Church of the Nativity - Religious Education

Religious Education Forms 2010-2011
Grades 1 - 8

Please complete this form below or print the form and return it to the Christian Formation Office by mail.

* Last name:

Father's name:

Mother's name:

(include last name if different than child's)

* Address:

Address 2:

* City:

* State:

* Zip Code:

Mother Home Phone:
(with area code)

Mother Work Phone:
(with area code)

Mother Cell Phone:
(with area code)

Father Home Phone:
(with area code)

Father Work Phone:
(with area code)

Father Cell Phone:
(with area code)

Email address:

Student Enrollment Information
Please mark HS in the day category for those in home study
(Home school not available for grades 2, 7 or 8)

Grades 1-6:	Tuesday	4:30 - 5:30 pm or 6:30 - 7:30 pm
Grade 7:	Tuesday	6:15 - 7:30 pm
	or Wednesday	4:15 - 5:30 pm
Grade 8:	Wednesday	6:00 - 7:15 pm only
(Check the Prepartion Required box if your student above 2nd grade needs preparation for Reconciliation or Eucharist)

Health or Learning Concerns:

* Total Fees:	(see below)
Fee Schedule:	$50 for the first child $40 for the second child (Maximum $90 per family)
	$20 per child for home study

Make checks payable to:	Church of the Nativity
Mail check to the following address: - or - Turn in at the first class	Christian Formation Office 3800 West 119^th Street Leawood, KS 66209