Registration

2018-19 Registration

* Indicates required field

Family Last Name *

Primary Cell *

Primary Email *

Address (street) *

City *

Emergency contact 1 (name first/last) *

Emergency contact 1 -cell phone *

Emergency contact 1 -relationship to child *

Emergency Contact 2 (name first/last) *

Emergency Contact 2 cell phone *

Emergency Contact 2 Relationship to child *

Child 1 (Name First/Last) *

Child 1 Grade Entering *

Child 2 (name first/last) *

Child 2 grade Entering *

Child 3 (name first/last) *

Child 3 grade Entering *

Child 4 (name first/last) *

Child 4 Grade Entering *

Parent Volunteer Opportunity

Standard Fees
1 child $125
2 children $155
3 or more children $185

Early Registration Fees
ONLY if Registration AND payment are received before JUNE 10, 2018.
1 child $100
2 children $130
3 or more children $160

Sacrament Fees
(to be added to tuition fees)
Reconciliation/First Communion $50/child
Confirmation $100/child

Clicking submit below DOES NOT complete the Registration process. We must receive your payment by mail/drop off to the parish office:
12 Terrace Ave.
Rochelle Park, NJ
07662
Attn: Faith Formation

[Please calculate your fee accurately and write it down before clicking submit as you will not have access to this form once submitting]

Submit

2018-19 Registration

Parent Volunteer Opportunity

Plan a visit to our location!