Faith Formation Registration 2019-20

OLMM Faith Formation Registration 2019-20
This form is meant to be filled out and submitted online, paying with either a credit/debit card. Please do not print this form out and mail it in. If you would like to mail a registration form into our office, please use our read-only form found here.

Protecting your personal and billing information is very important to us. Once you submit this form, all your personal and billing information will be encrypted and sent directly to the Office of Faith Formation. We use Stripe to process all credit/debit card transactions; they too, place the security of your information in the highest regard, ensuring that all data is sent over a secure HTTPS connection.

If you have any questions, please contact the Office of Faith Formation before proceeding.

I have added all the children I wish to register for all Faith Formation Session, including the Edge and High School Youth Ministry programs. *

Yes

Important Information
Special Circumstances *
Please list any special circumstances that the staff in the Faith Formation Office should be made aware of in regards to your child(ren) that would help us best care from them. This information will be kept confidential. This would also include any allergies, intolerances, or special food diets.
Medical Forms

If your child needs an epi-pen, inhaler or other medical equipment on hand during a session or even, please contact the Faith Formation Office directly and note it in the space provided above.
Emergency Contact Information

Please list the best phone number to use if we need to contact you during a Faith Formation session or other activity.
Emergency Phone # *
If we are unable to contact you in an emergency, whom should be contacted instead?
Full Name *

First Name Last Name
Phone Number *
Relationship to your family
Photograph Permission

Photographs are sometimes taken during Faith Formation sessions/events. If you do not want images taken and used as described, please send a written notice to that effect to the Director of Faith Formation at the address on the heading of this form.

Payment Information

Billing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Sacrament Total
Tuition Total
Copy of Tuition Total
Final Total (over/under 250)
The total amount for tuition, including sacrament fees, family tuition fee, and a late fee (if after 9/1) is {finalTotal144}.
Break Into Multiple Payments? *

No, I am going to pay in full now Yes, I would like to break the total into monthly payments.
Multiple Payments Section
To double check to make sure the correct final balance has been calculated use the following values and formula:

Sacrament Fee: $50 per sacrament

Family Tuition Fee: $100 before July 1st OR $125 on July 1st or later

Late Fee: $25 after September 15th.

Number of Sacraments + Family Tuition + Late Fee = TOTAL

TOTAL * .20 = Deposit Due Today

Example: 50 + 100 = 150

150 * .20 = 30

You have chosen to break the total cost into payments. By using the monthly payment option, you will be required to make a 20% deposit of the total fee now, by using the payment information below. If you are registering on or before July 1, you will automatically receive a $25 discount, making the Family Tuition $100 instead of $125.

The remaing balance will be broken up into six equal monthly payments, and the debit/credit card that you provide below will be charged on the first Monday of every month, starting in October and ending in March.

For example, if your registration fees total $175, your required deposit will be $35. Your remaining balance of $140 will be broken into six equal payments of $23.33, which will begin on the first Monday in October.

As of September 15th, a $25 Late Fee will be automatically added to the total.

Note: The Total Tuition should not exceed $250 per family, not including a $25 Late Fee.

If you have any questions, please contact Chris Fortin or Sherry Impastato.
Full Payment Section
To double check to make sure the correct final balance has been calculated use the following values and formula:

Sacrament Fee: $50 per sacrament

Family Tuition Fee: $100 before July 1st OR $125 on July 1st or later

Late Fee: $25 after September 15th.

Number of Sacraments + Family Tuition + Late Fee = TOTAL

Example: 50 + 100 = 150

You have chosen to pay the full tuition amount now. If you are registering on or before July 1 you will automatically receive a $25 discount, making the Family Tuition $100 instead of $125.

As of September 15th, a $25 Late Fee will be automatically added to the total.

Note: The Total Tuition should not exceed $250 per family, not including a $25 Late Fee.

If you have any questions, please contact Chris Fortin or Sherry Impastato.
Amount Being Charged Today

Faith Formation Registration Fees *

USD Tuition Cost

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Comments/Notes
Please Note:

Families should be registered in an area parish, especially if celebrating sacraments during this coming year. If you are currently not registered at any parish, we invite you to join our OLMM parish family. Please contact the Business Office at (603) 926-2206 to register or visit our website.

We look forward to sharing this journey of faith with your family.

May His peace be with you!
Enter the message as it's shown *
Please only hit the "Submit" Button once, so that you are not charged twice.
Should be Empty:

OLMM Faith Formation Registration 2019-20

OLMM Faith Formation Registration 2019-20

Family Information

Sacraments

Child(ren) Information

Sacramental Preparation

Sacramental Preparation/Information

Sacramental Preparation/Information

Sacramental Preparation/Information

Sacramental Preparation/Information

Sacramental Preparation/Information

Important Information

Payment Information

Multiple Payments Section

Full Payment Section