Saint Elizabeth Seton Parish –Faith Formation Program

Summer 2018 -Grades 3 through 6

Family Last Name (Print):______Home Telephone: ______

Father’s Name/Guardian:______Father’s Cell Phone: ______

Mother’s First & Maiden Name: ______Father’s Work Phone: _______

Street Address: ____________Mother’s Cell Phone: ______

Town/City: ____________Mother’s Work Phone: __________

E-Mail:______

Child’s Name
Include last name if different than Family Name / Sex / Date of
Birth / Grade
Sept’18 / School Attending / Session I
July9– 20
9:00 to Noon / Session II
July 23- Aug. 3
9:00 to Noon / 1st Penance
Received
Yes/No / 1st. Eucharist
Received
Yes/No

Notes: Tuition Fee: One child: $60.00; Two children: $100.00; Three or More: $125.00. Volunteers that teach do not pay a Tuition Fee.

I am interested in teaching grade: ____ Name: ______

No student is ever denied Faith Formation because of financial burdens. Scholarships are available.

Parents, your part in the Faith Formation of your children is teaching them their prayers and attending Mass regularly as a family.

Please list any learning disabilities or medical concerns here. ______

______

I agree to have my child/children transported via ambulance and/or treated for emergency medical or dental problems if an emergency arises. I accept full responsibility for all medical expenses incurred as a result of my child/ward’s participation in this program.

FOR OFFICE USE ONLY
Date Received:______Check #:______Amount:______

Signature: ______

*Any unexcused absence will result in ineligibility

to participate in the summer program next year.

2018 SUMMER

Faith Formation

Choose Session I or Session II

Session I : July 9th – 20th (Monday-Friday 9:00a.m. – 12 Noon)

Session II :July 23rd - Aug. 3rd (Monday-Friday 9:00a.m. – 12 Noon)

** Children who are registered in this program must attend every day

of this TWO-WEEK Session for the FULL time period.

For Children Entering Grades 3 through 6

This program will take the place of the regular school year program for children who attend the full TWO week Session.

I understand that occasionally photographs of my child may be taken and used for publicity, newspaper articles &/or the Parish Website.

If you do NOT want your child’s photograph used please notify the Parish Catechetical leader in writing.