2020-2021 REGISTRATION FORM

St. Bartholomew Parish Religious Education Program
Fees:
2020-2021 REGISTRATION FORM
100 per child, $250 family max (excluding retreat fee). Families who register prior to June 1 receive a $10/child discount!

Additional $50 retreat fee per 10 grade Confirmation student (to be collected at the time of the retreat).

*Confidential financial assistance for Religious Education fee is available, contact Jen Foster for information (781-444-3434).
Family Last Name: *
Father: *
Mother: *
Address *

Address

Street Address Line 2

City/Town

Zip Code
Primary Phone: *
Secondary Phone: *
Primary Email (required) *
example@example.com
Secondary Email (optional):
example@example.com
Are you a registered parishioner? *

Yes No, I am registered at another parish (please list below) No, but I would like to register
If "No," to which parish do you belong?
Promotional Release: I consent to the use of any video and/or photographs in which my child may appear by St. Bartholomew Parish. I understand that these materials are being used for promotion of the parish Religious Education programs and/or parish activities, which may include recruitment and fundraising efforts.
Promotional Release

Yes No
Signature of Parent/ Guardian (for promotional release):

Clear
Date:

Month Day Year
Date
Are you available to volunteer with the Religious Education Program? Please check all that apply:

Catechist Aide Substitute Help at other events Hall Monitor
Student 1
Name *

First Name Last Name
Goes by
Gender: *
Date of Birth: *

Month Day Year
Date
Last grade attended in Religious Education (or Catholic School) program: *
Name of School (2020 2021 school year): *
Grade (Fall 2020): *
Class meeting preference for 7-10 Grades? (Note: Catholic school Confirmation is only available on Mon
Comments or special needs (Allergies, disabilities, medical conditions, etc.)
Church of Baptism: *
Approx. Date of Baptism: *

Month Day Year
Date
Prior sacraments received:

First Communion First Penance
Add another child? *

Yes No
Student 2
Name *

First Name Last Name
Goes by
Gender: *
Date of Birth:

Month Day Year
Date
Last grade attended in Religious Education (or Catholic School) program: *
Name of School (2020 2021 school year): *
Grade (Fall 2020):
Class meeting preference for 7-10 Grades? (Note: Catholic school Confirmation is only available on Mon
Comments or special needs (Allergies, disabilities, medical conditions, etc.)
Church of Baptism:
Approx. Date of Baptism:

Month Day Year
Date
Prior sacraments received:

First Communion First Penance
Add another child? *

Yes No
Student 3
Name *

First Name Last Name
Goes by
Gender: *
Date of Birth:

Month Day Year
Date
Last grade attended in Religious Education (or Catholic School) program: *
Name of School (2020 2021 school year): *
Grade (Fall 2020):
Class meeting preference for 7-10 Grades? (Note: Catholic school Confirmation is only available on Mon
Comments or special needs (Allergies, disabilities, medical conditions, etc.)
Church of Baptism:
Approx. Date of Baptism:

Month Day Year
Date
Prior sacraments received:

First Communion First Penance
Add another child? *

Yes No
Student 4
Name *

First Name Last Name
Goes by
Gender: *
Date of Birth:

Month Day Year
Date
Last grade attended in Religious Education (or Catholic School) program: *
Name of School (2020 2021 school year): *
Grade (Fall 2020):
Class meeting preference for 7-10 Grades? (Note: Catholic school Confirmation is only available on Mon
Comments or special needs (Allergies, disabilities, medical conditions, etc.)
Church of Baptism:
Approx. Date of Baptism:

Month Day Year
Date
Prior sacraments received:

First Communion First Penance
Payment
Number of children registered

1 student (amount due: $90) 2 students (amount due:$180) 3 or more students (amount due $250) I am a catechist/teacher (amount due $0) Scholarship/assistance
Thank you for your registration! Payment may be made by either:

1. mailing a check to: St. Bartholomew Parish, Attn: Religious Education, 1180 Greendale Avenue, Needham MA 02492. Please include "Religios Education" in the memo line.

2. paying in person at the parish office (1180 Greendale Ave, Needham).

Please contact Jen with any questions: 781-444-3434 or email
Should be Empty:

Fees:

2020-2021 REGISTRATION FORM

Student 1

Student 2

Student 3

Student 4

Payment