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RE Form

- Religious ED

Required: 1 form per child.
The family must be registered Parishioners (to register click here)

Dear Parents;
Hope everyone is having a nice Summer given the circumstances with Covid-19. We have been working on a plan in accordance with the Archdiocese of Newark. Religious Education 2020-2021 School Year will proceed as follows: All classes will be held online at least through December. I have generously reduced the tuition to only the cost of instructional materials. The amount due is $35.00, a 65% reduction to help ease the financial burden during these extraordinary times. If you choose to offer more then it is greatly appreciated but not expected. In order to offer this, we must order the material by 8/10/2020. Please register your child by Monday, August 10, 2020. So we have an idea of how many children will be enrolled in our program. I highly encourage you to please continue to make your weekly offering (Sunday envelope) as we truly are in need of your support. With my continued prayers, I am,
Loving you always,

Fr. Peter
Religious Education Registration Form
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- Child's Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Birth Date REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- School/CCD grade REQUIRED Please fill out this field.
- Father's Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Religion Please enter valid data.
- Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Work Phone Number Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Occupation
- Mother's Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name Please enter valid data.
- Religion Please enter valid data.
- Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Work Phone Number Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Occupation
- Emergency Contact
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Relation REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Child's Baptism
- Date REQUIRED Please fill out this field. Please enter a date.
- Church Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Child's First Reconciliation
- Date Please enter a date.
- Church Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Child's First Eucharist
- Date Please enter a date.
- Church Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Special Notes For Catechist
  Please add any notes that the catechist teaching your child needs to know (e.g. medications, allergies, special learning needs)
- Is your child is in 3rd grade or higher and has NOT received the Sacrament of Baptism, Reconciliation and First Eucharist? Please indicate this here and let your child’s teacher know. REQUIRED Please fill out this field.
- Photo Disclaimer:
  By checking below, I agree to give permission for my son/daughter to be photographed realizing that the photo may be published in a newsletter or bulletin boards or other publications FOR THE CHURCH OR DIOCESE USE ONLY.
  I Agree Please select this field.
- Mass Attendance
  I will, to the best of my ability, ensure that my child will attend 11:30 AM Sunday Mass on a weekly basis. Please select this field.
- Tuition35.0
- Additional Donation $ Please enter a positive decimal.
Total:

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Our Lady of Mount Virgin

Garfield, NJ

RE Form

Religious Education Registration Form