Sts. Joachim & AnnParishSchool of Religion
Registration 2015-2016
In order to adequately plan for the upcoming PSR school year, please complete and return by Friday, May 15, 2015.
After the May 15th deadline – tuition cost will be increased by $50 per family.
To complete the registration process, we ask that you complete the following steps:
- Register in the Parish, if you are not already a member. This can be done by seeing one of the parish priests after any of the weekend masses or contacting the rectory at 441-4835.
- Consider registering for the Online Giving being offered by the parish. All PSR families are expected to financially support the parish. All are encouraged to register for Online Giving or to continue using the weekly envelopes that are sent to your home. Call the rectory at 441-4835 for questions.
- Complete and sign the Parish School of Religion Registration Form
- Read and sign the FamilyWitness Statement
- Complete the Student Emergency Information Form
- Complete the Permission Form for Media/Marketing Materials
- $30.00 Registration fee (include with tuition payment on one check)–You will be notified if your registration fee has been waived for reaching your $30 Shop For Our Schools profit goal for the year.
- $20 Sacramental fee for 2nd and 8th grade students only.
- Pay tuition in full or if choosing a three or five month payment plan option, please post-date the checks for all payments and include with your registration.
KINDERGARTEN ONLY - $100.00 + $30 registration fee
1 CHILD TUITION - $180.00 + $30 registration fee $230 + $30 registration fee after May 15
2 CHILD TUITION - $245.00 + $30 registration fee $295 + $30 registration fee after May 15
3+ CHILD TUITION - $290.00 + $30 registration fee $340+ $30 registration fee after May 15
- Kindergarten and all new students need to provide a copy of their baptismal certificate.
- Anyone wanting to make an additional donation to the PSR program, to assist those experiencing financial hardships is greatly appreciated. (include amount with your tuition payment)
- Please do not wait to register because of financial hardship. Financial Assistance Forms are available in the PSR office and online at stsja.org. In order to qualify for financial assistance, you must register before May 15, 2015.
- Return the completed registration packet , tuition payment, registration fee, Family Witness Statement, emergency form and volunteer form to the PSR office by Friday, May 15, 2015 or mail to:
Rose Wieschhaus – Director of Religious Education for Children
Sts. Joachim & Ann
4112 McClay Road
St. Charles, MO 63304
Call 926-0021 for additional questions regarding registration.
Sts. Joachim & Ann - ParishSchool of Religion
Registration Form 2015-2016
DUE BY MAY 15, 2015
FAMILY NAME: ______
IS YOUR FAMILY REGISTERED AT STS. JOACHIM & ANN PARISH? YES NO
AS CATHOLIC PARENTS, ARE YOU PRACTICING YOUR FAITH? YES NO
ARE YOU FAITHFUL IN FINANCIALLY SUPPORTING YOUR PARISH? YES NO
(If your family is not a registered member of Sts. Joachim &Ann Parish - please contact the rectory at 441-7503 to register)
FAMILY IS NEW TO THE STS. JOACHIM & ANN PSR YES NO
ALL NEW STUDENTS NEED TO ATTACH A COPY OF THEIR BAPTISMAL CERTIFICATE
SESSION PREFERRED: (PLEASE CHECK ONE)
MONDAY (6:00 – 7:30) MONDAY (7:00 – 8:30) SUNDAY (9:30 AM) GRADES KDG – 8 GRADES 5 – 8 KINDERGARTEN ONLY
FAMILY ADDRESS: ______
CITY: ______ZIP CODE: ______HOME PHONE: ______
SUBDIVISION: ______
CHILD LIVES WITH: BOTH PARENTS MOTHER FATHER OTHER ______
PLEASE CHECK HOW YOUR FAMILY WOULD LIKE TO RECEIVE PSR CORRESPONDENCE:
SENT HOME WITH OLDEST CHILD E-MAIL (address given below)
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FATHER’S FULL NAME: ______CATHOLIC: YES NO
ADDRESS (if different from family address) ______
EMPLOYER: ______OCCUPATION: ______
WORK PHONE # ______CELL PHONE # ______
E-MAIL ADDRESS: ______
(Please Print Clearly)
MARRIED SEPARATED DIVORCED REMARRIED * SINGLE WIDOWED
* SPOUSE’S NAME ______
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MOTHER’S FULL NAME: ______MAIDEN: ______CATHOLIC: YES NO
ADDRESS (if different from family address) ______
EMPLOYER: ______OCCUPATION: ______
WORK PHONE # ______CELL PHONE # ______
E-MAIL ADDRESS: ______
(Please Print Clearly)
MARRIED SEPARATED DIVORCED REMARRIED* SINGLE WIDOWED
* SPOUSE’S NAME ______
IN CASE OF SEPARATION/DIVORCE OF PARENTS:
WHO IS THE CUSTODIAL PARENT? ______MAY CHILDREN BE RELEASED TO NON-CUSTODIAL PARENT? _____
ADDITIONAL NEWSLETTER MAILED TO NON-CUSTODIAL PARENT? YES/NO
IF YES, LIST NAME & ADDRESS:______
STUDENT INFORMATION
STUDENT NAME
FIRST MIDDLE INITIAL LAST / GRADE2015-16
** / BIRTH
DATE / GENDER
F or M / SCHOOL
ATTENDING
Please list names and ages of other children living at home: ______
______
MEDICAL/SPECIAL NEEDS (information will be kept confidential)In order to meet your child’s needs and safety, please mark the appropriate concerns for each child.
