St. Mark’s Religious Education Program
Registration Form 2015/2016
Return registration/parent volunteer form and registration fee by May 31st
to receive the Early Bird Special.
Form may be returned to student’s teacher, mailed to St. Mark Church, Attn: Religious Ed Office 222 McVeagh
Rd, Westbrook, CT 06498, or dropped in the collection basket in an envelope marked “Religious Ed.”
PLEASE PRINT
If you are not a registered member of St. Mark Church, you will need to fill out an abbreviated
registration form so we can add you to our computer program. ____Please send me a registration form.
Family Name:
___ E-Mail Address:
Mother’s Name: ____
__
Maiden Name
______
___________ Father’s Name:
Mailing Address
__________________
City, State, Zip
____________
Home Phone
Cell Phone# (Mom) ________________________
Cell Phone# (Dad) _________________________
Emergency Contact: ______________________ Relationship: ________________Phone# ______________
Additional information that would help us teach your child/ren: (Allergies, medical condition, etc)
____________
2015/2016 Registration Fees are as Follows:
Early Bird Special by May 31
Regular Fee After May 31
Late Fee After August 15
$25.00 for 1st Child
$ 40.00 for 1st Child
$ 50.00 for 1st Child
$20.00 for 2nd Child
$ 35.00 for 2nd Child
$ 45.00 for 2nd Child
rd
rd
$15.00 for 3 Child
$ 20.00 for 3 Child
$ 40.00 for 3rd Child
$70.00 Family Maximum
$105.00 Family Maximum
$145.00 Family Maximum
SEPARATE SACRAMENTAL PREPARATION FEES will be collected separately.
If you are a full-time Teacher, Aide, or Safety Monitor there is no registration fee. However, this form
must still be filled out and returned to the Religious Education office. A Check, made payable to St.
Mark’s Religious Education for registration fees, should be included with this form to enroll your
child/ren. No one will be turned away because of inability to pay. However, you need to contact us at the
rectory, 399-6208, or enclose a note briefly explaining your situation.
Fee
Entering grade
Full name
Circle Sacraments received
$_________ Grade: _____ *Child’s Name________________________ Baptism
$_________ Grade: _____ *Child’s Name________________________ Baptism
$_________ Grade: _____ *Child’s Name________________________ Baptism
$_________ Grade: _____ *Child’s Name________________________ Baptism
$_________ Sub-total
$_________Additional tax deductible donation to Religious Education
$_________ Total enclosed (PLEASE PAY BY CHECK ONLY)
Penance
Penance
Penance
Penance
Eucharist
Eucharist
Eucharist
Eucharist
*If you child hasn’t been in our program before, please include their full name and birth date.
Name: ____________________________________ Birth Date: ____________________
Over for Volunteer Registration and Notify Now Form
Map Code _________
PERMISSION FOR PICTURE TAKING
____I grant permission for my child/rens picture to be taken and used in our St. Mark brochures and/or website.
__________________________________________
Parent Signature
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NOTIFY NOW INFORMATION – Please Print
Our Notify Now system delivers message alerts to you by an individual communication of your choosing.
We are able to use the system instead of postcards to remind you of upcoming events. Most of our communication with
you for reminders and specials is done by email. It is important that we have an email address for you. Please supply
your email address below:
E-mail Address: _____________________________________E-mail Address:________________________________
For cancellation of classes or emergencies please supply us with the following phone numbers:
Home Phone#: __________________________________ Cell Phone #1 _________________________Text Y___N___
Cell Phone #2 ______________________Text Y___N___
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



Based on the alert selected by the church, Notify Now will contact the email/numbers you specified.
You are not required to have all of these contacts.
Provide the contact information for only those methods that will be useful to you.
The caller ID will reflect the number of the church or Notify Now communications center.
If a contact cannot be made through Notify Now, the church will be notified.
Notify Now is able to detect duplicate numbers and will use the number only once. This will eliminate multiple
calls to the same number if you have more than one student in the program.
