Online Registration

St. Mary of the Assumption Catholic Church

14908 Main Street

Upper Marlboro, Maryland 20772

email: rectory@stmarysum.org

Business Hours for the Rectory 10am - 5pm Monday through Friday (301) 627-3255

ST. MARY OF THE ASSUMPTION - SCHOOL OF RELIGION (CCD)

REGISTRATION FOR

SCHOOL OF RELIGION (CCD)

2011-2012 SCHOOL YEAR

Read instructions carefully first. Then:

Click here for online registration section

Please make every effort to register as soon as possible. Thank you!

· Fill out registration form completely and place in envelope: Drop off at St. Mary’s Parish Office, or mail to St. Mary of the Assumption, c/o Regina Piazza, 14908 Main Street, Upper Marlboro, MD 20772. You can also apply on-line. Fee can be mailed in.

· Registration Fee: 1^st and 2^nd child -$50.00 per child; $25.00 for each additional child. Fee has increased due to cost of books and other operating expenses. Please contact Regina Piazza if there are any financial issues. Fee can be included with the registration form or submitted by the first day of class. Make check payable to “St. Mary of the Assumption Church”.

· You will be contacted by email during the summer with a CCD Schedule of Classes.

· First night of class (Tuesday Sept, 13 6:30):

- At least one parent must be in attendance on the first night of classes to review important policies and procedures for the CCD program and to meet the catechists and staff.

- Please submit front/back of Baptismal Certificate or include it with your Registration Form. (Not needed if baptized at St. Mary’s or if certificate is already on file with CCD office.)

· Parent participation: At least one parent will be expected to attend 6 adult information sessions over the school year while children are in class. Further information will be provided. Dates for those sessions will be included on the CCD Schedule of Classes.

· Questions: Please contact Regina Piazza (rpiazza@stmarysum.org) or 301-627-3255

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Online registration

Click here for PDF version (multiple pages)

or continue for online registration

ST. MARY OF THE ASSUMPTION - SCHOOL OF RELIGION (CCD)

ON-LINE REGISTRATION FORM - 2011-2012 SCHOOL YEAR

Tuesday 6:30 PM - 7:45 PM

INFORMATION WILL REMAIN CONFIDENTIAL

Please Complete all information

Mother's Maiden Name:

First Name: Last Name

Religion:

Father's Name:

First Name: Last Name

Religion:

Is your marriage recognized by the Catholic Church? Yes No

Family
Street Address:
City:	State: Zip Code:

E-Mail Address:

Home Telephone: Mother Cell: Father Cell:

Emergency Contact Other Than Parent:

Telephone:

Church Attended Regularly ( with city and state )
Church where family is registered
How often do you attend Sunday Mass?

Do you have any questions you would like to discuss with either of our Priests? Yes No

First Child

First Name: Last Name

Date of Birth:

School Attending for the 2011/2012 School Year:

Grade:

Previous Religious Education: (Important, Please Complete)

Where When ( MM/DD/YY )

Please fill out this section completely (mail copy of front and back of Baptismal Certificate

with payment unless child was baptized at St. Mary of the Assumption or certificate already on

file with Office of Religious Education)

	Name of Church ( City, State)	Date (MM/DD/YY)
Date of Baptism:
Date of Reconciliation:
Date of Eucharist:
Date of Confirmation:

Any medication/allergies or special needs teachers should be aware of?

Second Child

Name: Last Name

Date of Birth:

School Attending for the 2011/2012 School Year:

Grade:

Previous Religious Education: (Important, Please Complete)

Where When ( MM/DD/YY )

Please fill out this section completely (mail copy of front and back of Baptismal Certificate

with payment unless child was baptized at St. Mary of the Assumption or certificate already on

file with Office of Religious Education)

	Name of Church ( City, State)	Date (MM/DD/YY)
Date of Baptism:
Date of Reconciliation:
Date of Eucharist:
Date of Confirmation:

Any medication/allergies or special needs teachers should be aware of?

Third Child

Name: Last Name

Date of Birth:

School Attending for the 2010/2011 School Year:

Grade:

Previous Religious Education: (Important, Please Complete)

Where When ( MM/DD/YY )

Please fill out this section completely (mail copy of front and back of Baptismal Certificate

with payment unless child was baptized at St. Mary of the Assumption or certificate already on

file with Office of Religious Education)

	Name of Church ( City, State)	Date (MM/DD/YY)
Date of Baptism:
Date of Reconciliation:
Date of Eucharist:
Date of Confirmation:

Any medication/allergies or special needs teachers should be aware of?

Fourth Child

Name: Last Name

Date of Birth:

School Attending for the 2011/2012 School Year:

Grade:

Previous Religious Education: (Important, Please Complete)

Where When ( MM/DD/YY )

Please fill out this section completely (mail copy of front and back of Baptismal Certificate

with payment unless child was baptized at St. Mary of the Assumption or certificate already on

file with Office of Religious Education)

	Name of Church ( City, State)	Date (MM/DD/YY)
Date of Baptism:
Date of Reconciliation:
Date of Eucharist:
Date of Confirmation:

Any medication/allergies or special needs teachers should be aware of?

Comments

When registering on line please be sure to mail the proper fee to the Church office

marked attention Mrs. Regina Piazza.

Registration Fee: 1^st and 2^nd child -$50.00 per child; $25.00 for each additional child.

Make checks payable to “St. Mary of the Assumption Church”

MAIL TO:

Mrs. Regina Piazza, Minister of Religious Education

St. Mary of the Assumption Church

14908 Main Street

Upper Marlboro, MD 20772

Send mail to webmaster@stmarysum.org with questions or comments about this web site.