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Instructions
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Registration Fees: |
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One Child: $50
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Two Children: $90
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3 or more children: $125
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Retreat Fees: $35 (Confirmation 1 & 2, First Reconciliation, First Communion 2)
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Students enrolling in Communion & Confirmation must provide a copy of birth certificate and Baptismal Certificate. The certificates can be dropped off at the church office or emailed to Stpatrick@stpatrickmtdora.org.
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After submitting this form you will be automatically directed to our OSV online payment option to enable you to make a one time payment for fees.
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If you choose not to pay online you may bring your payment to the church office or drop it in the collection basket in church. Tuition envelopes are provided in the back of church by the collection box (please make sure it is clearly marked).
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| Family Options
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New Family
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Update Existing Family
ID Number:
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Call St. Patrick Catholic Church at (352) 383-8556, if you do not know your ID Number. |
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| Head of Household |
| *First Name |
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*Last Name |
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| Relationship |
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| *Gender |
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Phone 1 |
( )
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Unlisted
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Phone 2 |
( )
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Unlisted
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Spouse |
| First Name |
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Last Name |
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| Relationship |
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Phone 1 |
( )
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Unlisted
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Phone 2 |
( )
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Unlisted
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Family Street Address |
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*Line 1 |
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Line 2 |
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*City |
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*State |
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*ZIP |
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Family Phone Numbers |
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*Primary |
( )
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Unlisted
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Other |
( )
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Unlisted
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Family Email Address |
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*Email |
Unlisted
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Fee Total = $0.00 |
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Enroll Student 1 Do Not Enroll Student 1
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Student 1 |
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| *First Name |
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*Last Name |
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| Middle Name |
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| *Birth Date |
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*Gender |
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| Grade/Degree |
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Sacraments |
Name |
Received |
Date |
Place |
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*Baptism |
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Reconciliation |
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1st Communion |
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Confirmation |
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*Class Choices |
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*Class 1 |
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Student Remarks |
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General Remarks |
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Health |
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Special Needs |
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Parenting Restrict. |
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