Returning Student Registration Form

NOTICE: A completed Consent to Treat form must accompany this form.

Registration Fee is $50 per Family if registered as parishioners, $75 per Family if not. Please enclose your check in an envelope, which may placed in the collection basket; or mail it to the office ATTN: Joan.

Is the family registered as parishioners of St Fidelis Parish? Yes   No
Father's First and Last Name: Mother's Name:
With whom does the student live, and which parent must be contacted for illness or events?
Address: City:
State: Zip:
Home Phone: Work Phone:
Email Address: Please check if this represents a change of address or phone number.


Child 1
First and Last Name 2008-2009 Grade
Choose one Sunday 9-10:15am   Sunday 6:30-8:30pm   Monday 6-7:15pm   Homeschool
Special Learning needs:
Physical limitations, allergies, etc.


Child 2
First and Last Name 2008-2009 Grade
Choose one Sunday 9-10:15am   Monday 6-7:15pm   Homeschool
Special Learning needs:
Physical limitations, allergies, etc.


Child 3
First and Last Name 2008-2009 Grade
Choose one Sunday 9-10:15am   Monday 6-7:15pm   Homeschool
Special Learning needs:
Physical limitations, allergies, etc.


Child 4
First and Last Name 2008-2009 Grade
Choose one Sunday 9-10:15am   Monday 6-7:15pm   Homeschool
Special Learning needs:
Physical limitations, allergies, etc.

Emergency Contact Person
Name: Phone Number: