Sacred Heart Religious Education Registration 2017-2018

Registraiton for Pre/K through 8th Grade
(Pre/K must be 4 years old by September 1, 2017) 
 
If you have questions about this registration,
please contact our office at shre@shre.org or 847.446.6535.  
 
*indicates required field

Primary Family Contact Information

Father's Information

Is address information same as the primary family information above? *

Mother's Information

Is address information same as the primary family information above? *

Other Family Details

Children live with: *
 
If divorced, who has custody rights?
 

Child Information

Child One
IT IS VERY IMPORTANT THAT WE KNOW ABOUT ANY SPECIAL NEEDS OR OTHER CIRCUMSTANCES THAT PERTAIN TO YOUR CHILD.  THANK YOU FOR SHARING THIS CONFIDENTIAL INFORMATION.
Special Needs
My child has an IEP on record.

Child Two
IT IS VERY IMPORTANT THAT WE KNOW ABOUT ANY SPECIAL NEEDS OR OTHER CIRCUMSTANCES THAT PERTAIN TO YOUR CHILD.  THANK YOU FOR SHARING THIS CONFIDENTIAL INFORMATION.
Special Needs
My child has an IEP on record.

Child Three
IT IS VERY IMPORTANT THAT WE KNOW ABOUT ANY SPECIAL NEEDS OR OTHER CIRCUMSTANCES THAT PERTAIN TO YOUR CHILD.  THANK YOU FOR SHARING THIS CONFIDENTIAL INFORMATION.
Special Needs
My child has an IEP on record.

Child Four
IT IS VERY IMPORTANT THAT WE KNOW ABOUT ANY SPECIAL NEEDS OR OTHER CIRCUMSTANCES THAT PERTAIN TO YOUR CHILD.  THANK YOU FOR SHARING THIS CONFIDENTIAL INFORMATION.
Special Needs
My child has an IEP on record.

Tuition and Fees

Tuition and fees are expected to be paid in full at the time of registration. 
If you chose to pay by check, please bring or send it to our office within 1 week of registration. 
 
Payment plans and scholarships are available on an as-needed basis. 
Please contact Sue Lehocky, our Director of Religious Education,
for information on payment plans and scholarships.
Please select your payment option: *
2016-2017 Tuition and Fees * Check all that apply. *
Sacramental Offering
* Please enter the quantity (number of students)
Current Total. Please click the "Calculate" button below for your total tuition due.  You will see this amount again on the checkout pages.
$0.00

Emergency Information/Authorization for Medical Treatment/Special Needs

In the event that the undersigned, or my (our), physician cannot be reached, and in the judgment of the Director of Religoius Education or other authorized staff members, there is necessity for immediate examination and/or treatment of my (our) children(ren), I hereby authorize any of the aforesaid personnel to obtain for my (our) child(ren) such medical services.
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Emergency Contact - In case of emergency and parent(s) cannot be reached at the phone numbers provided to the Office of Religious Education, the following may be called.
Please sign to indicate your understanding and agreement with the above. *
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Volunteer Service

We ask each family to contribute their time and talent to our program. Please indicate below how you will help.
I would like to volunteer as (check all that apply)
Please submit your registration by clicking the "Submit" button below.  
You will be re-directed to our checkout page.
 
If you have questions about this registration,
please contact our Religious Education Office at shre@shre.org, our DRE, Sue Lehocky at slehocky@shparish.com or 847.446.6535.  
 
Thank you!