CHILD’S NAME & GRADE
None Applicable
Child has an IEP?
Child has a paraprofessional (part time or full time) with them during the day in the public school?
Allergies
Asthma
Attention Deficit
Autism
Behavioral Disorder
Diabetes
Educationally Handicapped
Emotional Disorder
Hearing / Visual Impairment
Hyperactivity Disorder
Language Impaired
Learning Disabled
Other (please describe)
Physically Disabled
Speech Impaired
Any other comments or information you feel is necessary to protect and educate your children and family.
I CERTIFY THAT THE ABOVE REGISTRATION INFORMATION IS CORRECT
SIGNED: ______DATE:______
TUITION PAYMENT INFORMATION
2015-2016
FAMILY NAME:______PHONE: ______# OF PSR CHILDREN ______
In an effort to make tuition payment manageable for all families, you have the choice of the following options when paying your tuition for the 2015-2016 school year:
1. Pay tuition in full with registration.
2. Pay tuition in three monthly payments* (registration fee included in first payment)
3. Pay tuition in five monthly payments* (registration fee included in first payment)
4. Apply for financial assistance and set up an extended payment plan.(before May 15, 2015)
*We ask that post-dated checks for all payments be included with registration.
Checks will not be cashed until the date that is written on the check.
THOSE FAMILIES REGISTERING AFTER MAY 15, 2015,
MUST PAY $50INCREASED TUITION IN FULL UPON REGISTRATION.
.
Sts. Joachim and Ann PSR
Student Emergency Information2015-2016
IN THE EVENT OF AN EMERGENCY, THE FOLLOWING INFORMATION WILL BE USED TO CONTACT YOU.
PLEASE PROVIDE INFORMATION WHERE YOU CAN BE REACHED IN EVENING HOURS (DURING PSR)
FAMILY NAME: ______HOME PHONE# ______
ADDRESS:______SUBDIVISION:______
VOLUNTEER REQUEST FORM
The success of our PSR program is dependent upon the many dedicated volunteers we have both in our classrooms and in the office. Please fill out the following if you are able to help while your child attends class, or if you have time during the day to help with some of the administrative tasks.
All volunteers are required to attend a Protecting God’s Children Workshop and to complete a Volunteer Registration packet prior to working with our children.
NAME: ______PHONE # ______
E-MAIL: ______
I am interested in the following:
_____ PSR Teacher
_____ Substitute Teacher
_____ Teacher’s aide
_____ Babysitting
_____ Selling Shop For Our Schools Certificates during PSR
_____ Sell Shop For Our Schools Certificates (after mass on Sunday)
_____Parking Lot Coordinator
_____ Special Events
_____ Eucharistic Minister
_____ PSR Parent Board
_____ Office Help during PSR
_____ Office Help during the day
Thank you for your support of the PSR program. Any help you may give is greatly appreciated.
Archdiocese of Saint Louis
Family Witness Statement
For those seeking to enroll their children in a CatholicSchool or a Parish School of Religion.
Our Parish School of Religion Witness Statement commits us …
“To teach as Jesus did. Through education, we seek to empower our members to proclaim the Gospel and translate the Good News into action. In building up the Kingdom of God,
Community is not simply a concept to be taught, but a reality to be lived. As we call forth
discipleship, our community is strengthened by the Gospel message of hope and illuminated by the light of mature faith. We invite all believers to grow in faith and worship together in celebration of the Word and Eucharist from which we are nourished and renewed. Through personal witness, outreach and evangelism, we share our gifts in humble service to the Christian community and the world, as we strive to grow in the likeness of Christ.”
