence-Tardiness Policy / Ausencias-retrasos excesivos policia signatura *Student's Full Name #1 / Nombre Completo. *SRE Year / Ano en SRE (Student #1) *— Select Choice —1 yr.2 yr.PostPost= Continuing classes after receiving the sacrament of first communion.Age / Edad 7-13 yrs (#1) *— Select Choice —78910111213Grade / Grado (#1) *— Select Choice —2nd3rd4th5th6th7th8thChoose class time (#1) *— Select Choice —Wednesday 3:30pm-5:00Saturday 8:30am-10Saturday 10:30am-12Classes conducted in / La class sea conducer en: (#1) *— Select Choice —EnglishSpanishDid this student attend SRE last year? Asistio El estudiante la doctrine el and pasado? (#1) *Yes / SiNoOptional / Opcional #1: My Child may benefit from Additional Learning Support (A.L.S.) / Mi hilo/a podria beneficiasrse de apoyo adicional en su aprendizaje (ALS)ALS–Optional / Opcional #1: My Child learns best with extra time or gentle guidance (Gentle Guidance)/ Mi hilo/a aprende major con man Tiempo o con orientation adicional (Gentle Guidance).Gentle Guidance–Optional / Opcional #1 My child currently has an IEP or learning plan at school / Mi hilo/a actualmente tine un IEP o plan de aprendizaje en la escuela (IEP) (copy) (copy)I.E.P.–Student #1 has allergies / Mi hijo/a tiene alérgicosAllergies–Briefly list allergies for Student #1Student #1 has medications / Mi hijo/a tiene medicacionesMedications–Briefly list medications for Student #1Student #1 has Autism / My hijo/a tine AutismoAutism–Student #1 is Deaf / Mi hijo/a esta sordomudoDeaf–Student #1 is Hard Of Hearing (HoH)HoH–Students Full Name #2 : Nombre Complete *SRE Year / Ano en SRE (Student #2) *— Select Choice —1 yr.2 yr.PostPost= Continuing classes after receiving the sacrament of first communion.Age / Edad 7-13 yrs (#2) *— Select Choice —78910111213Grade / Grado (#2) *— Select Choice —2nd3rd4th5th6th7th8thChoose class time (#2) *— Select Choice —Wednesday 3:30pm-5:00Saturday 8:30am-10Saturday 10:30am-12Classes conducted in / La class sea conducer en: (#2) *— Select Choice —EnglishSpanishDid this student attend SRE last year? Asistio El estudiante la doctrine el and pasado? (#2) *Yes / SiNoOptional / Opcional #2: My Child may benefit from Additional Learning Support (A.L.S.) / Mi hilo/a podria beneficiasrse de apoyo adicional en su aprendizaje (ALS) (copy)ALS–Optional / Opcional #2: My Child learns best with extra time or gentle guidance (Gentle Guidance)/ Mi hilo/a aprende major con man Tiempo o con orientation adicional (Gentle Guidance). (copy) (copy)Gentle Guidance–Optional / Opcional #2 My child currently has an IEP or learning plan at school / Mi hilo/a actualmente tine un IEP o plan de aprendizaje en la escuela (IEP) (copy)I.E.P.–Student #2 has allergies / Mi hijo/a tiene alérgicos Allergies–Briefly list allergies for Student #2Student #2 has medications / Mi hijo/a tiene medicacionesMedications–Briefly list medications for student #2Student #2 has Autism / My hijo/a tine AutismoAutism–Student #2 is Deaf / Mi hijo/a esta sordomudoDeaf–Student #2 is Hard Of Hearing (HoH)HoH–Students Full Name #3: Nombre Complete *SRE Year / Ano en SRE (Student #3) *— Select Choice —1 yr.2 yr.PostPost= Continuing classes after receiving the sacrament of first communion.Age / Edad 7-13 yrs (#3) *— Select Choice —78910111213Grade / Grado (#3) *— Select Choice —2nd3rd4th5th6th7th8thChoose class time (#3) *— Select Choice —Wednesday 3:30pm-5:00Saturday 8:30am-10Saturday 10:30am-12Classes conducted in / La class sea conducer en: (#3) *— Select Choice —EnglishSpanishDid this student attend SRE last year? Asistio El estudiante la doctrine el and pasado? (#3) *Yes / SiNoOptional / Opcional #3: My Child may benefit from additional learning support (ALS) / Mi hilo/a podria beneficiasrse de apoyo adicional en su aprendizaje (ALS)A.L.S.–Optional / Opcional #3: My Child learns best with extra time or gentle guidance (Gentle Guidance)/ Mi hilo/a aprende major con man Tiempo o con orientation adicional (Gentle Guidance). (copy)Gentle Guidance–Optional / Opcional #3 My child currently has an IEP or learning plan at school / Mi hilo/a actualmente tine un IEP o plan de aprendizaje en la escuela (IEP)I.E.P.