2023-2024 Religious Education (CCD) Registration Form Parent(s) / Guardian(s) Last Name:
Registration Date:
Parents/Guardians (with whom the child resides) Father:
Religion:
Work Phone:
Cell Phone:
Mother:
Maiden Name:
Religion:
Work Phone:
Cell Phone:
Mailing Address:
Zip:
Home Phone:
Family Email Address:
Emergency Contact Person:
Emergency Contact Phone Number:
Are you formally registered at St. James? (if you check No, you MUST complete a parish registration form to be submitted with your CCD registration form – Thank you!)
Information submitted on this form will be used to update your parish registration in our database unless you check this box:
Please complete the following for all children registering for CCD:
Child 1 First / Last Name:
Male/Female:
Date of Birth:
Grade:
Baptized: (Please bring a copy of your child’s/children’s Baptismal Certificate to registration (for NEW students and those in First Communion and Confirmation classes.)
First Reconciliation:
First Communion:
Class Session (Sun or Wed) 1st Choice: *REQUIRED*
Class Session (Sun or Wed) 2nd Choice: *REQUIRED*
Child 2 First / Last Name:
Male/Female:
Date of Birth:
Grade:
Baptized: (Please bring a copy of your child’s/children’s Baptismal Certificate to registration (for NEW students and those in First Communion and Confirmation classes.)
First Reconciliation:
First Communion:
Class Session (Sun or Wed) 1st Choice: *REQUIRED FOR CHILD 2*
Class Session (Sun or Wed) 2nd Choice: *REQUIRED FOR CHILD 2*
Child 3 First / Last Name:
Male/Female:
Date of Birth:
Grade:
Baptized: (Please bring a copy of your child’s/children’s Baptismal Certificate to registration (for NEW students and those in First Communion and Confirmation classes.)
First Reconciliation:
First Communion:
Class Session (Sun or Wed) 1st Choice: *REQUIRED FOR CHILD 3*
Class Session (Sun or Wed) 2nd Choice: *REQUIRED FOR CHILD 3*
Child 4 First / Last Name:
Male/Female:
Date of Birth:
Grade:
Baptized: (Please bring a copy of your child’s/children’s Baptismal Certificate to registration (for NEW students and those in First Communion and Confirmation classes.)
First Reconciliaton:
First Communion:
Class Session (Sun or Wed) 1st Choice: *REQUIRED FOR CHILD 4*
Class Session (Sun or Wed) 2nd Choice: *REQUIRED FOR CHILD 4*
Child 5 First / Last Name:
Male/Female:
Date of Birth:
Grade:
Baptized: (Please bring a copy of your child’s/children’s Baptismal Certificate to registration (for NEW students and those in First Communion and Confirmation classes.)
First Reconciliation:
First Communion:
Class Session (Sun or Wed) 1st Choice: *REQUIRED FOR CHILD 5*
Class Session (Sun or Wed) 2nd Choice: *REQUIRED FOR CHILD 5*
If your child(ren) will be receiving any Sacraments this year, please indicate the name of the child next to the sacrament below:: Baptism:
First Reconciliation / First Communion: (Pre-requisite: child must have completed First Communion Prep 1)
Confirmation: (Pre-requisite: child must have completed 7/8th Grade class)
Mass Participation Commitment As your parish family, we want you to be successful raising a happy and holy Catholic family. Therefore, this is an opportunity for you, as parents, to recommit yourselves to attending Mass with your child(ren) each and every Sunday, unless a serious reason such as illness prevents you. We are aware some family situations are difficult. All we ask is for you to commit to do YOUR part to bring your child to Mass. The benefits of coming to Mass are countless and eternal!
Name:
solemnly promise to attend Mass with my child(ren) each and every Sunday, unless a serious reason such as illness prevents me.
Medical Child's Medical Conditions/Allergies:
Parental Consent In case of emergency, and after every effort has been made to reach above emergency contact, I give permission for my child to be taken to a doctor or hospital for medical treatment by St. James personnel.
Name:
Date:
Classes PK/K (ages 4-5) Sunday, 9:30-10: 45am or Wednesday 5:30-6:45pm
Tuition Fees The link to make a payment is found here:
1 Child:
2 Children:
3 or More Children:
Scholarship Request I would like to request a scholarship:
If requesting a scholarship, I can volunteer as: (All volunteers must be VIRTUS trained and commit to the full program from Sept – May)
Prayer Partner (sign up for extra Adoration hours each month of Religious Education – contact Sharon Wheaton at trevor.wheaton@gmail.com) For volunteering above, day/time avaliable:
