St. Scholastica Erie | Religious Education Form

Father's First and Last Name*

First Last

Father's Email*

Father's Phone*

Mother's First and Last Name*

First Last

Mother's Email*

Mother's Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Emergency Contact First and Last Name*

First Last

Emergency Contact Phone*

Allergies?*

Yes
No

Please describe allergies*

Learning or Special Helps Needed?*

(so we can best serve your child, please provide copies of IEP, 504 plan, TAG plan)

Yes
No

Please describe any learning or special helps needed*

Registered St. Scholastica Parishioner?*

Yes
No

Child's Name*

Please enter your child's information below. To add additional children, click on the + symbol that is to the right.

First Name	Last Name	Birthdate	Grade	Baptized (Y/N)	1st Reconciliation (Y/N)	Confirmation (Y/n)	First Eucharist (Y/N)

Photo Release For Minor Participants*

St. Scholastica Catholic Church has my permission to use my childrens photograph publicly to promote the Church and its activities/programs. I understand that the images may be used in marketing materials including but not limited to the weekly church bulletin, St. Scholastica’s sponsored online publications, presentations, St. Scholastica’s website, and St. Scholastica’s social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Yes
No

Instruction Options*

Please choose either Parent Led (homeschool instruction), or In Class RE Teacher Led Instruction.

In Class, Teacher Led Instruction
At Home, Parent Led Instruction

Form of Payment*

Online (credit card or bank account)
Check (drop off at the office)
homeschool instruction (no fee)

Curriculum and Supplies

Please enter quantities of curriculum and supplies needed based upon the age and grade of the child or children that you are registering. If you choose to pay online, our Business Manager will send you an invoice with a link to pay once your information is processed.

Email for confirmation of registration and payment*

PreK - 2nd: A Family of Faith Parent Guide vol 2 (1 per family)

Price: $19.99 Quantity:

PreK - 2nd: A Family of Faith Activity Book vol 2 (1 per family)

Price: $19.99 Quantity:

PreK - 2nd: How To Raise Good Catholic Children (1 per family)

Free for the first 31 families to register!

Price: $0.00

2nd - 5th: The Holy Bible: RSV, 2nd Catholic Edition (if not purchased previously)

Price: $21.95 Quantity:

3rd-5th: The New Saint Joseph Baltimore Catechism Vol. 2 (if not previously purchased)

Price: $6.00 Quantity:

4th - 5th: Rooted: Theology of the Body

Price: $10.00 Quantity:

4th - 5th: Education in Virtue

Price: $10.00 Quantity:

All grades: Snacks, classroom supplies, administrative, and overhead costs*

Please enter a quantity that matches the number of children that you are registering for in-person instruction that are 4 years old and above (3 and under are free), or zero if none.

Price: $25.00 Quantity:

Optional - donate to the Religious Education Scholarship Fund

To donate more than $10.00, please enter a quantity greater than one.

Price: $10.00 Quantity:

Total

$0.00

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Phone

This field is for validation purposes and should be left unchanged.

Classes

Hold fast to instruction, never let it go; keep it, for it is your life. Proverbs 4:13

Religious Education Registration Form

Curriculum and Supplies