PLEASE PRINT

* Information requested by Camden Diocese

DEADLINE FOR 2014-2015 REGISTRATION IS JULY 11, 2014. LATE REGISTRATIONS INCUR A $25.00 CHARGE.

Today’s Date: ______

* Information requested by Camden Diocese

DEADLINE FOR 2014-2015 REGISTRATION IS JULY 11, 2014. LATE REGISTRATIONS INCUR A $25.00 CHARGE.

Head of Household: Spouse:

Last Name: ______Last Name: ______

First Name: ______First Name: ______

Title: Mr. ____, Mrs. ____, Ms____ Title: Mr. ____, Mrs. ____, Ms____

Street Address: ______Street Address: ______

City: ______City: ______

State: ______Zip: ______State: ______Zip: ______

Phone Number: Unlisted? Phone Number: Unlisted?

Home: ______Home: ______

Work: ______Work: ______

Cell: ______Cell: ______

Home Email: ______Home Email: ______

Work Email: ______Work Email: ______

E-mail is the primary Rel. Ed. Office Communication Tool - Please keep your e-mail up to date so that we may inform you of any related news, school closing or calendar change.

Child(ren)’s PRIMARY CARE TAKER If not a parent is: ______, Relationship to the student:______Phone #: ______, E-Mail:______

I would like to help as (Please Check): Teacher - __ Aide - __ Hall Monitor - __ Office - __ (Call or see Web Site, ollop.org, for description of duties)

EMERGENCY CONTACT- THIS IS A REQUIRED ITEM

(Someone other than the parent/guardian with whom the child lives)

* Information requested by Camden Diocese

DEADLINE FOR 2014-2015 REGISTRATION IS JULY 11, 2014. LATE REGISTRATIONS INCUR A $25.00 CHARGE.

Last Name: ______Home Phone: ______

First Name: ______Cell: ______

Relationship: ______E-mail: ______

Address: ______City: ______, State: ______, Zip: ______

* Information requested by Camden Diocese

DEADLINE FOR 2014-2015 REGISTRATION IS JULY 11, 2014. LATE REGISTRATIONS INCUR A $25.00 CHARGE.

Every child will be placed but - Class size is limited. Classes will be assigned on a first come basis; therefore, if you need a special time / day, it is important to get your registration form back to the parish office ASAP. Your first class choice may not be possible. We ask that you make Religious Education a Priority in your family’s life and be open to accepting a second or third choice. We will accept registration forms starting May 10, 2014.

* Information requested by Camden Diocese

DEADLINE FOR 2014-2015 REGISTRATION IS JULY 11, 2014. LATE REGISTRATIONS INCUR A $25.00 CHARGE.

* Information requested by Camden Diocese

DEADLINE FOR 2014-2015 REGISTRATION IS JULY 11, 2014. LATE REGISTRATIONS INCUR A $25.00 CHARGE.

Tuition: One child - $150, two children - $200, three children - $250, four children or more - $300

ADD $15.00 Confirmation Fee if child is an 8th Grader. Full tuition must be paid by August 30. If you are experiencing financial problems and are unable to pay tuition in full or would like to set up time payments, please contact in writing our Business Manager, Mary Baron before August 1). We ask parents to be Good Stewards and prayerfully remember your financial responsibility to support this program.

* Information requested by Camden Diocese

DEADLINE FOR 2014-2015 REGISTRATION IS JULY 11, 2014. LATE REGISTRATIONS INCUR A $25.00 CHARGE.

Last year my child/children attended Religious Education at ______(Name) ______Parish

City: ______State: ______Grade: ______Years Attended: ______

If child was baptized outside of this parish, you MUST supply (from the Church of Baptism) a copy of the certificate for our files with this form for processing placement of your child.

* Information requested by Camden Diocese

DEADLINE FOR 2014-2015 REGISTRATION IS JULY 11, 2014. LATE REGISTRATIONS INCUR A $25.00 CHARGE.

