Relgious Education Registration Form Relgious Education Registration Form Family Name (Last Name)Child's Last Name (If Different)Father's NameMother's NameFather's ReligionMother's ReligionFather's Cell PhoneMother's Cell Phone NumberAddressEmail (Best for Contact)Emergency Contact (Not in same Household and over 18 yrs)Name, Phone, and Relationship to the childParish Currently Registered atParents Martial Status(Required) Married Separated Divorced Widowed Single ChildrenPlease List Children to be Registered(Required)Please list the Children’s Name, Birthdate, Grade, Name of School, Most Recent Sacrament and Church of BaptismHealth Concerns and/or Information Catechist Should be aware of(Required)If None please put “None”Parent Volunteers NeededBackground Check and Protecting God’s Children Workshop Required Catechist Substitute Aide in Classroom Hall Monitor Family Event Setup Please Read before consenting(Required) I agree to the Relgious Education policy.I will Attend Mass weekly with my child/children, understanding that attendance at Mass is an integral part of religious formation. I am personally responsible for my child/children while they are attending classes and will accompany them both into and from the classroom/building. I will bring my child/children to class on time, personally supervise homework assignments, and attend scheduled sessions during the year. I will attend montly famil sessions, held during my child’s class time. If my child is absent from class (no more than 3 times), I will cover the lesson at home with him/her. I give permission for my child/children to be photgraphed for project purposes, bulletin articles, bulletin boards, parish website, and electronic display board. Effective measures will be taken to safeguard the individual’s identity (i.e. name or any identifying information will not be posted with the photo). In consideration of St. Thecla Catholic Church accepting my child’s registration in the Religious Education Program, I/we release, hold harmless and discharge St. Thecla Catholic Church and the Archdiocese of Detroit, their officers, trustees, employees, agents, and catechists of and from any and all liability, claim, damage, cost or expense, except in the case of willful/intentional harm or gross negligence and waive any such claims against any such person or organization in connection with the Church of the Archdiocese of Detroit. FinancialReminder(Required) To send in $100 deposit (remainder due the 1st day of class Tuition for Registered St. Thecla Families $150.00 Tuition for Non-Registerd Families $200.00 Sacramental Fee of $50 for Students receiving either First Communion or Confirmation There is a $25 late fee