Church of St. Mary
Religious Education 2008-2009
This form should be printable on most computers and computer printers. Parents of children in grades K-12 should print and fill out this form to register for religious education class. Completed forms can be placed in an envelope with proper fees and mailed to: St. Mary's Religious Education, 211 N. Franklin Street, Polo, Illinois 61064, or place the envelope with the form and fees in the church collection basket no later than Sunday, August 24, 2008. Checks can be made payable to St. Mary's. If you have questions, you can contact Burdette Wehmeyer, Director of Religious Education, at (815) 493-6227.

Parent(s) Name(s) ______________________________________________________

Address _______________________________________________________________

City ________________________________________ Zip ______________________

Phone _____________________________E-mail _____________________________
 

Students Name(s)

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__________________________
__________________________
__________________________
__________________________
__________________________
Grade

__________
__________
__________
__________
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Place of Baptism
(Parish, City, State, Date)
_________________________
_________________________
_________________________
_________________________
_________________________
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Fees:

Pre-12 $35.00/One Child*
Plus 2nd Child reg. $30.00
or More than two reg.: *use max.

First Communion Class
Grade 3 - $15.00

Total Fees*

$_________
 

$_________

$_________

 *$70.00 Maximum per family
excluding Communion and Confirmation fee.

Please make checks payable to
St. Mary's

Please return as soon as possible
or place in the Sunday Collection basket

Mail this form with fees to: St. Mary's Religious Education, 211 N. Franklin Street, Polo, Illinois 61064 or place in the Sunday collection basket.