Catechism Registration

$75.00 – $375.00

Registration Fee $75 / 1 Catechism Child

Catechism will start September 18th 3:00-5:00 Classes 5:00-6:00 Mass

Childern for Catechism

Clear

1st grade and above is required to register

Parent's Information

Mother's Full Name *

This field is required!

Mother’s Cell # *

This field is required!

Mother’s Email *

This field is required!

Father's Full Name *

This field is required!

Father’s Cell # *

This field is required!

Father's Email *

This field is required!

Street Address *

This field is required!

City *

This field is required!

State *

This field is required!

Zipcode *

This field is required!

Home Phone #

Emergency Contacts (** someone other than parents**)

Emergency Contact Person *

This field is required!

Relationship to the Child *

This field is required!

Emergency Phone # *

This field is required!

Child 1 Information

Child 1 - First Name *

This field is required!

Child 1 - Last Name *

Child 1 - Date of Birth *

This field is required!

Child 1 - Grade in September *

This field is required!

Child 1 - Gender *

This field is required!

Child 1 Does your child have any allergies? *

This field is required!

Child 2 Information **If Applicable**

Child 2 - First Name

Child 2 - Last Name

Child 2 - Date of Birth

Child 2 - Grade in September

Child 2 - Gender

Child 2 Does your child have any allergies?

Child 3 Information **If Applicable**

Child 3 - First Name

Child 3 - Last Name

Child 3 - Date of Birth

Child 3 - Grade in September

Child 3 - Gender

Child 3 Does your child have any allergies?

Child 4 Information **If Applicable**

Child 4 - First Name

Child 4 - Last Name

Child 4 - Date of Birth

Child 4 - Grade in September

Child 4 - Gender

Child 4 Does your child have any allergies?

Touching Safety Program

This program is founded on the principles of appropriate relationship boundaries and internet safety, in the broader context of Christian values. All lessons are age-appropriate, and help children and young people develop the vocabulary and boundary distinctions necessary to empower them to begin to recognize inappropriate behavior by others, while practicing appropriate relationship boundaries in their own lives.

Check One *

YES, I give my permission to have my child participate in the “Touching Safety Program”
NO, I decline to have my child participate in the “Touching Safety Program”

This field is required!

Pictures may be taken and posted of the children while in the program and may be posted on the social media and or websites.

Consent to Use Pictures *

If you are 18 or older, would you like to volunteer

I Would Like To Volunteer

Make sure all required fields are filled before submitting.

SKU: N/A Category: Reg

Additional information

Additional information

Childern for Catechism	1 Child, 2 Children, 3 Children, 4 Children, 5 Children, None