JWJ Catholic Academy Registration Form

Which Parish will your child attend Catechism Classes?

Family Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Registered Parishioner?

Email

example@example.com

Father's First Name

Father's Religion

Father's Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Mother's First Name

Mothers's Religion

Mother's Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Marital Status

1st Child's Name

First NameLast Name

1st Child's Date of Birth

Date

1st Child's Gender

1st Child's Grade In October 2026

Baptism   Parish         Date
First Communion   Parish   Date
Confirmation   Parish   Date

2nd Child's Name

First NameLast Name

2nd Child's Date of Birth

Date

2nd Child's Gender

2nd Chil's Grade In October 2026

Baptism   Parish         Date
First Communion   Parish   Date
Confirmation   Parish   Date

3rd Child's Name

First NameLast Name

3rd Child's Date of Birth

Date

3rd Child's Gender

3rd Child's Grade In October 2026

Baptism   Parish         Date
First Communion   Parish   Date
Confirmation   Parish   Date

Tuition and Sacrament Fees
Grades 1st, 2nd, 7th, 8th require a Sacrament fee of $10
Active Parishioner - 1 child $125 - 2 children $190 - 3 children $240
Parishioner - 1 child $225 - 2 children $310 - 3 children $395
Non-Parishioner - 1 child $325 - 2 children $400 - 3 children $450
$50 Late fee for registration form received after 09/21/2026 - $50 (will not be charged if payment is brought to the first day of class-As long as the Registration form has been submitted by 09/21/2026, FORM MUST BE COMPLETED AND TURNED IN BY 9/21/2026) to not incur the $50 Late fee.

Parishioner Tier

Number of Children

Tuition

Sacrament Fee 1

Sacrament Fee 2

Sacrament Fee 3

Total Due

Payments can be made by cash or check in the parish office, by mail or you may pay on the night of walk-in registration on September 21, 2026 at St. Rene Goupil from 6:00-7:00 PM. Walk-in registration is for both parishes. To mail a check please send to the Parish your child will attend Catechism at: St. Rene Goupil Parish 35955 Ryan Road, Sterling Heights, MI 48310 or St. Jane Frances de Chantal Parish 38750 Ryan Road, Sterling Heights, MI 48310

Please indicate any special circumstances involving your child/ren. (Parental Custody, Special Needs, Allergies Etc.) All Information obtained is held in the strictest of confidence. **If None Please type NONE

Special cirumstances

I agree to bring my child/ren to class on time, to attend scheduled meetings and workshops and to accompany them both into and out of the building. I agree to attend mass regularly with my child/ren, understanding attendance at mass is an integral part of their catechesis. I understand that all tuition and fees are non-refundable. I also agree to allow my child/ren to be photographed for class projects and public relations purposes only. PARENT/GAURDIAN PLEASE TYPE FIRST AND LAST NAME

PARENT/GAURDIAN First NamePARENT/GAURDIAN Last Name

Signature Date

Date you filled out and signed form