This Form is ONLY for Returning families with no new children to add. 

(If you have a child that is being registered for the first time click here.)

For Returning Families registering after June 1st a $25 late fee has been added to the prices below
• The cut off for late registrations is June 30th.

Tuition Fees for 2007-2008

One Child

 $ 120

Two Children

 $140

3 or More Children

 $165

Late Fee (included)

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St. Luke's Religious Education Program

2008 - 2009 Registration Form

Office Use Only

#_________

Date Rec’d__________

Tuition Rec’d__________

Late Fee__________

ALL FORMS SHOULD BE SUBMITTED BY JUNE 1st

Forms received after JUNE 1st  will be assessed a $25. late fee.

Final deadline for currently registered families is June 30th.

   Please Check this box if 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
Medical/Learning Condition: If Yes Explain Condition Below:   

                                                                                     

 

2nd Child's Name
 Grade in 9/2008
 1st Choice
 2nd Choice
Medical/Learning Condition: If Yes Explain Condition Below: 

                                      

 

3rd Child's Name
 Grade in 9/2008
 1st Choice
 2nd Choice
Medical/Learning Condition: If Yes Explain Condition Below: 

 

4th Child's Name
 Grade in 9/2008
 1st Choice
 2nd Choice
Medical/Learning Condition: If Yes Explain Condition Below:

 

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