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Enrollment Form
Religious Education - 2025-2026
Religious Ed 2025-2026 Enrollment Form
Father/Guardian First & Last Name
Cell Number
Mother/Guardian First & Last Name
Cell Number
Best Email Address for Communication
If we must call, best time to call
Morning
Afternoon
Evening
Anytime is fine
Students First & Last Name
Entering Gr.
Birthday
Student's First & Last Name
Entering Gr.
Birthday
Student's First & Last name
Entering Gr.
Birthday
Student's First & Last Name
Entering Gr.
Birthday
Class Option
In Class (Sundays 9:15am-10:15am)
Homeschool (need yearly permission from Fr. Sahd)
Current Families: Do we have permission to activate your STS tuition payment plan?
Yes, you may re-activate my tuition plan
No, please contact me
New Families: Please create an account in STS for Tuition payment plan.
Yes, I understand this is required and can find the link at ssbvm.org/Education/Religous Ed
Photo Permission
Yes
No
Permission to Walk Home
Yes
No
List any allergies and/or medications
Emergency Contact, if parent not available
Special notes:
Please type name for Signature: I realize that Seven Sorrows Parish and the Diocese of Harrisburg will NOT assume any liability in the event of a motor vehicle accident. RELEASE OF LIABILITY: In consideration of Seven Sorrows Parish accepting my child's registration in the Religious Education Program, I/we release, hold harmless and discharge Seven Sorrows Parish and the Diocese of Harrisburg, their officers, trustees, employees, agents, affiliates and catechists of and from any and all liability, claim, damage, cost or expense, except in the case of willful/intentional harm or gross negligence and waive any such claims against any such person or organization arising directly or indirectly from or attributable to any action or omission to act of any such person or organization in connection with the Church or the Diocese of Harrisburg.
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© 2025
Seven Sorrows BVM Catholic Church
Father Timothy Sahd
717-944-3133
Seven Sorrows BVM Catholic Church
280 N Race St, Middletown, PA, United States
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