Signature________________________________________ Date _______________________________
------------------------------------------------------------------------------------------------------------------------------------RELIGIOUS EDUCATION PARENT VOLUNTEER FORM
It is important that parents be involved in our religious education program to assure its continued success. Below are
some areas in which you could serve. Anyone volunteering as a full-time catechist, full-time aide, or full-time
safety monitor, will have their registration fee waived. For more information on what any of the categories below
entail, feel free to call the Religious Education Office, 399-6208.
Name of Volunteer: ___________________________________
KINDERGARTEN – GRADE 8
Grades K - 8 meet Sundays 9 – 10 am in the High School
___ Full-time Catechist (teacher) by yourself or as a team: Grade _____
___ Full-time Aide in classroom. Grade preference
___ Full-time Safety Monitor for Sunday morning program.. A safety monitor is outside during
drop-off and pick-up, and also in the halls and checking the bathrooms during class time.
CONFIRMATION PROGRAM
Meets Sundays 9 – 10 am in the High School
_____ Teach Confirmation. ___ Full-time Confirmation Aide.
Over for Registration Form
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St. Mark’s Religious Education Program
Volunteer Form 2015/2016
Form may be mailed to the St. Mark Church, Attn: Religious Education Office 222 McVeagh Road,
Westbrook, CT 06498, or dropped in the collection basket in an envelope marked “Religious Education.”
PLEASE PRINT
Name: ____________________________________________________________________________________
Address (include POB)
City, State, Zip
Phone Number:
Cell Phone# ______________________________
PERMISSION FOR PICTURE TAKING
____I grant permission for my picture to be taken and used in our St. Mark brochures and/or website.
____ Signature __________________________________
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NOTIFY NOW INFORMATION – Please Print
If volunteer is under 18 a parent email & phone number must be included with the volunteer information.
E-mail Address: _____________________________________E-mail Address:________________________________
For cancellation of classes or emergencies please supply us with the following phone numbers:
Home Phone#: __________________________________ Cell Phone #1 _________________________Text Y___N___
Cell Phone #2 ______________________Text Y___N___





Based on the alert selected by the church, Notify Now will contact the email/numbers your specified.
You are not required to have all of these contacts.
Provide the contact information for only those methods that will be useful to you.
The caller ID will reflect the number of the church or Notify Now communications center.
If a contact cannot be made through Notify Now, the church will be notified.
Notify Now is able to detect duplicate numbers and will use the number only once. This will eliminate multiple
calls to the same number if you have more than one student in the program.
Signature________________________________________ Date _______________________________
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VOLUNTEER POSITION
KINDERGARTEN – GRADE 8
Grades K - 8 meet Sundays 9 – 10 am in the High School
___ Full-time Catechist (teacher) by yourself or as a team: Grade _____
___ Full-time Aide in classroom. Grade preference ________
___ Full-time Safety Monitor for Sunday morning program.. A safety monitor is outside during
drop-off and pick-up, and also in the halls and checking the bathrooms during class time.
CONFIRMATION PROGRAM
Meets Sundays 9 – 10 am in the High School
_____ Teach Confirmation.
____Aide for Confirmation
TO: Religious Ed Volunteers
FROM: Pat Moran
RE: Registration Form
Let me begin by saying Thank You for volunteering in our Religious Education
program. I have enclosed a volunteer form that we need you to fill out and
return in the enclosed envelope. The Notify Now information is particularly
important in the case we need to cancel a class or special. If you have any
questions, please feel free to call the office at (860) 399-6208.
TO: Religious Ed Volunteers
FROM: Pat Moran
RE: Registration Form
Let me begin by saying Thank You for volunteering in our Religious Education
program. I have enclosed a volunteer form that we need you to fill out and
return in the enclosed envelope. The Notify Now information is particularly
important in the case we need to cancel a class or special. If you have any
questions, please feel free to call the office at (860) 399-6208.
TO: Religious Ed Volunteers
FROM: Pat Moran
RE: Registration Form
Let me begin by saying Thank You for volunteering in our Religious Education
program. I have enclosed a volunteer form that we need you to fill out and
return in the enclosed envelope. The Notify Now information is particularly
important in the case we need to cancel a class or special. If you have any
questions, please feel free to call the office at (860) 399-6208.
2/16/2016 Web