2014-2015 Student Registration Form

856-629-0614 www.olopp.org

PLEASE PRINT PLEASE PRINT PLEASE PRINT

Child # ______Please check if: NEW TO PROGRAM ______-- IN OUR PROGRAM LAST YEAR______

Enter session preference with “1” for 1st choice, “2” for 2nd choice, and “3” for 3rd choice

Grade – Pre-School 3 years old Sunday Morning 9:00-10:00______or 10:30-11:30 ______

Pre-School 4 years old Sunday Morning 9:00-10:00______or 10:30-11:30 ______

Kindergarten 5 years old Sunday Morning 9:00-10:00______or 10:30-11:30 ______

First 6 years old Sunday Morning 9:00-10:00______or 10:30-11:30 ______

Special Education Sunday Morning 10:30-11:30 ____

2nd thru 8th Monday Evening 6:30-7:45 ______

2nd thru 8th Tuesday Evening 7:00-8:15 ______

2nd thru 8th Thursday Evening 5:00-6:15______

2nd thru 8th Thursday Evening 7:00-8:15______

Child’s Last Name: ______Birth Father Name: ______

First Name: ______Birth Mother’s name: ______

Nickname: ______Birth Mother’s Maiden Name: ______

Birth Date: ______* Child’s Ethnicity: Asian-_____, Black-_____, Hispanic- ___, Caucasian-______Filipino-____, Korean-_____, Other-______

Baptized: No ___Yes___ Date: ______* Child’s Spoken Language: ______

Church of Baptism: ______* Child’s Gender: Male ______Female______

City /State: ______

School Grade /September 2014: ______Name of School attending: ______

Special Needs (Physical/Learning) So we can best serve your child please state type: ______

______I am able to assist his/her needs in classroom: Yes: ______No:______

Indicate If other than Our Lady of Peace Parish--- MUST BE COMPLETED TO AVOID DELAY OF SACRAMENTS NEEDED

This child has received Reconciliation: Yes ___ No ___ Date: _____ Church: ______City: ______State:______

This child has received Eucharist: Yes ___ No ___ Date: _____ Church: ______City: ______State:______

This child has received Confirmation: Yes ___ No ___Date: _____ Church: ______City: ______State:______

**********************************************************************************************************

Child #______Please check if: NEW TO PROGRAM ______-- IN OUR PROGRAM LAST YEAR______

Enter session preference with “1” for 1st choice, “2” for 2nd choice, and “3” for 3rd choice

Grade – Pre-School 3 years old Sunday Morning 9:00-10:00______or 10:30-11:30 ______

Pre-School 4 years old Sunday Morning 9:00-10:00______or 10:30-11:30 ______

Kindergarten 5 years old Sunday Morning 9:00-10:00______or 10:30-11:30 ______

First 6 years old Sunday Morning 9:00-10:00______or 10:30-11:30 ______

Special Education Sunday Morning 10:30-11:30 ____

2nd thru 8th Monday Evening 6:30-7:45 ______

2nd thru 8th Tuesday Evening 7:00-8:15 ______

2nd thru 8th Thursday Evening 5:00-6:15______

2nd thru 8th Thursday Evening 7:00-8:15______

Child’s Last Name: ______Birth Father: ______

First Name: ______Birth Mother: ______

Nickname: ______Birth Mother Maiden Name: ______

Birth Date: ______* Child’s Ethnicity: Asian-_____, Black-_____, Hispanic- ___, Caucasian-______Filipino-____, Korean-_____, Other-______

Baptized: No ___Yes___ Date: ______* Child’s Spoken Language: ______

Church of Baptism: ______* Child’s Gender: Male ______Female______

City /State: ______

School Grade /September 2014: ______Name of School attending: ______

Special Needs (Physical/Learning) So we can best serve your child please state type: ______

______I am able to assist his/her needs in classroom: Yes: ______No:______

Indicate If other than Our Lady of Peace Parish---MUST BE COMPLETED TO AVOID DELAY OF SACRAMENTS NEEDED

This child has received Reconciliation: Yes ___ No ___ Date: _____ Church: ______City: ______State: ______

This child has received Eucharist: Yes ___ No ___ Date: _____ Church: ______City: ______State: ______

This child has received Confirmation: Yes ___ No ___ Date: _____Church: ______City: ______State: ______

* Information requested by Camden Diocese

DEADLINE FOR 2014-2015 REGISTRATION IS JULY 11, 2014. LATE REGISTRATIONS INCUR A $25.00 CHARGE.