CCD Registration 2021-2022
Confraternity of Christian Doctrine for Grades K-8
First class will be held September 12
Class Time: 9:30-10:45
Tuition is $25 per FAMILY
You can pay by credit card here: https://checkout.square.site/merchant/2F0MQEZ7JS6N6/checkout/W4SACLZZSMABPSNTSYN7UZM4
You can send in a check via the collection basket with your child(ren)'s first and last name(s)
Please make check payable to: St. Mark CCD
PLEASE FILL OUT 1 FORM PER STUDENT

QUESTIONS?? Dianne Shuntich, CCD Coordinator, 859-582-7655 - dshuntich@live.com
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"Let the little children come to me" - Matthew 19:14
Student's First Name *
Student's Last Name *
Student's Birthday *
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DD
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YYYY
Student's School *
Student's Grade Level in 2021-2022 *
Required
Does your child require a homeschooling option for 2021-2022? *
Required
Sacraments student has received - 2nd graders must send in copy of their Baptismal certificate in order to register *
Required
Please list any allergies, special needs, reading or writing difficulties, learning disabilities, ADHD, shyness - anything that teachers may need to know to assist your child in learning and being comfortable in the classroom.
Parent 1 Name *
Parent 1 Phone *
Parent 1 Email *
Parent 2 Name
Parent 2 Phone
Parent 2 Email
Street Address *
City *
Zip *
Is your family registered in St. Mark Parish? *
Required
If your family is not registered in St. Mark Parish, where are you registered?
I would be willing to volunteer as a:
Will you assure that your child attends class regularly? *
Required
Will you help your child with homework assignments or at-home follow-up activities? *
Required
Will you attend Mass regularly with your child? *
Required
Will you participate in the sacraments of Reconciliation and Eucharist with your child, once they are able to? *
Required
Do you have any comments or concerns?
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