Church of Our Saviour (COS) Religious Education
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Family Name | Father | Mother | |||||||||||||||||
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Address | City, State | Zip | |||||||||||||||||
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Home phone | Father’s work/mobile | Mother’s work/mobile | |||||||||||||||||
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Email address (only used by office) | Emergency Contact Person | Phone number | |||||||||||||||||
Please add any/all relevant cell phone numbers and email addresses including children’s cell phones. | |||||||||||||||||||
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Check here if registering for the first time at |
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Child(ren) resides with both parents |
| Child(ren) resides with father |
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Child(ren) resides with mother |
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Please explain: |
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Classes meet: Tuesday 5:30 p.m. to 6:45 p.m. | |||||||||||||||||||
Child’s First Name | Gender | Grade | Date of Birth | Roman Catholic? | Sacraments Received (Baptism, Reconciliation, Eucharist, Confirmation) | If not Baptized at | Baptismal Certificate Received? | ||||||||||||
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I would like information on ongoing formation post Confirmation |
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Special needs: | Visual | Auditory | Physical limitations | Allergies | Other | ||||||||||||||
Tuition and Fees |
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Make checks payable to: The Church of Our Saviour[1] |
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In Parish Family Fees: | First Child: $50.00 | Two Children: $60.00 | Three or more: $75 |
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Out-of-Parish Fees: | First Child: $75.00 | Two Children: $85.00 | Three or more: $95 |
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First Holy Communion: | $10.00 |
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Confirmation Fee: | $25.00 (rental of gown, retreat fee, etc.) |
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Post Confirmation Fee: | $25.00 |
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Our program totally depends on volunteers. Please check two of the following were we can count on you once this year. Thank you. |
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Help with special projects | Hospitality for Meetings | Substitute Catechist | Catechist Aide |
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Tuesday Hall Monitor | Work on program committee | Family Programs | Family Programs |
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Print initials next to all that pertain. |
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1. |
| I give permission to take pictures of my child during Religious Education activities. |
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2. |
| I give my middle school child permission to leave unescorted immediately after class. |
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3. |
| I understand that my family is expected to actively participate in Mass each weekend and on Holy Days. |
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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 |
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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. |
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6. |
| I understand that I am required to attend parent meetings. |
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Please list all persons who have permission to pick up your children. (Present I.D. when requested) |
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I have read, understand and agree to all conditions of the |
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Parent Signature: |
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Office Use Only: | Date
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| Check No.
| Balance
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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).
[1] No child will be denied participation in our Religious Education Program because of money. See

