St. Patricks & St. Anthonys Parish at 920 Fulton Street, Grand Haven, MI 49417 US

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Online Registration Form

Personal Information

Parent(s)/Guardian(s) with whom child lives:
Today's Date:
Last: *
Father's First:
Mother's First:
Mother's Last: (if different)
Address: *
City: *
Zip: *
Daytime Phone: *
Evening Phone:
Cell Phone:
Email Address:
What parish are you registered at?	St. Patrick's & St. Anthony's Parish St. Mary's Parish Other
Children with special needs: please explain any physical, emotional, learning disabilities, etc.

Registration

Child 1
Last Name: *
First Name: *
Grade: *
School: *
Gender: *	Female Male
Date of Birth: *
Please check the Sacraments that each child has already celebrated
	Baptism Reconciliation Eucharist Confirmation
Code: *	click here for codes

Child 2
Last Name:
First Name:
Grade:
School:
Gender:	Female Male
Date of Birth:
Please check the Sacraments that each child has already celebrated
	Baptism Reconciliation Eucharist Confirmation
Code:	click here for codes

Child 3
Last Name:
First Name:
Grade:
School:
Gender:	Female Male
Date of Birth:
Please check the Sacraments that each child has already celebrated
	Baptism Reconciliation Eucharist Confirmation
Code:	click here for codes

Child 4
Last Name:
First Name:
Grade:
School:
Gender:	Female Male
Date of Birth:
Please check the Sacraments that each child has already celebrated
	Baptism Reconciliation Eucharist Confirmation
Code:	click here for codes

Code Information (backto child registration)

Elementary Grades 1-4: Monday 4:15pm
- Code: ELM or
- Wednesday 4:15pm Code: ELW
Jr. High: Grades 5-6 Tuesday 7 p.m. ROCK Code JHT 7-8 Wednesday 7:00pm EDGE-Code: JHW
Sr. High: LifeTeen Night, Sundays 6:30pm
- Code: HSL
- Focus Wednesdays 8:30pm, Code: HSF.
- Both Code: HSLF
Family Catechesis at St. Anthony's: Sundays after 8:00 a.m. Mass
- Code: SAS

Teaching?	Yes No
Total Owed:
Amount Paid:
Balance Due:

Payment Method:	PayPal
	Other

Tuition
Elementary through High School:
tuition is $60 for the first child
$50 for the second
$40 for the third and
N/C for the fourth or more. Max $150.00

Sacrament Preparation: (Please select)
First Eucharist & First Reconciliation $30
Confirmation $20
***Confirmation Grade 8




* = Required Field

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Reverend William A. Langlois www.stpatsgh.org
A church site of Diocese of Grand Rapids

St. Patrick's & St. Anthony's Parish at 920 Fulton Street, Grand Haven, MI 49417 US - Online Registration Form