St. Michael’s Catholic Church
Registration 
 Religious Education
2013-2014
Family & Parent Information
Father
First Name:
Last Name:
Mother First Name:
Last Name:
Street Address:
City, State, Zip:
Phone:
Email Address:
Secondary Phone:
Home Parish:  St. Michael’s
St. Mary’s
 Other:
Are you interested in being a Catechist:
grades?__________________________
 Holy Family
 Yes
 No - If yes, what
Are you interested in being an Assistant Catechist:  Yes
what grades?_________________
Are you interested in being a Substitute Catechist:
yes, what grades? _______________
Newman
 Yes
 No - If yes,
 No – If
Are you willing to be a parent helper with special projects and monitor
behavior in RE:  Yes
 No
**Parent helpers assist in the classroom by passing out papers, helping
with special projects, and taking students out of the room if they are
being distracting/disrespectful. Parent helpers really help with the tone
and behavior of a classroom!**
Student Information
1. Student’s Full Name:
Date of Birth:
Grade 2013-2014:
St. Michael’s Catholic Church
Registration 
 Religious Education
2013-2014
Please check if child was:
 Baptized
First Eucharist
Medical Information we should know about:


Confirmed
Class Time Slot of Choice:
 Wednesday, 4:15pm-5:30pm

Wednesday, 6:30pm-7:45pm
K-5th grade Classrooms
1-5th Grade
Classrooms + RCIC
2. Student’s Full Name:
Date of Birth:
Grade 2013-2014:
Please check if child was:
 Baptized
First Eucharist
Medical Information we should know about:
Class Time Slot of Choice:
Wednesday, 6:30pm-7:45pm

 Wednesday, 4:15pm-5:30pm
K-5th grade Classrooms

Confirmed

1-5th Grade
Classrooms + RCIC
(Please turn sheet
over for RE info and more registration spaces)
3. Student’s Full Name:
Date of Birth:
Grade 2013-2014:
Please check if child was:
 Baptized
First Eucharist
Medical Information we should know about:
Class Time Slot of Choice:
Wednesday, 6:30pm-7:45pm

Confirmed
 Wednesday, 4:15pm-5:30pm
K-5th grade Classrooms
Classrooms + RCIC


1-5th Grade
St. Michael’s Catholic Church
Registration 
 Religious Education
2013-2014
4. Student’s Full Name:
Date of Birth:
Grade 2013-2014:
Please check if child was:
 Baptized
First Eucharist
Medical Information we should know about:

Confirmed

Class Time Slot of Choice:
 Wednesday, 4:15pm-5:30pm

Wednesday, 6:30pm-7:45pm
K -5th grade Classrooms
1st - 5th Grade
Classrooms + RCIC
Additional Information or Needs (please list allergies and any other
important medical/behavioral information):
_______
REGISTRATION COSTS:
Early Bird Registration BEFORE June 1st - **Special rate of $30
per student** (cap. $90 per family)
Register BEFORE July 1st - $35 per student (cap. $105/family)
AFTER July 1st - $40 per student (cap. $120/family
The first day of class is on September 11, 2013.
Parents and students will meet in the CHURCH BASEMENT.
We will introduce students to their catechists and give
you the calendar for the year at this meeting. PLEASE
BE THERE.
Call Ashlie Dill, Director of Religious Education at
772-2282 ext 226 with any questions.
St. Michael’s Catholic Church
Registration 
 Religious Education
2013-2014