St
St. John the Evangelist Church RELIGIOUS EDUCATION REGISTRATION 2019-2020
20 Church Street, Hopkinton, Ma 01748
Today’s date:___________________
***EMERGENCY CONTACT______________________________ Phone (________)_____________________
(Mandatory) Name to Ask For (cell phone number)
Student’s Birth Name__________________________________________________________________
Last First
Date of Birth_____________________ π Male π Female
Address_____________________________________Town__________________________Zip Code___________
Home Phone (_________)_________________________E-Mail Address__________________________________
School________________________ Grade (as of September)________ My child has special needs______________
(please describe on reverse side)
Father____________________________Religion__________________Work/Cell Ph. (________)_______________
Mother___________________________Religion__________________Work/Cell Ph. (________)_______________
First Maiden name
Sibling(s) ______________________________________________________Grade(s) _______________________
BAPTISM: If your child was not baptized at St. John’s, this registration form must be accompanied by a
baptismal certificate or: ____My child was baptized at St. John’s, Hopkinton, Ma.
FIRST PENANCE: _________________________________________________________________________
Year Church Town/City
FIRST COMMUNION: _____________________________________________________________________
Year Church Town/City
Previous Parish of Instruction: __________________________________________________________________
Parish Name Town/City
Tuition Fee: One Child: $150.00__ Bill paid in full____________ Amount Paid________
Family Max: $250.00__
Whom should we bill? Name_____________________________________________
Address___________________________________________
Student is living with: π Both Parents
π One Parent _______________________________________________
π Guardian (name of parent/guardian that child lives with & relation to child)
PARENTS, WE NEED YOUR HELP….We support and train you!
I am interested in π TEACHING GRADE________.
π SHARING A TEACHING POSITION FOR GRADE________.
π SUBSTITUTING: π Any Grade π Grade(s) _____________.
π I would like to know more about becoming a teacher.
π I will help in a non-teaching capacity.
π I will help with nursery supervision.
π I would like to help with Children’s Liturgy of the Word
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