Minimum of $25 DOWN PAYMENT

2017-2018 St. John the Baptist Catholic Church Religious Education Registration

Today's Date:______PARISH FAMILY NUMBER:______

If your child is entering second-year sacrament preparation. registration will not be processed without a Baptism certificate. Candidates for sacraments may have NO MORE THAN 3 ABSENCES during any year of sacramental preparation.
Family E-mail______

PARENTS' INFORMATION

Father ______Father's Cell ______Accept texts? ______

Last Name First Name Ml

Father's Religion ______Father' s Occupation ______Work Phone ______

Mother ______Mother's Cell ______Accept Texts?______

Mother's Religion ______Mother's Occupation ______Work Phone ______

Mailing Address ______City ______Zip ______Home Phone ______

Were your children in CCE last year? _____Name of Parish ______Are all your children baptized Catholic? ______

SESSION SCHEDULE
Sunday K-6 9:15-10:45 am / Tuesday K-6 5:30-7:00 pm / Wednesday K-6 5:00-6:30 pm / Wednesday 7-12 7:00-8:30 pm
CHILDREN'S INFORMATION / Please v" sacraments received
Student's Full Name / Birthday mm/dd/yy / Sex / Lang- uage / Gass Day Request / Grade
2016-17 / FOR OFFICE USE ONLY / Baptism / Penance / 1st
Eucharist / Confirmation
1.
2.
3.
4.

List STUDENT NAME with special needs:______(Explain the need)

FEE SCHEDULE
Catechists pay no tuition. Helpers' tuition is half price. Sacrament fee of $40 applies to everyone.
Early Bird Discount if paid in full by June 30th
1 child $402 children $603 children $804 or more children $100
After June 30th
1 child $502 children $703 children $904 or more children $110
Materials for Sacrament Preparation: $40 per child.Non-parishioners add $100
FOR OFFICE USE ONLY
First CommunionConfirmationBaptism Certificate Rec'd? YesNo
Tuition AmountDate
Sac Prep MaterialsDate
Total DueDate
Date
Is parent a catechist?Helper?
Any family with financial difficulty is strongly encouraged to talk with the CCE Staff. No child will be denied religious education due to finances.

Parent/Guardian Consent Form

IMPORTANT! THIS PAGE MUST BE SUBMITTED WITH THE REGISTRATION FORM!

To be filled out by the parent or legal guardian of children under 18 years of age. Keep pages 1 and 2 of the Continuing Christian Education/Youth Ministry Policies and Guidelines for your records.

MEDICAL CONSENT and EMERGENCY CONTACT

In the event of an emergency, I hereby give permission to the staff of St. John the Baptist Catholic Church to seek emergency medical transport or treatment for my child named below. I will be responsible for costs incurred. I wish to be advised before further care is given by the hospital or doctor. If I cannot be reached, contact

Name & Relationship ______Phone (____) ______

Family Doctor ______Phone (____) ______

Insurance Name ______Group Number ______

Insurance Phone Number Check here if not insured. ______
List medical conditions, medications, and life-threatening allergies in the space on the registration form.
In the event of any accident or injury, I agree on behalf of myself, my child's other parent (name of other parent goes in blank), the children named below, or our heirs, successors, and assigns, to indemnify, hold harmless and defend the Archdiocese of Galveston-Houston, St. John the Baptist parish, its pastor or any representative ofContinuing Christian Education and Youth Ministry from any and all injuries, losses or claims arising out of my child's participation.
Signature of Parent/Guardian ______Date ______

VIDEO/PHOTOGRAPH CONSENT
As parent/guardian, I understand that promotional pictures and videos (individual and group) may be taken during Continuing Christian Education classes or Youth Ministry activities. I give permission for the pictures of my children named below to be used for church promotional materials such as newsletters, web pages, calendars, PowerPoint presentations, or videos to promote or highlight these classes or activities. My child's name will not be released without further consent.
Signature of Parent/GuardianDate

Print here the names of all the children in the family or on the registration form.

2.5.

3.6.

CONSENT & LIABILITY WAIVER
I AM THE PARENT OR LEGAL GUARDIAN OF THE CHILD OR CHILDREN NAMED ABOVE. I HAVE READ THE CONTINUING
CHRISTIAN EDUCATION AND YOUTH MINISTRY POLICIES AND GUIDELINES OR HAVE HAD THEM READ TO ME. I FULLY
UNDERSTAND AND ACCEPT THESE GUIDELINES KNOWINGLY, FREELY AND WILLINGLY.
Primary Contact Number Alternate Number (—)
Evening number if different from above
Parent's/Guardian's Printed Name

Signature of Parent/GuardianDate