St. Mary of the Assumption Catholic Church CGS/Sacrmental Prep Registration

St. Mary of the Assumption Catholic Church CGS/Sacrmental Prep Registration

Please complete online form and bring payment to the FIRST SESSION. Thank you.
Family Contact Information
Family Name
Family Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother/Guardian Name

First NameLast Name
Mother Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mother Email Address
example@example.com
Father/Guardian Name

First NameLast Name
Father/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Father/Guardian Email
example@example.com
Additional Contact Information (if needed)

First NameLast Name
Additional Contact Person Information
Please enter a valid phone number.Format: (000) 000-0000.
Child's Relationship to the Additional Contact Person
EMERGENCY Contact Person

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Child's Relationship to the Emergency Contact

Registration Information for the FIRST Child
FIRST Child's Name

First NameLast Name
FIRST Child's Birthdate
The GRADE this child will be in 2025-2026?
Please Choose ONE SESSION per child
I
What was the MOST RECENT Sacrament this child HAS received?
The Church Name and Location of the Sacrament(s) received?
What year was the Sacrament(s) recieved?
Mother's Maiden Name (if receiving First Communion)
Child's Medical/Behavioral Notes for the St. Mary Catechists

Registration Informaton for the SECOND Child
SECOND Child's Name

First NameLast Name
SECOND Child's Birthdate
The GRADE this child will be in 2025-2026?
Please Choose ONE SESSION per child
What was the MOST RECENT Sacrament this child has received?
The Church Name and Location of the Sacrament(s) received?
Mother's Maiden Name (if receiving First Communion)
Child's Medical/Behavioral Notes for the St. Mary Catechists

Registration Information for the THIRD Child
Child's Name

First NameLast Name
Child's Birthdate
The GRADE this child will be in 2025-2026?
Please Choose ONE SESSION per child
I
What was the MOST RECENT Sacrament this child has recieved?
The Church Name and Location of the Sacrament(s) received?
Mother's Maiden Name (if receiving First Communion)
Child's Medical/Behavioral Notes for the St. Mary Catechists

Photo Consent For Children/Family
I GIVE PERMISSON for my child(ren) to be photographed for the purpose of posting in St. Mary of the Assumption Catholic Church bulletin, newsletter, Parish Center or FFH.

St. Mary 2024-2025 Registration Fees
St. Mary of the Assumption Registration Fees

Total Fee for ONE CHILD: $100.00

Total FEE for TWO OR MORE CHILDREN: $150.00

Scholarship Request: Email Lori Feiler.

ADDTIONAL SACRAMENTAL FEES (to be added to the above, if applicable)

1st Communion Fee PER CHILD: $50.00

Confirmation Fee PER CHILD: $50.00

Please total the fees for your family and bring your check/cash to the FIRST SESSION in September. Make checks payable to St. Mary Catholic Church. If you have additional questions please contact Lori Feiler at stmarymanchester.dre@gmail.com.

See you in September!
Registration Fee Acknowledgement

Parent Signature
Should be Empty: