Registration Fee: 1 child $60
Discounted rate for children living in the same residence:
2 children $110, 3 or more children $150

PAYMENT MUST BE SENT IN TO CONFIRM YOUR REGISTRATION
Checks payable to: Holy Redeemer Church
Mailing address: Attn: Trish, 2411 Montrose Ave., Montrose, CA 91020

As the parent or legal guardian on the children listed on this registration form, I understand that Holy Redeemer or St. James the Less does not assume responsibility of payment of physician or hospital, however in an emergency, I give the Holy Redeemer/St. James Religious Education Program the permission to choose a physician or hospital and to have my child receive medical treatment.