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ST. PETER CHURCH, 567
Manchester Rd., Auburn, NH 03032-3123 CHRISTIAN FORMATION
REGISTRATION FORM FOR 2010-2011
PLEASE COMPLETE THE FOLLOWING FAMILY INFORMATION: FAMILY
LAST NAME:
_____________________________________
Today’s date: ____/____/____ PARENTS’/GUARDIANS’
FIRST NAMES: 1.
________________________2._____________________________ MAILING
ADDRESS:
____________________________________________________________________________ CITY/TOWN:_________________
ZIP CODE: ________________TELEPHONE#
_______________________ CELL
PHONE#_________________________E-MAIL(please print):
______________________________________ REGISTRATION FOR KINDERGARTEN, AND GRADES 1, 2 &
3
(Grades
4-10 - please see reverse side) REGISTRATION
FEE FOR ALL STUDENTS IS $20 PER STUDENT,
MAXIMUM $50 PER FAMILY, AND IS DUE
UPON REGISTRATION. MAKE CHECK PAYABLE TO ST. PETER CHURCH. If your child is new to our program, please attach a copy of his/her baptism certificate (if not baptized here). 1st
Child’s full name:
_____________________________________________________________
Male_____
Female_____ Date of birth:
__________________ Grade and
School as of September: ______________________________ Mass
preference (circle one):
4:00 pm
8:00 am
10:30 am Date and Church of Baptism:
_____________________________________________________________________ Date and Church of First Communion:
_____________________________________________________________ Date and
Church of First Penance:
_______________________________________________________________ 2nd
Child’s full name:
_____________________________________________________________
Male______
Female_____ Date of birth:
__________________ Grade AND
School as of September: _____________________________ Mass
preference (circle one):
4:00 pm
8:00 am
10:30 am Date and Church of Baptism:
_____________________________________________________________________ Date and Church of First Communion:
____________________________________________________________ Date and
Church of First Penance:
_______________________________________________________________
>>>>>>>>>>OVER>>>>>>>>>>>>>>>
Please complete for children in
grades 4-10 (K-3 reverse side) If your
child is new to our program, please attach a copy of his/her baptism
certificate. 1st
Child’s Full Name:
_______________________________________________________________
Male______
Female______ Date of Birth:
_______________________School AND
Grade in September: _____________________________ Date and Church of Baptism:
______________________________________________________________________ Date and Church of First Communion:
____________________________________________________________ Date and Church of First Penance:
_________________________________________________________________ 2nd
Child’s Full Name:
_______________________________________________________________
Male_____
Female_____ Date of Birth:
_______________________School AND
Grade in September: _____________________________ Date and Church of Baptism:
______________________________________________________________________ Date and Church of First Communion:
____________________________________________________________ Date and Church of First Penance:
________________________________________________________________ 3rd
Child’s Full Name:
_______________________________________________________________
Male______
Female_____ Date of Birth:
_______________________School AND
Grade in September: _____________________________ Date and Church of Baptism:
______________________________________________________________________ Date and Church of First Communion:
____________________________________________________________ Date and Church of First Penance:
________________________________________________________________
REGISTRATION FEE FOR ALL STUDENTS, GRADES K-10, IS $20
PER STUDENT, MAXIMUM $50 PER FAMILY,
AND IS DUE UPON REGISTRATION. MAKE CHECK PAYABLE TO ST. PETER CHURCH.
If you have any questions, or would like to volunteer to help, please
call the office at 669-5134, or e-mail to stpetercf@comcast.net
If your child has any special needs (medical) that we need to be aware
of, please note here: |
