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2024-2025 Catechism
Catechism 2024-2025 Registration Form
Step
1
of
5
20%
Parent Information
Last Name:
(Required)
Father’s Name
(Required)
Mother’s Name:
(Required)
Please Enter Address Below
(Required)
Address Number and Street
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip Code
Email (For All Main Communication During The Year)
(Required)
Father's Cell Phone
(Required)
Mother's Cell Phone
(Required)
Emergency Contact Person:
(Required)
Emergency Contact Phone Number
(Required)
Child(ren) Information
How Many Children Will Be Registered This Year
(Required)
1
2
3
4
Child 1 First Name
(Required)
Child 1 - Date of Birth
(Required)
MM slash DD slash YYYY
Child 1 - Grade in September
(Required)
PLEASE NOTE: When a Grade Has Reached Capacity, It Will No Longer Appear In The Drop Down List.
SELECT CHILD'S CURRENT GRADE
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th & 7th Grade
Does your child have a learning disability? If not please type NONE. If so please explain.
(Required)
Does your child have a food allergy? If not please type NONE. If so, indicate child and type of alergy.
(Required)
Medication Prescribed for Child 1 (Please include strength and dose) (If none please type NONE in the box below)
(Required)
Child 2 First Name
(Required)
Child 2 - Date of Birth
(Required)
MM slash DD slash YYYY
Child 2 - Grade in September
(Required)
PLEASE NOTE: When a Grade Has Reached Capacity, It Will No Longer Appear In The Drop Down List.
SELECT CHILD'S CURRENT GRADE
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th & 7th Grade
Does your child have a learning disability? If not please type NONE. If so please explain.
(Required)
Does your child have a food allergy? If not please type NONE. If so, indicate child and type of alergy.
(Required)
Medication Prescribed for Child 2 (Please include strength and dose) (If none please type NONE in the box below)
(Required)
Child 3 First Name
(Required)
Child 3 - Date of Birth
(Required)
MM slash DD slash YYYY
Child 3 - Grade in September
(Required)
PLEASE NOTE: When a Grade Has Reached Capacity, It Will No Longer Appear In The Drop Down List.
SELECT CHILD'S CURRENT GRADE
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th & 7th Grade
Does your child have a learning disability? If not please type NONE. If so please explain.
(Required)
Does your child have a food allergy? If not please type NONE. If so, indicate child and type of alergy.
(Required)
Medication Prescribed for Child 3 (Please include strength and dose) (If none please type NONE in the box below)
(Required)
Child 4 First Name
(Required)
Child 4 - Date of Birth
(Required)
MM slash DD slash YYYY
Child 4 - Grade in September
(Required)
PLEASE NOTE: When a Grade Has Reached Capacity, It Will No Longer Appear In The Drop Down List.
SELECT CHILD'S CURRENT GRADE
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th & 7th Grade
Does your child have a learning disability? If not please type NONE. If so please explain.
(Required)
Does your child have a food allergy? If not please type NONE. If so, indicate child and type of alergy.
(Required)
Medication Prescribed for Child 4 (Please include strength and dose) (If none please type NONE in the box below)
(Required)
I hereby confirm my understanding and acceptance of the information provided above and attest to the accuracy of the information I have provided.
Type Your Name Here To Confirm
(Required)
First
Last
Date Signed
(Required)
MM slash DD slash YYYY
Administration & Safety Consent Form
I/ We Acknowledge and Authorize that my Child will appear on St. Joseph Chaldean Catholic Church Website/Social media or in the Parish’s Bulletin to highlight Catechism/Communion Program or even Parish life.
I/ We Acknowledge and agree to dress my Child in a modest way during Catechism Classes this year and agree to the below attire guidelines:
* Dresses and Skirts should be long enough that the knees are covered when sitting.
* Shoulders should be covered.
* Necklines should not be revealing.
* Clothing should not be too tight. Clothing is to conceal, not reveal.
* Shorts are not suitable wear for Church.
I/ We, hereby acknowledge that the Catechism School is a part of faith formation/ Catholic teaching initiatives of the Catholic Church for its faithful community, and it is not a venue to exercise any activities that are not acknowledged/ accepted/ recommended by the Catholic Church and its doctrine.
I/ We understand that, by participating in the Catechetical program, my/ our child, and I/ we (the parent(s)) are expected to follow the Catechism School procedures and conduct, reflective of Catholic values.
I/ We hereby acknowledge that authorized personnel from the Catechism School, the Parish, will use the online and virtual platforms to communicate with me/us about Catechism program for update purposes.
I/ We, hereby acknowledge that when my child is in the Catechism class, it is the responsibility of the assigned class teacher to take care of him/ her and I/ we/ our designate (who are identified or consented by the parents) will be notified of any health and safety risk identified by the class teacher.
I/ We understand and hereby agree that it is my/ our responsibility to look after my child Before & after the scheduled class hours and/or any scheduled Catechism related activity time.
I/ We hereby agree that, if my child needs to be out of the classroom and/or any scheduled Catechism activity time earlier than the scheduled time, I/ we will inform the assigned class teacher in advance and I/ we/ or a designated adult will accompany the child (if the child under the age of 12) out of the classroom or designated areas.
In case of any possible conflicts/concerns I/ we have with the Catechism functionaries, I/ we will address it in a respectful and appropriate manner, and I/ we are free to contact the Parish Priest, Catechism School Principal, or an authorized/ designated person to deal with such concerns.
I/ We hereby declare that I/ we am/are the parent(s) or guardian(s) of the child named above. I have read and understood the information provided on this form in its entirety and hereby consent to participate, being aware of all the foregoing.
Name of Parent/Guardian
(Required)
First
Last
Signature Date
(Required)
MM slash DD slash YYYY
Protecting God's Children
Our parish will be presenting a Child Abuse Prevention Program called “Protecting GODS Children” to all the children and youth enrolled in our parish programs. It is provided by St. Thomas Chaldean Diocese and is a part of our ongoing effort to help create and maintain a safe environment for children and to protect all children from sexual abuse. This educational program is mandated by the Conference of Catholic Bishops. As a parent you have a right to choose whether your child participates. If you have any question about the program you may contact your pastor.
PGC Consent
(YES) I give my permission to have my child(ren) participate in the “Protecting GODS Children”
(NO) I decline to have my child(ren) participate in the “Protecting GODS Children”
I'd Like to Discuss the Program with someone for More Information
Credit Card Payment
Subtotal
$0.00
If you like to cover the credit card processing fees of 3.5% please click on the box below
YES
CC Processing Fees
Price:
$0.00
Total
Credit Card
(Required)
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2442 E. Big Beaver Rd.,Troy, MI, 48083
(248) 528-3676
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