Our Lady of Mount Carmel Religious Education
Student Registration
Student’s Name __________________________ DOB_____________
School Attending _______________________Grade in school_______
Father’s Name ____________________________________
Mother’s Name (inc. maiden) ________________________
If not with both parents, with whom does child reside? ________________
Parent’s Email ___________________________________
Mailing Address _____________________________
_____________________________
_____________________________
Telephone# ______________________ Emergency# _________________
Religious Education Grade ____________________
Children must complete grade 1 Religious Education before entering grade 2;
+++++++++++++++++++++++++++++++++++++++++
Fee paid: $60 grades 1 – 8 _____________________
A family maximum of $125 will be collected for students in grades 1-8. A $20 late fee
may be charged for any registration accepted after September 2nd.
Grade 1 and Confirmation I students not baptized at OLMC must provide a copy of their Baptism Certificate with this
registration Form.
Baptism: _______________________________________________________________________________________
Church
Date
First Communion: ________________________________________________________________________________
Church
Date
Please use the back of this form to provide any information that may be important for us to know
about your child, i.e., allergies, learning disabilities, medical conditions, etc.