One of the blessing of marriage is bringing forth new life. God entrusts children to parents who have a primary right and duty to educate their children in the practice of the faith. Parents carry out this responsibility by creating a home full of love, forgiveness, respect and fidelity. The family is the community in which, from childhood, one honors God and learns moral values.
In the rite of the Sacrament of Baptism, parents receive the following call from God toevangelize their children:
“You have asked to have your child baptized. Indoing so you are accepting the responsibility of training him (her) in the practice of the faith. It will be your duty to bring him (her) up to keep God’s commandments as Christtaught us, by loving God and our neighbor…You will be the first teachers of your child in the ways of the faith. May you be also the best of teachers, bearing witness to the faith by what you say or do, in Christ Jesus our Lord.”
No wonder, then, that the Church understands the home to be the domestic church. It is in the intimate environment of the family that parents are, by word and example, the first heralds of the faith with respect to their children. This environment is enhanced and deepened through the parish Eucharistic community that is the heart of the spiritual life for Christian families.
Catholic schools and parish religious education programs are in partnership with the family in proclaiming and witnessing to the life and teaching of Jesus Christ. They assist parents in fulfilling their responsibility as the primary religious educators of their children. This partnership works best when parents respect the beliefs of the Church and live lives in a manner that reflect these beliefs. If parents reject the beliefs of the Church or live lives in conflict with these teachings, catechizing young people becomes very difficult.
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Aware, then, of the dignity of this holy parental call, and with a reverent awe for that responsibility, which is mine, I commit myself to be, in word and example, the first and best teacher of my children in the faith. Practically, this means I will:
Understand that the authentic teachings of Jesus as taught by the Catholic Church will be part of my child’s education and formation
To the best of my ability, respect the teachings of the Church and help my children respect the Church and its teachings
Regularly participate in the Sunday Eucharist with my family (if not Catholic, support my children’s participation in the Church of Baptism), include prayer in my daily life and form my children in the faith.
Commit to speak frequently with my children about God and to include prayer in our daily home life
Participate in and cooperate with the parishSchool of Religion in programs that enable me as a parent to take an active role in the religious education of my children, including sacramental preparation for Catholic children.
Support the moral and social doctrine of the Catholic church to ensure consistency between home and school
Teach my children by word and example to have a love and concern for the needs of others
Meet my financial responsibilities in supporting the Parish School of Religion
Practice stewardship in support of the parish.
We realize that by not fulfilling the above responsibilities, we are in disagreement with the Sts. Joachim and Ann Parish School of Religion Philosophy. If we are unable to financially support the program with tuition payment, we will contact the Director of the Parish School of Religion and complete a Financial Assistance Application Form.
Parent/Guardian Signatures ______Date: ______
Parent/Guardian Signatures ______Date: ______
Please return this Witness Statement with registration by May 15, 2015.
______
Mrs. Rose WieschhausRev. John A Brockland, JCL
Director of Religious Education for ChildrenPastor Sts. Joachim & Ann Catholic Church
Permission Form for Student Involved
In
Media/Marketing Materials
Occasionally, someone from the media contacts our parish school of religion about a feature story. It is important that we know before the media arrives if you have any objection to your child(ren) being included in these stories. Additionally, the parish school of religion may prepare a marketing or informational brochure. Signing this form authorizes the parish school of religion to photograph your child(ren) and use the photograph in brochures or other similar publications. If the form is not returned your child(ren) will automatically be excluded from any media or marketing situations. This would also include pictures for our web-site.
Note: This form applies only to feature stories, ads, brochures, and fliers. If reporters come to the parish school of religion for a general news story the PSR administration will make every effort to keep them from interviewing or photographing students.
Permission is granted for ______Grade ______
______Grade ______
______Grade ______
______Grade ______
to be included in television, radio, internet or newspaper feature stories and in any marketing materials produced for the Sts. Joachim & Ann Parish School of Religion.
This form will be kept on file for future years.
Please print family name: ______
Parent/Guardian Signature: ______
Date: ______
SHOP FOR OUR SCHOOLS
If you have never used the program or have fallen out of the habit –
NOW is a great time to use the convenient Shop For Our Schools Program.