1. Kindergarten: 11:00-12:00 In School Building
Holy Name of Jesus Religious Education Registration hnjparish.com
Tuition Fees:
1 Child $300
2 Children $350
3 Children $400
**If you have only 1 child in K tuition is other wise multi discount price above.
Class Times:
Kindergarten: 11:00-12:00 In School Building
Grades 1-6 Sunday 10am Mass followed by class in School 11:00am-12:15pm
Grades 7-8 Tuesday Night 6:30-7:45 (Still must attend weekly Sunday Mass)
Grade 6th 6:30-7:45 You must choose 6th Tuesday or 6th Sunday (circle your choice)
Family Name _________________________________________________________________________
Mother’s Maiden Name __________________________Father’s Name___________________________ Street Address_______________________________ City_________________ Zip_________________
Home Phone_____________________ Mother’s Cell _______________Father’s Cell _______________
Address #1 ______________________________ Address #2 _________________________
Name of Child: ___________________________________________________________________ Gender: M/F___ Grade in Sept: ________ Birth Date:_____ School Child Attends:____________
Date of Baptism:_________________ Church of Baptism: _________ Allergies__________________
Name of Child: ___________________________________________________________________ Gender: M/F___ Grade in Sept: ________ Birth Date:_____ School Child Attends:____________
Date of Baptism:_________________ Church of Baptism: ______ Allergies __________
Name of Child: ___________________________________________________________________ Gender: M/F___ Grade in Sept: ________ Birth Date:_____ School Child Attends:____________
Date of Baptism:_________________ Church of Baptism:_______________ Allergies ___________
Name of Child: ___________________________________________________________________
Gender: M/F___ Grade in Sept: ________ Birth Date:_____ School Child Attends:____________
Date of Baptism:_________________ Church of Baptism: __________ Allergies______________
Baptismal Certificates must be presented if baptized in a church other than Holy Name
Candidate for Reconciliation & Eucharist (Other than Grade2) _______________________________
__________________________________________________________________________________

2. Permission to use Photographs
Talk to us! The more we know about your child the better we can help them in their faith journey!
If Your child has a learning disability, food allergies, medical conditions, or if he/she requires accommodations, please indicate bellow: ___________________________________________________
____________________________________________________________________________________
Volunteers Needed!
________ Catechist for Grade______________
________ Substitute Teacher Sunday Tuesday Night
________ Hall Aide/ Security Sunday Tuesday Night
________ Office Assistant (Sunday Only)
________ Catechist Assistant (Sunday Only)
________ Christmas Pageant Help
_________Family Community Service Projects
________ Special Talents Share Below
_________________________________________________
Permission to use Photographs
Check mark for yes ____ I __________________________ (Parent or Guardian) allow photos of
my child(ren) taken during religious education activities and sponsored events to be published on the
Holy Name website, Facebook page or in local print publications for any lawful purpose, including
publicity, illustration, advertising, and web Content.
Religious Education Classes are for members of the Holy Name of Jesus Parish. If you have not
registered Please print the parishioner registration form (different than Religious Education Registration) from our website This will allow us to send you all of our church mailings, calendars as well as invitations to special events throughout the year. We also ask for your family to attend Sunday Mass each week and support the church.
In case of accident or illness, I request that the representative of the parish catechetical program contact me. If I am unable to be reached, I hereby authorize this representative to make whatever
arrangements seem necessary. I agree to assume the financial responsibility for any diagnosis,
treatment and/or medication deemed necessary. To the best of my knowledge all information given
is accurate and complete. I hereby consent to , and authorize the necessary procedures that have
been stated above.
Parent/Guardian Signature: ________________________________________ Date:___________