Name of Child
Christian Education Program
     Genesis Midweek Christian Education Program (grades 1-6) (6:00 - 7:30 p.m.)
     Junior Confirmation (7th & 8th Graders) (6:00 - 8:00 p.m.)
     Sunday School Program (ages 3- high school)

Child’s Grade  
Parent(s) Name
Address
City      Zip
Phone  Cell Phone
Emergency Contact Person
Contact Person Home phone  Contact Person Cell Phone
Medical Problems
Family Doctor  Doctor Phone
Email *required 
Nursey Needed?
Nursery Children’s Age
Sunday School ONLY? Proceed to “Submit” Button at the bottom of the page.
Genesis/Junior Confirmation? Please complete the Pizza order form below.

Pizza Order Form
For Children Enrolled in Genesis Midweek Program & Junior Confirmation

Pizza (two slices) is available each Wednesday evening to try to make it less hectic at home. The cost is $28 for the first semester, $24 for the second semester, OR $52 per year
Please check the Wednesdays you will NOT be ordering pizza. Make check payable to “Holy Cross” (subtract $2 for each Wednesday you will NOT be attending)

We offer 3 types of pizza. Please choose the topping you would prefer (only one for the year)
 Cheese
 Pepperoni
 Sausage
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  No Pizza at all for the whole year? Then just Click Here!
        (You do not need to click every date below)
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 Aug 15, 2007 CLICK THESE DATES ONLY IF YOU WILL NOT WANT PIZZA THAT EVENING
 Aug 22
 Aug 29
 Sept 5
 Sept 12
 Sept 19
 Sept 26
 Oct 3
 Oct 10
 Oct 17
 Oct 24
 -- Oct 31 NO CLASS
 Nov 7
 Nov 14

No Genesis - Thanksgiving/Christmas Break

 Jan 9, 2008
 Jan 16
 Jan 23
 Jan 30

No Pizza during Lent (Feb 6-March 23, 2008

 Mar 26
 Apr 9
 Apr 16
 Apr 23
 April 30