CCD Registration 2019-2020
Dear Parents,

You are a wonderful blessing to your children for providing for their spiritual formation in the Catholic Faith!
We look forward to a fun and holy academic year!

We are still looking for adults to teach certain grades, so the classes are not too large.

START DATES FOR CLASSES
• Lake City Wednesday religious education classes will begin on September 18th.
• Manson Wednesday Family Faith Formation classes will begin September 4th..

*To help keep class sizes small, teachers are still needed. If you are interested, contact Jenny Redenius at 712-210-1893 or at redeniusfaithformation@gmail.com.

PAYMENT FOR CCD (Checks made out to Calhoun County Catholic Parishes ):
$45.00 per child
FEE IS NONREFUNDABLE.

**PAYMENT FOR CCD MUST BE IN NO LATER THAN SEPTEMBER 26, 2019.

Mail payment to:
St. Mary's Catholic Church
PO Box 131
Lake City, IA 51449

Family Name *
Your answer
Parish you are registered at: *
Your answer
Address: *
Your answer
Parent/Guardian #1 Information. Please include name, phone number, e-mail address, address (if different from above), and primary language spoken. *
Your answer
Is it okay to add you to the Flocknote program? (Flocknote is a program we use to notify you regarding last minute changes in schedule, reminders, upcoming events, and cancellations.) *
Parent/Guardian #2 Information. Please include name, phone number, e-mail address, address (if different from above), and primary language spoken. *
Your answer
Is it okay to add you to the Flocknote program? (Flocknote is a program we use to notify you regarding last minute changes in schedule, reminders, upcoming events, and cancellations.) *
Child Number 1 Information: Name, date of birth, school, grade (2019-2020 school year), program registering for (Lake City or Manson) *
Your answer
Child Number 1: Sacraments Received (check those that apply) *
Required
Child Number 2 Information: Name, date of birth, school, grade (2019-2020 school year), program registering for (Lake City or Manson)
Your answer
Child Number 2: Sacraments Received (check those that apply)
Child Number 3 Information: Name, date of birth, school, grade (2019-2020 school year), program registering for (Lake City or Manson)
Your answer
Child Number 3: Sacraments Received (check those that apply)
Child Number 4 Information: Name, date of birth, school, grade (2019-2020 school year), program registering for (Lake City or Manson)
Your answer
Child Number 4: Sacraments Received (check those that apply)
Does any child have a learning disability, food allergy, chronic illness, or physical handicap? If yes please name which child and explain: *
Your answer
If parent addresses are different; should communications be sent to both parents/guardians?
Media Release and Authorization: I understand that by signing this Release and Authorization, I hereby grant authority to the Calhoun County Catholic Parishes for the use of any videotapes, photographs, or similar items in which my child/children might appear, or statements made by them, in the production, display or sale of public service announcements. Please initial here. *
Your answer
Parent Covenant: We/I understand that we/I am the key to faith development for our/my children. We/I will provide a supportive and nurturing family life which allows our/my children to experience the beliefs, values and traditions of our Catholic faith. As a family, we will participate fully in the spiritual and sacramental life of the Church by attending mass regularly. We/I will assist our/my child in preparation and celebration of the sacraments and will be actively involved in the faith formation of our/my children. Please type your name to sign here. *
Your answer
*Note the cost this year is $45/child. Please make checks payable to Calhoun County Catholic Parishes. Please send the payment to St. Mary's Catholic Church 205 N Lloyd Street Lake City, Iowa 51449
Your answer
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