Risen Christ Catholic Parish 2017-2018 Religious Education Registration
**Please complete one form per child**
Registered parishioner *
Primary contact *
Mother's name *
Your answer
Mother's phone *
Your answer
Mother's email *
Your answer
Father's name *
Your answer
Father's phone *
Your answer
Father's email *
Your answer
**email will be the primary mode of communication concerning Religious Ed updates**
by agreeing to complete this form, you will receive email communications from time-to-time from Risen Christ Catholic Parish.
Child's last name if different *
Your answer
Address *
Your answer
City *
Your answer
Zip *
Your answer
Emergency contact name / phone in case the above cannot be reached: *
Your answer
First child to be registered's full name *
Your answer
Nickname (if any)
Your answer
Grade (in Fall 2017) *
Has child been baptized *
Has child had 1st Reconciliation *
Has child received 1st Communion *
Has child been confirmed *
Birthdate *
MM
/
DD
/
YYYY
Age *
Allergies? Special Instructions?
Your answer
My child was... *
If your child was enrolled last year at another parish, which parish?
Your answer
Non-Parishioner Registration Fee: (Check or cash)
1 child: $50.00
2 children: $75.00
3+ children: $100.00
**Payment is due in full by October 4, 2017**
** For registered parishioners as of 8/31/17, religious ed costs are covered by the parish (donations welcome)**
Parent Consent / Release
I authorize, by my signature below, that if the above person cannot be reached, church personnel are authorized to use their best judgment in an emergency. The church does not have medical or dental insurance for the students. It is understood that all costs related to emergency treatment will be the responsibility of the parent. As long as the medical treatment considered necessary is in accordance with generally accepted standards of practice, I impose no specific prohibitions regarding treatment unless stated.
Your child’s picture could be used in the bulletin or media to promote our Religious Education program. BY INITIALING BELOW WE WILL ASSUME THAT IT IS OKAY TO USE YOUR CHILD'S PHOTOGRAPH
Parent / Guardian Electronic Initials
Your answer
Parent / Guardian Electronic Signature & Date
Your answer
VOLUNTEERS ARE NEEDED FOR THE RELIGIOUS EDUCATION DEPARTMENT
Please indicate if you would consider working with us in any of the following ways:
Please check all that apply
SCHEDULE:
ELEMENTARY (K-5th)
Select one *
MIDDLE SCHOOL (6TH – 8TH)
Wednesdays (6:30 PM – 7:40 PM)
HIGH SCHOOL (9th – 12th)
Sundays after 11 AM mass (approx. 12 PM – 1:10 PM)
Participation in the religious education program is only one part of your family’s responsibility as members of the Risen Christ Catholic Parish community. At Baptism you, as parents or godparents, promised to bring your child up in the Catholic faith; that means teaching him/her how to pray, how to worship, and how to serve others as Christ served others.
PLEASE COMPLETE IF Preparing for First Communion and/or Confirmation
Last Name
Your answer
First Name
Your answer
Middle Name
Your answer
City of Birth
Your answer
State of Birth
Your answer
Date of Birth
MM
/
DD
/
YYYY
Grade (in Fall 2017)
Parish of baptism
Your answer
City
Your answer
State
Your answer
Date of baptism
MM
/
DD
/
YYYY
Current address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Father's FULL name
Your answer
Mother’s FULL name (include MAIDEN)
Your answer
Name of school attending
Your answer
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