Catechesis of the Good Shepherd (K to 5 Grades)

STUDENT INFORMATION

Registering this student for: REQUIRED Kindergarten 1st Grade 2nd Grade & Holy Communion (add the $25 Sacrament) 2nd Grade only 3rd Grade 4th Grade 5th Grade Please fill out this field.
Student Last Name REQUIRED Please fill out this field. Please enter valid data.
Student First Name REQUIRED Please fill out this field. Please enter valid data.
Gender REQUIRED Female Male Please fill out this field.
Birthdate--MM/DD/YY format REQUIRED Please fill out this field. Please enter valid data.
Baptized as a Catholic REQUIRED Yes, baptized as a Catholic No, please assist me with getting my child baptized. No, my child is not baptized. Please fill out this field.
Life-Threatening Health Concerns REQUIRED
Any health condition or food allergy the teacher should know about? Please elaborate on whether this condition is self-manageable and what precautionary measures need to be taken.
Please fill out this field. Please enter valid data.
What school does student attend? REQUIRED
If homeschool, please include your public school district.
Please fill out this field. Please enter valid data.
Was student enrolled in Religious Education last year? If so, where? REQUIRED Please fill out this field. Please enter valid data.
Playing Sports in the Parochial League REQUIRED Yes, I understand my student must attend 75% of classes to maintain league eligibility. No, BUT my student is interested in playing in the parochial league. No, my student is not playing in the parochial league. Please fill out this field.

PERMISSION FOR YOUR CHILD

1. I/We understand there is a risk of injury involved in any activity. I agree that I will not hold the parish, school or organization named above or the Diocese of Kansas City-St. Joseph responsible for any injuries that my child might incur while participating in this event. In an emergency, if I cannot be contacted, I hereby authorize that emergency treatment be administered.

2. I/We understand my child(ren) need to conduct themselves in a Christian manner at all times while in the custody of the Religious Education Coordinators and while on the grounds of St. Andrew the Apostle. We understand if there are problems with rule breaking, it may result in termination of the child(ren) attending the religious education offered at St. Andrew the Apostle.

3. I/We agree to share important information with the Religious Education Coordinators such as allergies or behavioral/emotional disorders to allow us to care for you child(ren) to the best of our abilities.
For the three statements above: REQUIRED I agree. I DO NOT agree. Please fill out this field.
Photos and/or video of my child may be taken for parish use in newsletters, brochures, and on the website. REQUIRED I agree. I DO NOT agree. Please fill out this field.

FAMILY INFORMATION

Family Last Name REQUIRED Please fill out this field. Please enter valid data.
Street Address Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
Registered Parishioners of St. Andrew REQUIRED Yes, we have a recordable tithe at St. Andrew the Apostle. Yes, we are registered but we do NOT have a recordable tithe. We understand we will need to pay the non-parishioner fee. No. Please fill out this field.
Are both parents Catholic REQUIRED Yes, both parents are Catholic. No, the mother is Catholic. No, the father is Catholic No, neither parent is Catholic. Please fill out this field.

FATHER INFORMATION

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Cell Phone REQUIRED Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

MOTHER INFORMATION

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Cell Phone REQUIRED Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

How are you paying for Youth Ministry? REQUIRED Payment Plan - Set up with Business Office Paying in Full - Submitting Online Paying in Full - Delivering to Office Please fill out this field.

COMMENTS

St. Andrew the Apostle

Catholic Parish & School

Catechesis of the Good Shepherd (K to 5 Grades)

Contact Us

Please complete a separate form for each student.