This form is for New Families or Returning families with a child registering for the first time. 

(If you are a Returning family with no new children to add click here) 

If you are registering children for the first time, a copy of the baptismal certificate and documentation of previous religious education is needed before registration will be processed. This information can be mailed to 340 No. Franklin Tpke, HHK, NJ 07423.

Registrations without the above documentation will not be processed.

Tuition Fees for 2007-2008

One Child

 $ 120

Two Children

 $140

3 or More Children

 $165

Late Fee (included)

 

St. Luke's Religious Education Program

2008 - 2009 Registration Form

Office Use Only

#_________

Date Rec’d__________

Tuition Rec’d__________

Late Fee__________

You are registering after June 1st so a $25 late fee has been added to the prices above

Final deadline for currently registered families is June 30th.

   Please Check this box if you are a returning family and there is a change of Address, Phone or Email


Family Name:             

 

Address:                
Town:      Zip Code:

 

Home Phone:

 

Family Email Address:      

 

Mother's First Name:           
Maiden Name:

 

Work Phone:           Cell Phone:     

 

Father's First Name:             
Last Name:    

 

Work Phone:               Cell Phone:     

 

Emergency Contact if neither parent can be reached:   Name:     Phone #: 

 

SS I = SUMMER SESSION I     SS II = SUMMER SESSION II     S I = SUNDAY I   

T = TUESDAY AFTERNOON     S II = SUNDAY II 

TE = TUESDAY EVENING (LEVEL 7 & 8 ONLY)     SE = SUMMER EVENING (LEVEL 7 & 8 ONLY)

1st Child's Name
Grade in 9/2008
1st Choice
2nd Choice
1st time reg
Date of Birth
Baptism Date
Church
Medical/Learning Condition: If Yes Explain Condition Below:   

                                                                                     

 

2nd Child's Name
Grade in 9/2008
1st Choice
2nd Choice
1st time reg Date of Birth
Baptism Date
Church
Medical/Learning Condition: If Yes Explain Condition Below: 

                                      

 

3rd Child's Name
Grade in 9/2008
1st Choice
2nd Choice
1st time reg Date of Birth
Baptism Date
Church
Medical/Learning Condition: If Yes Explain Condition Below: 

 

4th Child's Name
Grade in 9/2008
1st Choice
2nd Choice
1st time reg Date of Birth
Baptism Date
Church
Medical/Learning Condition: If Yes Explain Condition Below:

 

When you submit this form you will see a page with payment options