Saint Damian Office of Religious Education
5300 W. 155th Street Oak Forest, IL 60452 (708) 687-7778
Religious Ed classes are for
Registered parishioners
DATE: ____________
CHURCH#________
FAMILY INFORMATION: (Child’s Primary Residence)
Family Last Name:____________________________________Home Phone(
)______________________
Address______________________________________City_____________________________Zip__________
Has address changed from last year?_____________Email:__________________________________________
Alt. email_______________________________________
MOTHER (Or female guardian):
First Name_____________________Last name____________________Maiden Name____________________
Marital status________________Occupation:______________________Cell:(
)_____________________
Address (if different) ___________________________________Work Phone (
)_____________________
FATHER (or male guardian):
First Name_______________________Last name_________________________________________________
Marital status________________Occupation:__________________Cell:( )___________________________
Address (if different) ____________________________________Work Phone( ) ______________________
Student Information
Student 1
Student 2
Student 3
Name
First/Last
(only if different from family name)
School
Grade (2015-2016)
Date of Birth
Gender
Custody/lives with
Previous RE complete
(other than St. Damian)
Sacraments: Please check ( ) those
your child has already received
(
(
(
(
)Baptism
)First Reconciliation
) First Communion
)Confirmation
(
(
(
(
)Baptism
)First Reconciliation
) First Communion
)Confirmation
(
(
(
(
)Baptism
)First Reconciliation
) First Communion
)Confirmation
Payment plans for next year are as follows:
½ of tuition/ book and supply and sacramental fees (if applicable) must be paid
up on registration and full payment is due on or before first day of session. If
your family is experiencing hardship we ask you to fill out the Financial
Consideration Request found on the website or available at the Religious
Education Office.
RELIGIOUS EDUCATION TUITION AND FEES
2015/2016
ACTIVE FAMILIES
TUITION
BOOK FEES
ONE CHILD
$250
$45
TWO CHILDREN
$400
$90
THREE CHILDREN
$525
$135
BOOK FEES OF $35 APPLY TO EACH ADDITIONAL CHILD
SACRAMENTAL FEE
$100
APPLIES FOR FIRST EUCHARIST AND CONFIRMATION
LOST BOOK/BIBLE REPLACEMENT
$35
OFFICE USE ONLY
Notes:___________________________
________________________________
________________________________
________________________________
________________________________
Bapt.
Cert:____________________________
Date
Entered:__________________________
OFFICE USE ONLY
Tuition:________________________
Sacrament
Fee:___________________________
Catechist Discount:_______________
Total Due:______________________
Total Paid:______________________