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Student Information
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Emergency contacts and pick up
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Student needs and notes
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Sacramental Information
Confirmation Registration
Please fill in this information form to register for Confirmation for the 2024/2025 school year. Once you have completed and submitted this form for each child registering, you will be sent an email with tuition payment information. If you have any issues, please contact the rectory office: 410-284-6600, or contact Steve Potyraj at mpotyraj@comcast.net.
The tuition scale is as follows:
1 Payment - $125 (by September 22) or
2 Payments - $62.50 (September 22 and January 19)
Please fill in this form for each child you are registering.
My child is...
Student at OLOH/SL School
Student from OLOH/SL Faith Formation
From another parish
Payment options
1 Payment - $125 by September 22
2 Payments - $62.50 by September 22 and January 19
Student Name
Gender
Female
Male
Female
Address
Type of phone
Home
Cell
Work
Home
Primary Phone
Type of phone
Home
Cell
Work
Home
Secondary Phone
Child's date of birth
MM
/
DD
/
YYYY
Child's Age
Name of school that your child attends, even if it is OLOH/SL
Place of birth
Mother's Name
Mother's Maiden Name
Mother's Email
Father's Name
Father's Email
Marital Status
This information is strictly confidential and will not be shared.
Married
Divorced
Seperated
Single Parent
Other:
Child lives with...
Parents
Mother
Father
Other:
If the child lives with another adult, and neither parent, please include a full name and phone number.
Are you registered parishioners of:
Our Lady of Hope
St. Rita
Saint Luke
Sacred Heart of Mary
Other parish
Please send me information on registering Our Lady of Hope.
If other parish, please enter parish name
If other parish, please enter parish city and state
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Student Information
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Emergency contacts and pick up
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Student needs and notes
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Sacramental Information
Confirmation Registration
Emergency Contact Name
Phone type
Cell
Home
Work
Cell
Emergency Contact Phone
Emergency Contact Name
Phone type
Cell
Home
Work
Cell
Emergency Contact Phone
Authorized pick-up person 1
Phone type
Cell
Home
Work
Cell
Phone
Authorized pick-up person 2
Phone type
Cell
Home
Work
Cell
Phone
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Student Information
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Emergency contacts and pick up
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Student needs and notes
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Sacramental Information
Confirmation Registration
This information is strictly confidential. It will be shared only with the Director of the program, Pastor, and your child's teacher (if pertinent). If there is any information you wish NOT to be shared with the teacher, please mark it below.
Are there any special concerns regarding your child?
Do you wish us to share this with your child's teacher
yes
no
Are there any special needs for your child?
Do you wish us to share this with your child's teacher
yes
no
Does your child have any allergies (food, pollen, other)
Do you wish us to share this with your child's teacher
yes
no
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Student Information
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Emergency contacts and pick up
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Student needs and notes
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Sacramental Information
Confirmation Registration
Please include Baptism information for your child. (If your child was Baptized in another Christian Faith and then made a Profession of Faith to enter the Catholic Church, please enter that information as below noted.)
Has your child been Baptized?
Yes
No
Profession of Faith (Baptized in another Christian Church, and then Professed their Faith into the Catholic Church)
Yes
If yes, please fill in the information below.
Parish of Baptism or Profession of Faith
Full Name of Godfather and Godmother, or Sponsor
Date of Baptism, or Profession of Faith
Please be as accurate as possible
MM
/
DD
/
YYYY
If your child was NOT Baptized at Our Lady of Hope, St. Rita, Sacred Heart of Mary, or Saint Luke, please upload a copy of the certificate here. This is ONLY for those registering that are not already part of our Faith Formation program. If you have questions, please call the Rectory Office at 410-284-6600, or contact Steve Potyraj at mpotyraj@comcast.net.
Baptismal Certificate
Delete all uploads
Choose files or drag here
Other Sacraments Received
First Reconciliation Preparation
First Eucharist
None
If your child made their First Eucharist, please include the name of the church even if it OLOH/SL.
I am registering another child
Yes
No
Please type your name as a signature on this registration form
SUBMIT FORM
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