Page 1 St. Andrew Catholic Church Registration
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1 A Page 1 St. Andrew Catholic Church Registration Date Entered Welcome Pkt sent ENVELOPE NUMBER: TODAY S DATE: FAMILY INFORMATION: Identification Last Name: Home Address: City: State: Zip Code: Primary Primary Phone#: ( ) Circle one: Mobile Home Work Emergency Contact Name Emergency Contact Phone #( ) At the present time please check the one that applies: Married Single Separated Divorced If Married: Were you Married by a Catholic Priest: Y N, Please provide Anniversary Date: / / Are you registered in another Parish? Y N If yes, Parish Name City: State: Zip Are you a Winter Resident? Y N If YES, Approximately what dates do you live there? From: / To / Winter residence address: City State Zip MEMBERS INFORMATION: HEAD OF FAMILY: M F SPOUSE: M F Name: First Middle Last Maiden Name: Date of Birth: / / State/Country of Birth: Primary Language: Phone number: ( ) (Circle One) Mobile home work Occupation: Employer: Religion: Check mark all the Sacraments that have been received: Baptism Communion Confirmation Relationship to children on back page: Birth Father Birth Mother Step-Parent Other Explain Name: First Middle Last Maiden Name: Date of Birth: / / State/ Country of Birth: Primary Language; Phone number: ( ) (Circle One) Mobile home work Occupation: Employer: Religion: Check mark all the Sacraments that have been received: Baptism Communion Confirmation Relationship to children on back page: Birth Father Birth Mother Step-Parent Other Explain CONTINUE ON THE BACK OF THIS PAGE
2 A Page 2 Child 1 Child 2 Child 3 Gender: Male Female Gender: Male Female Gender: Male Female Full Name: First Middle Last Date of Birth: / / State/ Country of birth Religion: Primary Language: Check mark all the sacraments that have been received: Baptism Communion Confirmation If baptized, where? Church of Baptism: Place: Year: Full Name: First Middle Last Date of Birth: / / State/ Country of birth Religion: Primary Language: Check mark all the sacraments that have been received: Baptism Communion Confirmation If baptized, where? Church of Baptism: Place: Year: Full Name: First Middle Last Date of Birth: / / State/ Country of birth Religion: Primary Language: Check mark all the sacraments that have been received: Baptism Communion Confirmation If baptized, where? Church of Baptism: Place: Year: Cell # : (If Applicable) School Name Grade Cell # : (If Applicable) School Name Grade Cell # : (If Applicable) School Name Grade
3 B PROGRAM INFORMATION ON THIS FORM YOU WILL LEARN ABOUT OUR RELIGIOUS EDUCATION PROGRAM. Page 3 As Religious Education registration is now dependent upon Parish Registration, we ask that you match the Family Name given on Form A on all forms, so that everything goes together. Also, in an effort to be more efficient and environmentally friendly, we will be using for almost all communications. Please provide the best address that will be checked and read on a regular basis. Family Name Best Program Basics Religious Education Sessions take place on Tuesday and Wednesday evenings 5:30-6:45pm as follows. Tuesday Evenings: Grades 1 6, Confirmation (High School), and RCIY (Rite of Christian Initiation for Youth) Confirmation sessions are split alphabetically so that young people meet every other Tuesday. Other date responsibilities apply; Confirmation program information will be given. RCIY applies to any young person Grade 6 12 who has not received Communion. Wednesday Evenings: Grades 1 8 Communion Preparation by Diocesan guideline requires two years of formation. A first year of basic catechesis involves attendance in regular Religious Education sessions (those listed above) combined with small additional elements for Communion specific learning. The second year then continues the basic sessions but intensifies the Communion preparation with additional requirements like an additional preparation book and a retreat day. Confirmation Preparation by Diocesan guideline requires two years of formation. A first year of basic catechesis involves attendance in regular Religious Education sessions (those listed above) combined with additional expectations of broader church community participation, specifically through Youth Ministry. The second year then continues the basic sessions and Youth Ministry participation but intensifies the Confirmation preparation with additional requirements like a retreat day. If your child attends Bishop Verot Catholic High School, while you are not required to attend the same sessions as Religious Education students, there is a Confirmation preparation process for which you need to register and pay the sacramental preparation fee. Registration Fees provide almost all the financial support for our program and go directly to covering materials like textbooks, classroom supplies, and program equipment. Per family registration fees for this year are as follows: Families with 1 Child: $45.00 Families with 2 Children: $90.00 Families with 3 or more Children: $ Due to the extra program elements required to provide appropriate preparation for the reception of Sacraments, we also request a sacrament preparation fee be collected. These fees are collected per child, so if you have multiple children preparing to receive sacraments, you will be assessed multiple Sacrament Preparation fees. First Year Sacrament Preparation Fee: $10.00 (per child) Second Year Sacrament Preparation Fee: $20.00 (per child)
4 B PROGRAM REGISTRATION Page 4 ON THIS FORM YOU WILL REGISTER YOUR CHILDREN INTO OUR RELIGIOUS EDUCATION PROGRAM. Child 1 Full Name Grade Day: Tues Wed BVHS (Bishop Verot High School) Religious Education History: Will this be the first time this child is in Religious Education? Y N Was this child in Religious Education last year? Y N If yes, where? here other Anything else to share about the child s background or history with Religious Education? Sacramental Preparation: If the child is in Grades 1-5 and has NOT received Communion, check If the child is in High School and needs the Sacrament of Confirmation, check If the child is in Grade 6 or older and needs the Sacrament(s) of Baptism or Communion, check First Communion Confirmation RCIY If any of the three above are checked, is this the First Year or Second Year of preparing for this sacrament? Child 2 Full Name Grade Day: Tues Wed BVHS (Bishop Verot High School) Religious Education History: Will this be the first time this child is in Religious Education? Y N Was this child in Religious Education last year? Y N If yes, where? here other Anything else to share about the child s background or history with Religious Education? Sacramental Preparation: If the child is in Grades 1-5 and has NOT received Communion, check If the child is in High School and needs the Sacrament of Confirmation, check If the child is in Grade 6 or older and needs the Sacrament(s) of Baptism or Communion, check First Communion Confirmation RCIY If any of the three above are checked, is this the First Year or Second Year of preparing for this sacrament?
