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Holy Rosary Catholic Church

           Education and Formation Registration K through 12th (NO PRE-K)

2018-2019

 

Please turn in your Registration Form by or before Registration/1st Class on Sept 9th

 

 

Mother’s Name ______________________

Home Address ______________________

Mailing Address (if different) _______________________

City ______________________________

Home Phone ________________________

Cell Phone _________________________

Work Phone ________________________

Email ____________________________

Contact preference (circle):  email or phone/ text


Father’s Name ______________________

Home Address ______________________

Mailing Address (if different) _______________________

City ______________________________

Home Phone ________________________

Cell Phone _________________________

Work Phone ________________________

Email ____________________________

Contact preference (circle): email or phone/text


Please check one:  Student(s) lives with:   Father     Mother    Both     Other: ______________

In an emergency call _________________               Phone ___________________________

           

 

 

 

Child’s Full Name

 

 

 

M/F

 

 

 

DOB

 

2018-19

Grade

in school

Sacraments received:

1- Baptism

2- Reconciliation

3- Eucharist

4- Confirmation

List any special needs or medical condition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total number of children in Faith Formation ______  X $10.00  =         __________

                                                                  (Family maximum $30.00)

                                                                             Total amount due        __________

 

 

Date:

Amt. Paid:

Check # _______

 

 

 

Fees do not cover all expenses, but do help!

Do you need special financial consideration? Please let Fr. Haman know.

 

Please call or email with questions or concerns.

Suzie Lahlum 701-793-6920 (Cell) or nd.bisonfan@gmail.com