St. Hedwig's Church: Religious Education Program

St. Hedwig's Church: Religious Education Program

St. Hedwig's Church: Religious Education Program

Registration Form
Student's Name
Full Name*

First NameLast Name
DOB*

MonthDayYear
Date
Grade*

12345678
Add another child (2)
Add another child (3)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name (contact person)*

First NameLast Name
Parent/Guardian Religion*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Second Parent/Guardian Name

First NameLast Name
Second Parent/Guardian Religion
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
E-mail
example@example.com
Date of submission*

MonthDayYear
Date
Signature

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Additional information:

Received sacraments*

Rows	YES	NO
BAPTISM
PENANCE
COMMUNION

Files Upload (Baptismal Certificates)

Cancelof
Payment*
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Fee for 1 child (+3.5% fee)
Option 1 for April-August registration; Option 2 for September registration

$103.50 Option



Fee for 2 children (+3.5% fee)
Option 1 for April-August registration; Option 2 for September registration

$155.25 Option



Fee for 3 children or more (+3.5% fee)
Option 1 for April-August registration; Option 2 for September registration

$186.30 Option



Sacramental Grade Additional Fees
Grade 2 (Holy Communion); and Grade 8 (Confirmation)

$51.75 Option



Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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