5 B PROGRAM REGISTRATION Page 5 ON THIS FORM YOU WILL REGISTER YOUR CHILDREN INTO OUR RELIGIOUS EDUCATION PROGRAM. Child 3 Full Name Grade Day: Tues Wed BVHS (Bishop Verot High School) Religious Education History: Will this be the first time this child is in Religious Education? Y N Was this child in Religious Education last year? Y N If yes, where? here other Anything else to share about the child s background or history with Religious Education? Sacramental Preparation: If the child is in Grades 1-5 and has NOT received Communion, check If the child is in High School and needs the Sacrament of Confirmation, check If the child is in Grade 6 or older and needs the Sacrament(s) of Baptism or Communion, check First Communion Confirmation RCIY If any of the three above are checked, is this the First Year or Second Year of preparing for this sacrament? Child 4 Full Name Grade Day: Tues Wed BVHS (Bishop Verot High School) Religious Education History: Will this be the first time this child is in Religious Education? Y N Was this child in Religious Education last year? Y N If yes, where? here other Anything else to share about the child s background or history with Religious Education? Sacramental Preparation: If the child is in Grades 1-5 and has NOT received Communion, check If the child is in High School and needs the Sacrament of Confirmation, check If the child is in Grade 6 or older and needs the Sacrament(s) of Baptism or Communion, check First Communion Confirmation RCIY If any of the three above are checked, is this the First Year or Second Year of preparing for this sacrament?
6 C VOLUNTEER INTEREST FORM We can only provide quality formation for your child thanks to the generous help provided by our excellent volunteers. Would you consider joining them? While I wish I could help, I cannot at this time. Page 6 Here are ways you can help: CATECHIST A Catechist leads a grade level session with children, which involves teaching, praying, playing, and sharing faith. CATECHIST ASSISTANT A Catechist Assistant helps the catechist, attending and participating in grade level sessions at the direction of the catechist. DOOR KEEPER The Door Keeper is the very important role of helping us maintain proper building security. HALL MONITOR The Hall Monitors keep kids on restroom trips moving and help catechists talk to staff. OCCASIONAL If you re unable to volunteer on a regular basis but could help with special events or sometimes, In the large boxes above, please indicate your interest in a position. You can either place a check mark or put numbers (1-first choice, 2-second choice, etc.). Day(s) you can help: Tuesdays Wednesdays NAME: Phone: Is this a mobile phone? yes no Can we text you? yes no Once you fill out this form, we will contact you to discuss next steps. Thank you for considering becoming a part of our program!
7 D1 Page 7 St. Andrew Catholic Church St. Andrew Catholic Church
8 Page 8 D2 St. Andrew Catholic Church RE Sessions (Sept 2016-May 2017) [list all children registering] weekly classes (Sept 2016-May 2017) When Parents or Authorized Guardians are not able to pick up.
9 Page 9 D3 [list all children registering] [list all birthdates] St. Andrew Catholic Church Family s
10 E PROGRAM FEES WORKSHEET Page 10 ON THIS FORM YOU WILL DETERMINE YOUR FAMILY S FEES FOR THE RELIGIOUS EDUCATION PROGRAM. Family Name Step 1 Registration Fee (one fee per family) skip if only registering a BVHS student 1 child $ children $ children $ Place the correct amount for your family on the line $ Step 2 Sacramental Fee (one fee per child) if BVHS student, check here Number of Children in First Year of Preparation X $10.00 = $ Number of Children in Second Year of Preparation X $20.00 = $ Step 3 Total Fees Add the three numbers above to determine your family total $ Step 4 Payment Today - $ Cash Check # Credit Card circle: Visa MC Receipt # Step 5 Remaining Balance $ Step 6 Payment Planning We offer you the opportunity to pay a balance flexibly through the year. How would you like to pay the remaining balance? Indicate payment amounts totaling your balance: October $ November $ December $ I agree to this monthly payment plan for my balance. January $ February $ Signed March $ April $ Dated Example The Andrews Family has two children, one in fourth grade who hasn t received Communion yet and one in seventh grade who has. The Andrews kids attended St. Andrew Religious Education sessions last year. Thus, the fourth grader is in the Second Year of Sacramental Preparation for Communion. Their worksheet would look like this: Step 1: $90.00 Step 6: October $20.00 Step 2: 1 x $20.00 = $20.00 November $0 Step 3: $ December $0 Step 4: - $30.00 January $10.00 Step 5: $80.00 February $30.00 March $20.00
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