Blessed Sacrament Church Religious Ed Registration 2021-22: 5th Grade WEDNESDAY

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Please use this Google Form to register for WEDNESDAY 5th Grade Religious Education. Thank you!

Email *

Please enter additional emails you would like used for communications regarding your child's program. If no additional emails, please enter "N/A" *

Family Name(s) *

Home address *

best phone number for contact *

emergency contact & phone number *

Child name: *

Child Grade for School Year 21-22 *

Child Baptism: Church & Year *

additional Sacraments received (First Communion, First Reconciliation, Confirmation--if none, please enter "NA") *

By clicking "yes" below, I give permission for my child(ren) to be photographed or videoed. By clicking "no," I indicate that I do not give permission for my child(ren) to be photographed or videoed. *

Yes

N/A

Required

Code of Conduct: By clicking "yes" below, I agree to ensure that my child(ren) adhere to the standards of conduct as stated in the Faith Formation handbook. *

Yes

Required

The fee for religious ed is $100/child; $140/2 children; $160/3+ children. How would you like to pay? *

Faith Direct: (please remember to return to this form to submit) https://membership.faithdirect.net/givenow/VA12/39115

I mail or drop off a check at the parish office.

I will drop off cash at the parish office.

Please contact me about a scholarship.

You should receive a receipt in the email account you've used in this form. If you do not receive one, please check your spam folder. If you still do not see a receipt, please email sdelvalle@bscva.org to verify that your information has gone through. Thank you!

A copy of your responses will be emailed to the address you provided.

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