| St. Mary Parish of the Visitation Putnam, Ct |
| Registration Fee for Grade K to 8 |
| $30.00 per child ($50.00 for non-parishioner) 1st Eucharist: additional $25.00 per child (books) Confirmation: $50.00 per child (cost of materials and retreat) |
| Make check payable to: St Mary Church Mail to: St. Mary Parish, Religious Education 15 Marshall St. Putnam, CT 06260 |
| or, if child carries money to class: please seal the envelope, labeled with name and grade Thank You |
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| Family Name: ________________________________ |
| Address: _____________________________________ |
| Phone # (____) ____________________ |
| Child's Name: ______________________ Grade: _______ |
| Child's Name: ______________________ Grade: _______ |
| Child's Name: ______________________ Grade: _______ |
| Office Use Amount of check: __________________ Rec'd _______________ Ck# _______________ |
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| email address:_____________________ |