Religious Education Registration Form Director of Religious Education
Kathy DelConte ext. 230
Registration Meetings held in DeSimone Hall
Please plan to attend ONE meeting in DeSimone Hall
Wednesday, September 23rd @ 6:00 pm
Saturday, September 26th @ 9:30 am
Wednesday, September 30th @ 6:00 pm
Saturday, October 3rd @ 9:30 am
*One parent is required to attend the registration meeting.
Check here if there are changes from last year's RE Form:
Yes Family Last Name
Father's Name
Father's Cell
Father's E-Mail
Mother's Name
Mother's Maiden Name
Mother's Cell
Mother's E-Mail
Custodial Parent, if different from above
Home Phone
Home Address
ZIP
Parish Member of
Emergency Contact Name
Emergency Contact Number
I give permission for my child(ren)'s pictures to be on Holy Rosary's website/Facebook/posters/flyers/bulletins
Yes, I give permission No, I do not give permission Parent Name (This serves as your electronic signature)
Schedule RE Classes:
Grade K - 5: Wednesdays (weekly)
4:30 pm - 5:40 pm
School Building
Begins Wednesday, October 14, 2020
Grade 6 - 11: Sundays (2 - 3 times a month)
9:00 am - 11:30 am (includes attending 10:30 am Mass at Holy Rosary with classmates)
DeSimone Hall/Rectory
Begins Tuesday, October 13, 2020
*Some RE classes may vary time and day of week
Fees Religious Education Student Fee:
Students in K - 5th grade: $75.00 per student
Students in 6 - 10th grade: $115.00 per student
11th grade Confirmation Candidate: $180.00
Catholic School Student Fee
2nd grade: $10.00
11th grade Confirmation Candidate: $100.00
Full payment due upon Registration Day
Please make checks payable to Holy Rosary (RE in Memo)
This Section For Office Use Only Tuition Due
Tuition Paid
Date
Payment
Check Cash Credit Card Check #
Credit Card #
Cash Amount
Student Information Baptismal Certificates are REQUIRED at Registration for ALL 2nd & 11th Grade Students. If your child was Baptized at Holy Rosary, please check 'Yes'. If not, please contact the Parish your child was baptized at and bring a copy of the Baptismal Certificate to the Registration Meeting or drop it off at the parish office.
Yes, my child was baptized at Holy Rosary No, my child was not baptized at Holy Rosary Child's Name:
Sex:
Male
Female
Birth Date
Grade:
Child's Cell Phone Number
I give my permission for you to contact my child with information about the Holy Rosary RE Program/Teen Destiny
Yes, I give my permission No, I do not give my permission Dates of Sacraments Already Made Baptism
Penance
Holy Communion
Place of Baptism
Special Needs: Learning/Physical Disabilities
Child's Name
Sex
Male
Female
Birthdate
Grade
Child's Cell Phone Number
I give my permission for you to contact my child with information about the Holy Rosary RE Program/Teen Destiny
Yes, I give my permission No, I do not give my permission Dates of Sacraments Already Made Baptism
Penance
Holy Communion
Place of Baptism
Special Needs: Learning/Physical Disabilities
Child's Name
Sex:
Male
Female
Birthdate
Grade
Child's Cell Phone Number
I give my permission for you to contact my child with information about the Holy Rosary RE Program/Teen Destiny
Yes, I give my permission No, I do not give my permission Dates of Sacraments Already Made Baptism
Penance
Holy Communion
Place of Baptism
Special Needs: Learning/Physical Disabilities
Child's Name
Sex:
Male
Female
Birthdate
Grade
Child's Cell Phone Number
I give my permission for you to contact my child with information about the Holy Rosary RE Program/Teen Destiny
Yes, I give my permission No, I do not give my permission Dates of Sacraments Already Made Baptism
Penance
Holy Communion
Place of Baptism
Special Needs: Learning/Physical Disabilities
Our Religious Education Director will verify this information at the Registration Meeting.
Archdiocese of Milwaukee: Release of Information Photography & Video Consent Form I hereby consent that any still or electronic image and/or audio recording, in which I or my child appear, may be used by Our Lady of the Holy Rosary of Pompeii parish/school and/or by the Archdiocese of Milwaukee. I understand that these materials are being used for promotion of Our Lady of the Holy Rosary of Pompeii parish/school and/or the Archdiocese of Milwaukee. The images and/or recordings may be used to support recruitment, fundraising, evangelization and other communication efforts.
I release the staff and volunteers and I understand and agree that the use of my picture is not an invasion of privacy. Neither I, nor anyone claiming to be speaking on my behalf, will later object to the Archdiocese's use of this/these photographs. I give permission to have my child(ren)(s) address and phone number published in the school directory.
Parent/Legal Guardian Name
Date Signed
Name(s) of Child(ren)
Home Phone
Cell Phone
Address
City
State
ZIP
Signature of Parent/Legal Guardian (By entering my full name, I attest that this constitutes my legal electronic signature on this form.)