–Student #3 has allergies / Mi hijo/a tiene alérgicos Allergies–Briefly list allergies for Student #3Student #3 has medications / Mi hijo/a tiene medicacionesMedications–Briefly list medications for Student #3Student #3 has Autism / My hijo/a tine AutismoAutism–Student #3 is Deaf / Mi hijo/a esta sordomudoDeaf–Student #3 is Hard Of Hearing (HoH)HoH–Students Full Name #4 : Nombre Complete *SRE Year / Ano en SRE (Student #4) *— Select Choice —1 yr.2 yr.PostPost= Continuing classes after receiving the sacrament of first communion.Age / Edad 7-13 yrs (#4) *— Select Choice —78910111213Grade / Grado (#4) *— Select Choice —2nd3rd4th5th6th7th8thChoose class time (#4) *— Select Choice —Wednesday 3:30pm-5:00Saturday 8:30am-10Saturday 10:30am-12Classes conducted in / La class sea conducer en: (#4) *— Select Choice —EnglishSpanishDid this student attend SRE last year? Asistio El estudiante la doctrine el and pasado? (#4) *Yes / SiNoOptional / Opcional #4: My Child may benefit from additional learning support (ALS) / Mi hilo/a podria beneficiasrse de apoyo adicional en su aprendizaje (ALS)A.L.S.–Optional / Opcional #4: My Child learns best with extra time or gentle guidance (Gentle Guidance)/ Mi hilo/a aprende major con man Tiempo o con orientation adicional (Gentle Guidance). (copy) (copy)Gentle Guidance–Optional / Opcional #4 My child currently has an IEP or learning plan at school / Mi hilo/a actualmente tine un IEP o plan de aprendizaje en la escuela (IEP) (copy) (copy) (copy) (copy)I.E.P.–Student #4 has allergies / Mi hijo/a tiene alérgicos Allergies– # Nombre seguir Briefly list allergies for Student #4 *Student #4 has medications / Mi hijo/a tiene medicaciones Medications–Briefly list medications for Student #4Student #4 has Autism / My hijo/a tine Autismo Autism–Student #4 is Deaf / Mi hijo/a esta sordomudo Deaf–Student #4 is Hard Of Hearing (HoH)HoH–(Payment Purposes) # of Students in the 1st Year / Primer And # de Alumnos *One / Uno $90Two / Dos $150Three / Tres $220Four / Cuarto $240None / ZeroType "X" to confirm one student / Scrito "X" confirmando un student *XType "X" to confirm two students / Scrito "X" confirmando dos studentes *XType "X" to confirm three students / Scrito "X" confirmando tres studentes *XType "X" to confirm four students / Scrito "X" confirmando cuarto studentes *X(Payment Purposes) # of Students in 2nd Year Prep + Sacramental Fees. 2a And de Preparacion + Quotas Sacramental *One / Uno $90 + $30Two / Dos $130 + $60Three / Tres $170 + $90Four / Cuarto $210 + $120None / ZeroType "X" to confirm one 2nd Year student / Scrito "X" confirmando un student (copy) *XType "X" to confirm two 2nd Year students / Scrito "X" confirmando dos studentes (copy) *XType "X" to confirm three 2nd Year students / Scrito "X" confirmando tres studentes (copy) *XType "X" to confirm four 2nd Year students / Scrito "X" confirmando cuarto studentes (copy) *X(Payment Purposes) Post First Communion / Continuing Education. Alumnos que van a seguir asistienvo clases DESPUES que reciben su Primera Comunión. *One / UnoTwo / DosThree / TresFour / CuartoNone / ZeroType "X" to confirm one Post Communion student / Scrito "X" confirmando un student (copy) (copy) *XType "X" to confirm two Post Communion students / Scrito "X" confirmando dos studentes (copy) (copy) *XType "X" to confirm three Post Communion students / Scrito "X" confirmando tres studentes (copy) (copy) *XType "X" to confirm four Post Communion students / Scrito "X" confirmando cuarto studentes (copy) (copy) *XInitials of your first and last name – Signature / Firma: I have read the above fees and understand that I am responsible for the entire amount due and will pay the full amount by the end of this year. If I am unable to do so I will contact the SRE office to make arrangements. /. Yo entiendo y ester de acuerdo sober las quotas y balance. Y soy responsible de pagan todo el balance en total para eco ano. Si habra algun problem, voy a llamar a la officinal de la doctrina para ser planes de pagos. *Telephone # / Telefono (Signature / Firma) *Date / Time (Signature / Firma) *DateTimeMethod of Payment / Forma de PagoCash / DineroCheck / ChequeDebit CardCredit CardAddress the Check toEnglishEspanolSt. Mary's Check written in EnglishPay to the order of St. Mary’s Church memo-S.R.E.St. Mary's cheque in EspanolPago-cheque a nombre St. Mary’s Church memo-SREPlease Submit Birth and Baptism Certificates for each childI will bring these in-person to the Faith Formation office, As soon as possibleI will upload these, right nowUpload Birth Certificate and Baptism Certificate of each Child Drag & Drop Files, Choose Files to Upload Total$0.00Submit