Special needs:

Visual

Auditory

Physical limitations

Allergies

Other

Tuition and Fees Due at Registration 2010-2011

Make checks payable to:  The Church of Our Saviour[1]

In Parish Family Fees:

First Child:  $50.00

Two Children:  $60.00

Three or more:  $75

Out-of-Parish Fees:

First Child:  $75.00

Two Children:  $85.00

Three or more:  $95

First Holy Communion:

$10.00

Confirmation Fee:

$25.00 (rental of gown, retreat fee, etc.)

Post Confirmation Fee:

$25.00

Our program totally depends on volunteers. Please check two of the following were we can count on you once this year. Thank you.

Help with special projects

Hospitality for Meetings

Substitute Catechist

Tuesday Hall Monitor

Work on program committee

Family Programs

Catechist Aide

Family Programs

Print initials next to all that pertain.

1.

I give permission to take pictures of my child during Religious Education activities.

2.

I give my middle school child permission to leave unescorted immediately after class.

3.

I understand that my family is expected to actively participate in Mass each weekend and on Holy Days.

4.

I am willing to let my child receive first aid treatment and, if at all possible, I will be contacted if additional medical care is needed OR

5.

I am willing to let my child receive first aid treatment but I am not willing for him/her to receive additional medical care in the event I cannot be reached.

6.

I understand that I am required to attend parent meetings.

Please list all persons who have permission to pick up your children. (Present I.D. when requested)

I have read, understand and agree to all conditions of the Church of Our Saviour handbook located on the web site.

Parent Signature:

Date:

Office Use Only:

Date

Amount Paid

Check No.

Balance

Date

Amount Paid

Check No.

Balance

Program Web Site: www.ourladyschildren.com - Program email: ourladyschildren@gmail.com
Parish Telephone: 212 679-7989 – coordinators telephone (kindly call only when necessary (212) 679-7989 - email is preferred).