Registration /Formulario de Inscripción

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1 Catechesis of the Good Shepherd/Catequesis del Buen Pastor Registration /Formulario de Inscripción Family must be registered and actively involved in our Parish to be able to participate in our program. Cada familia debe estar registrada y activamente en la Parroquia para poder participar de este programa. Family Information (please print clearly)/información de la Familia (por favor escriba claro) Family Name/Apellido de la Familia Child lives with: Both Parents Mother Father Guardian (a copy of custody papers needed) El niño vive con: Ambos Padres Madre Padre Guardian (necesitamos una copia de la custodia) Father s Name/ Nombre del Padre Mother s Name/ Nombre de la Madre con apellido de soltera Home address/dirección Home Phone/Tel. de Casa Cellular/Tel Celuar /Correo eletronico Emergency contact name/ Nombre de contacto en caso de Emergencia Phone/Num. de Tel.

2 1) Child s Name as appears on Birth Certificate/ Nombre del niño como aparece en el Please list any health physical, or educational needs your child may have/por favor For non-parishioners/ Para no parroquianos, CGS Fee/Costo $25, $75 maximum per family/maximo por familia Please make checks payable to/por favor hacer los cheques a nombre de: St. Ladislas Church Office Only Bapt. Cert Yes No Paid Bal. Cash/CK Date

3 2) Child s Name as appears on Birth Certificate/ Nombre del niño como aparece en el Please list any health, physical, or educational needs your child may have/por favor

4 Parent/Guardian Consent: I consent to my child(ren) being registered in St. Ladislas Catholic Church in the Catechesis of the Good Shepherd. I commit to taking an active role in his/her faith development. I understand that as the primary catechist for my child, I assume responsibility for his/her attendance, behavior, and meeting the guidelines for this Ministry. For non-parishioners, I also understand that registration will not be complete until the reg. fee is paid. I give permission to use photographs taken of my child during the CGS sessions, for the Bulletin, Webpage or any other activities within the Parish. Parent/Guardian Signature Today s Date Consentimiento de Padres/Guardianes Yo doy mi consentimiento para que mi hijo asista al programa de Catequesis del Buen Pastor en la parroquia de San Ladislas, me comprometo a tomar un papel active en su desarrollo de la Fe. Entiendo que como primer maestro para mi hijo, me comprometo a cumplir con el reglamento de su asistencia, comportamiento. Para los no parroquianos, Yo entiendo que la inscripción no estará complete hasta que el costo hay sido pagado. Doy permiso para usar Fotografías de mi hijo durante CGS para el Boletín o alguna otras actividades dentro de la parroquia. Firma del Padre/guardian Fecha de hoy General Sacrament Information: In addition to a Catholic Baptism, two full years of formal Religious Education is required by the diocese parish program prior to receiving First Reconciliation and First Communion, regardless of age. Child MUST be in 2nd grade to be able to receive First Holy Communion. Información General de los Sacramentos: En adición al Bautismo Católico, es requerido por la Diócesis dos años completo de educación religiosa en el programa de la parroquia para poder recibir los Sacramentos de la Reconciliación y la Primera Comunión independiente de la edad. El niño DEBE estar en 2do grado para ser elegible para la Primera Comunión.

5 Child s Name as appears on Birth Certificate/ Nombre del niño como aparece en el Please list any health physical, or educational needs your child may have/por favor

6 Child s Name as appears on Birth Certificate/ Nombre del niño como aparece en el Please list any health physical, or educational needs your child may have/por favor

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