FAMILY NAME: ________________________________________________________________________

 

WHICH DAY WILL YOU AND/OR YOUR FAMILY BE ATTENDING EACH MONTH?

Please remember that space is limited, so particular day requests will be honored on a “first come, first served” basis.

 

Sunday 11:45-2:15pm____  Monday 5:30-8:00pm____ Tuesday 5:30-8:00pm____ Wednesday 5:30-8pm____
9/16; 10/14; 11/4; 12/2
1/13; 2/10; 3/9; 4/6; 5/4		 9/17; 10/15; 11/5; 12/3
1/14; 2/11; 3/10; 4/7; 5/5		 9/18; 10/16; 11/6; 12/4
1/15; 2/12; 3/11; 4/8; 5/6		 9/19; 10/17; 11/7; 12/5
1/16; 2/13; 3/12; 4/9; 5/7

 

HOW MUCH WILL THE LIFE CELEBRATIONS COST YOU?  (Please see Notes below.)

Annual Registration Fee:                 Per Person – Adult and Child over 5:           $  25.00 each person

(enclose payment with registration form)    5 years old and under:                                       FREE

                                                            Maximum Annual Registration Fee              $ 120.00 per family

 

Sacramental Preparation Fees:       (In Addition to Annual Registration Fee above)

            Each person, per Sacramental preparation year is …………… $15.00   per youth, per year

            (First Eucharist, First Reconciliation, 1st Year Confirmation, and 2nd Year Confirmation)

 

1.  Are you interested in childcare provided for infants/toddlers during Monthly celebrations?         Yes      No

            If yes, please list age(s) of child(ren): ____________________________________

           

2.  Would you be willing to serve as part of a childcare cooperative during Monthly celebrations?    Yes      No

            (Childcare might NOT be provided if there are not enough willing stewards to assist.)

 

3.  Does anyone in your household have any special needs of which we should be aware?                Yes      No

            If yes, please describe: ________________________________________________

            __________________________________________________________________

 

4.  Does anyone in your household have any food allergies of which we should be aware?                Yes      No

            If yes, please describe: ________________________________________________

            __________________________________________________________________

 

I authorize St. Lucy to use photographs/videos of my family for productions, publications, etc.  I understand only group shots with no identification will be used.                                       Yes ________     No ________

 

Parent/Guardian Signature: _____________________________________  Date:  ____________________

 

 

Text Box:   FOR OFFICE USE ONLY:     Amount: _____________      Check # _______________     Date Received: _____________   Number Attending:     Adults __________________  Youth ____________________  Session _______________________   Eucharist:  __________         Reconciliation:  __________         Confirmation:  1st. Yr. ___________  2nd Yr. ____________        Remaining Balance: _______________   Information entered in data base _______      New Registration  / Previous Participant    

 

 

 

 

 

 

 

LIFE 2007-2008 Registration Form Page 2 - Use the PRINT function to print this form.  Fill out and affix it to Page 1.  Then return to rectory (mail slot) or church (collection basket).

 

Notes.  Please do not withhold registration if fee is not available at this time.  NO ONE will be excluded from participating in the LIFE process for inability to offer the registration fee.

 

A free-will offering basket will be available at meal during LIFE celebrations for donations towards family meal.

 

The additional fee for the Sacramental Preparation includes expenses for books, materials, speakers, etc.    Retreat Fees will be collected at the time of the registration for the retreat.

 

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