*PLEASE NOTE THAT THIS DOES NOT REGISTER YOUR CHILD FOR SACRAMENTAL PREPARATION. PLEASE LET US KNOW AT REGISTRATION IF YOUR CHILD HAS NOT RECEIVED FIRST EUCHARIST*

St. Edith Stein 2018-2019 CCE Registration Form (PK – 5th)

PREFERRED CONTACT EMAIL: ______

Family Last Name: ______Mother’s Name: ______Father’s Name: ______

Mailing Address: ______Apt #:______City: ______State: ______Zip Code: ______

Home #:______Father’s Cell#:______Mother’s Cell#:______

Does your child have any special needs, medications or allergies, if so please list them

Here: ______Are you registered in our parish? ______

Student Information: PLEASE PRINT CLEARLY **Check all Sacraments Received

Last Name of Student / First Name / Date of Birth / Grade in School
2018-2019 / Class Time
Choice
Tues OR Wed
5:45pm – 6:45pm / Attended
CCE
2017-2018 / B / R / FE / C

** B – Baptism; R- Reconciliation; FE – First Eucharist; C - Confirmation

Tuition Rates:

$75.00 for one student; $50.00 per student for the 2nd and 3rd student; $200.00 for 4 or more children from the same family.

If you are new to our Religious Education program, there is a onetime registration fee of $100.00 due at registration.

Full Payment is expected at the time of registration. If there are financial circumstances that prevent you from paying in full please contact Melissa Powell at 281-492-7500.

Special Needs:

We will try to work with parents to meet the catechetical needs of children who require accommodations. Please let us know if your child has any special needs and all student records are kept confidential. *Some limitations may apply.

Catechists/Volunteer Opportunities:

Please let us know if you are interested in being a CCE volunteer. Catechists receive free tuition for one student. If you are interested in

being a CCE volunteer, you must have VIRTUS training. Please speak with Diane Flynn if you have questions regarding VIRTUS.

Yes____ I am interested in becoming a CCE volunteer.

Permission / Liability Release:

My child (ren) ______has my permission to attend the Children’s Catechesis and Evangelization (CCE) program at St. Edith Stein Catholic Community. I release St. Edith Stein and any catechists/aides

from any liability for injuries received while on church property. I agree/do not agree to allow my children to be photographed/video for use

of our parish only.

Please provide us with the name of another adult who we can contact in case of an emergency and who also has permission to leave the premises with your child

______/ ______

Printed name of authorized adultHome NumberCell Number

_____/______/______

Today’s DateSignature of Parent or GuardianPhone Number

Tuition: ______Sacramental Fee: ______Total Due: ______Catechist: ______Catechist Aide: ______Amount Paid: ______Check #______Cash: ______Date: ____/_____/______Initial: ______