HOME PHONE: (____) ____________________ UNLISTED? Y N ALTERNATE PHONE: CELL PHONE/ PAGER: (_____)_____________________________ Mother/ Father Please circle type of alternate phone and owner. EMAIL ADDRESS:___________________________________________________________ Mother/ Father We would like to use e-mail to contact families to save on postage costs. Registered at this Church: Y N If YES, Envelope Number: ______________ ===========================================PARENTS/GUARDIANS============================================ RELATIONSHIP TO CHILD: _________________________ RELATIONSHIP TO CHILD: _________________________ NAME: ___________________________________ NAME: ___________________________________ BUSINESS: __________________________ BUSINESS: __________________________ BUS PHONE: (____) __________________ BUS PHONE: (____) __________________ RELIGION:____________________ RELIGION:____________________ MARITAL STATUS: ___________________ MARITAL STATUS: ___________________ I AM INTERESTED IN VOLUNTEERING FOR: I AM INTERESTED IN VOLUNTEERING FOR: _________________________________ _________________________________ _________________________________ __________________________________ =======================================EMERGENCY INFORMATION=========================================== In the event of an emergency, if you are unable to reach me, please contact the following: NAME: ___________________________________________ RELATIONSHIP: ___________________________________________ ADDRESS: ___________________________________________CITY:__________________________ PHONE NUMBER: (____) ________________________ ======================================TUITION INFORMATION=============================================== Tuition: Retreat Fees: Nursery - 5th grade: 85.00 per student 20.00 First Eucharist 6th - Confirmation: 95.00 per student 150.00 Confirmation Family fee for the family program: 30.00 per family 255.00 per family maximum * St Joseph school fees include the tuition fees but DO NOT include family program fees. Tuition(s) total $__________________________ Retreat fees $__________________________ TOTAL DUE $__________________________ 25% downpayment $__________________________ BALANCE DUE $__________________________ (BY SEPTEMBER 1, 2008) for payment arrangements call the CFM office at 262-662-3317 Please complete one student page for each student enrolled. Thank you. Click on student page hyperlink above to be directed to student page. |