20t8-2019sT. PETER'S/ST. ROBERT'S CATHOLIC CHURCH

confraternity of christian Doctrine (ccD) Registration

s2o.oo/student or sso.oo/ramilyAdditional SIO.OO for Sacramental Class (First Communion, Confirmation)

|-/ATE REGISTRATTON FEE S1O.OO (After resistration deadline. Ausust 29.20181

***Envelope #CityHome Parish

Address

Student's Name

***P!f.ASE NO'[E: lf the parent is not registered with St. Peter's or St. Robert's,

Pleose fill out the Census Form at the Parish Office,

MIF-- Religion

Student's Cel! Phone # Texting OK?

City Zip-Phone_GradeE-Mailaddress:

Religion

Religion

Father's Name

Mother's NameMa rried_Divorced_Sepa rated_Widowed_ Single

Parents address will be noted same as the student unless otherwise listed:

STUDENT'S INFORMATIONDate of Birth Present School Attending

Date of Baptism Church City

Date of First Eucharist_ Church_ City_***P-!EASE-NOIE: A copy of the child's Baptism Record Must be attached if, he/she wilt be registered in First Grade,First communion ctass (/d grode), confirmation closs (77th grode), NEW to this parish or Baptized in another parish.

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coN DU CTIABSE NTE E N OTt FtCATt O N 2OL7 _2Ot8IF NO ATTENDANCE TO MASS - NOT ALLOWED TO ATTEND CCD

EXPECTATION OF CCD STUDENTS ARE: STUDENTS ARE EXPECTED To AVoID:1. Attend/Participate in Sunday Liturgies 1. Having food, drink or gum in the classroom2. Attend/Participate in CCD Classes 2. Wearing hats/caps in the classroom3' Dress in appropriate aftire 3. Having inexcusabte tardiness/absences4. Be courteous to peers and CCD Teachers 4. Shouting, cursing, abusive or foul language5' Have respe€t for teaching materials and church property 5. Disruptive behavior which inhibits time and learning

DlsclPLlNARY AcrloN will also be in conformity to the Catechetical theme and will primarily focus on influencing each student,spotential to experience the presence of God in their everyday lives. Disciplinary issues will-be implemented as follow:1. Teacher/tndividual Student2. lf no results - Teacher/Director/Student3. lf no results - Teacher/Director/Student/parent/pastor

Student's Signoture: Poren{s SiEnature:

PHOTO/V|DEO RELEASE FOR 2017 -2OL8 SCHOOL YEAR

To Whom lt May Concern:I hereby give permission for my son/daughter to be photographed or videotaped at St. Peter's/St. Robert'sChurch CCD Program. ! realize that the photo may be published in the newspaper, magazine or other publication. The videomay be used for educational or informational purposes regarding the programs or curriculum at St. Peter's/St. Robert's ChurchCCD Program.

Pdrent Date

Student's Name

2OL8-2OT9 TRA N S PO RTATI O N I N FO R MATI O N

Grade:

This student will be walking home from CCD.

This student has permission to ride home with following people after CCD:

Name:

Name:

Name:

BAD WEATHER INSTRUCTIONS IN REGARDS TO STUDENTS:

Please give directions on how parents/guardians should be contacted in the event that CCD is cancelled due to badweather (e.g. Contact Person, Phone, E-mail). The Schools will be notified before 3:30 pm.

CELL PHONES:

Cell phones will NOT be allowed during CCD Classes. lf cell phone is in sight or being used during CCD,

it will be taken up and given to Father Gabriel. The phone will be returned ONLY to the PARENT or GUARDIAN

of student, after you have met with Father Gabriel.

Student Signoture:

Parent Signdture:

Date:

Date:

FORM AOFFICE OF YOUTH MINISTRY

DIOCESE OF VICTORIA !N TEXASPERMISSION FORM/MEDICAL RELEASE

St. Peters Blessing

Sex _GradeAddress City

SUZip Phone (_)ParishAge _ Birthdate

PARENT/LEGAL GUARDIAN'S NAME

Address (if different than above)

Phone (if different than above) (_)

I hereby consent to participation by my son/daughter, in all

sponsored by The Office of Youth Ministry of the Diocese of Victoria fromAugust 1, 2018 through July 3f st, 2019. I understand that the activity will take place at various locationsthroughout the Diocese and that my son/daughter will be under the supervision of diocesan and/or parish personnel.

As parent or legal guardian, I agree to defend, indemnify and hold harmless St. Peters Catholic Church and the

Diocese of Victoria, its clergy, officers, agents, employees and volunteers from any claims, costs or expenses forproperty damages, personal injuries or other damages arising out of my son/daughter's participation in the above-mentioned activity.

I grant permission for non-prescriptive medication (e.9. tylenol, throat lozenges, cough syrup, pepto-bismol,

etc.) and routine nonsurgical medical care to be given to my son/daughter if deemed advisable by the supervisingdiocesan personnel. ln case of an emergency, I also grant permission to transport my child to the nearest hospital foremergency medical or surgical treatment and for an authorized adult sponsor to sign for treatment if I cannot belocated.

Date

Family Physlcian

Address

Parent's Signature SocialSecurity Number

Phone (_)City/State/Zip

My son/daughter is allergic to:

My son/daughter takes the following medication (name, dosage):This medication is for: Medication that my son/daughter is allergic

Last im m unization/booster for Diphtheria/Tetanus:Any specific medical problems: Any physical limitations.

ln an emergency, if unable to reach parenuguardian, please contact:

NameWork Phone ( )

Work Phone (_)Home Phone (_JHome Phone (__J

Name of lnsurance Company

Address

Group or Plan #.Policy #

Phone (__-)

City/SVZip

Name of lnsured