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St. Kevin / St. Benedict Parish
2018-2019 School Year
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Family Address
Grades 1-8
Sundays 8:50 am - 9:50 am
Grade 9
Sundays 10:50 am - 11:50 am
Registration Fee: $ 40.00
Sacramental fee: $10.00 (Grades 2 and 9 only)
A Processing Fee of $2.00 will be added to cover the processing costs.
Late fee of $5.00 will be added for all registrations received after October 8, 2018
You must be a registered parishioner at either church
to attend religious education classes at St. Kevin
Are you registered member of the parish?
Yes, Saint Kevin
Yes, Saint Benedict
No
Registration will be confirmed with the parish secretary
St. Kevin budget #
St. Benedict budget #
Your family must be registered parishioners of St. Kevin or St. Benedict to attend religious education classes at St. Kevin. The registration form can be found on St. Kevin website. www.stkevin-stbenedict.org
Primary Family Address
Family Name
On Budget Envelope
Address
Primary E-mail
This will be the main e-mail address we will use to communicate with your family.
Primary Phone
This will be the main phone number we will use to communicate with your family.
Number of Children
1
2
3
4
5
Number of Children you will be registering today
Discount code
Page Break
Father / Guardian
Name
Deceased
Yes
No
E-mail
Marital Status
Married
Divorced
Separated
Single
Widower
Religion
Cell Phone
Home Phone
Mother / Guardian
Maiden Name
Name
Deceased
Yes
No
E-mail
Marital Status
Married
Divorced
Separated
Single
Widow
Religion
Cell Phone
Home Phone
The Children reside with
Both
Father
Mother
other:
Choose all that apply
Custody Information
Are there any custody issues we should be made aware of? If there is a custody agreement please send a copy to the Religious Education Department.
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Page Break
Child 1
Is your child a New or Returning Student to our program?
New Student
Returning Student
Name
Gender
Male
Female
Baptismal name (if different from above)
Date of Birth
Place of Birth
City & State
Religious Education Grade
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Grade in Fall 2018
School Grade
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
School Grade in Fall 2018
School Attending
Last Grade of Religious Education attended
Where did your child attend Religious Education Classes last year?
Parish address and phone number
Medical Conditions/Allergies - Prescribed Medications - Disability*
Learning Support Services
Individualized Education Program (IEP)
No
Yes
*As defined by Individuals with Disabilities Education Act (IDEA), the term "child with a disability" means a child: "with mental retardation, hearing impairments (including deafness), speech or language impairments, visual impairments (including blindness), serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities and who, by reason thereof, needs special education and related services."
Child 1 Sacraments
Has baptismal certificate been given to office? If not, please use the upload form below to send it to us. Please note: Baptisms performed at St. Kevin remain on file and no certificate is necessary.
Baptized?
Yes
No
Date of Baptism
Church of Baptism
Church Name, City & State
Reconciliation?
Yes
No
Date of Reconciliation
Church of Reconciliation
Church Name, City & State
First Communion?
Yes
No
Date of First Communion
Church of First Communion
Church Name, City & State
Child 1 Session Choice
Child 1 Session Choice
Grades 1-8 - Sundays 8:50am - 9:50am
Child 2
Is your child a New or Returning Student to our program?
New Student
Returning Student
Name
Gender
Male
Female
Baptismal name (if different from above)
Date of Birth
Place of Birth
City & State
Religious Education Grade
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Grade in Fall 2018
School Grade
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
School Grade in Fall 2018
School Attending
Last Grade of Religious Education attended
Where did your child attend Religious Education Classes last year?
Parish address and phone number
Medical Conditions/Allergies - Prescribed Medications - Disability*
Learning Support Services
Individualized Education Program (IEP)
No
Yes
*As defined by Individuals with Disabilities Education Act (IDEA), the term "child with a disability" means a child: "with mental retardation, hearing impairments (including deafness), speech or language impairments, visual impairments (including blindness), serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities and who, by reason thereof, needs special education and related services."
Child 2 Sacraments
Has baptismal certificate been given to office? If not, please use the upload form below to send it to us. Please note: Baptisms performed at St. Kevin remain on file and no certificate is necessary.
Baptized?
Yes
No
Date of Baptism
Church of Baptism
Church Name, City & State
Reconciliation?
Yes
No
Date of Reconciliation
Church of Reconciliation
Church Name, City & State
First Communion?
Yes
No
Date of First Communion
Church of First Communion
Church Name, City & State
Child 2 Session Choice
Child 2 Session Choice
Grades 1-8 - Sundays 8:50am - 9:50am
Child 3
Is your child a New or Returning Student to our program?
New Student
Returning Student
Name
Gender
Male
Female
Baptismal name (if different from above)
Date of Birth
Place of Birth
City & State
Religious Education Grade
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Grade in Fall 2018
School Grade
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
School Grade in Fall 2018
School Attending
Last Grade of Religious Education attended
Where did your child attend Religious Education Classes last year?
Parish address and phone number
Medical Data: Medical Conditions/Allergies - Prescribed Medications - Disability*
Learning Support Services
Individualized Education Program (IEP)
No
Yes
*As defined by Individuals with Disabilities Education Act (IDEA), the term "child with a disability" means a child: "with mental retardation, hearing impairments (including deafness), speech or language impairments, visual impairments (including blindness), serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities and who, by reason thereof, needs special education and related services."
Child 3 Sacraments
Has baptismal certificate been given to office? If not, please use the upload form below to send it to us. Please note: Baptisms performed at St. Kevin remain on file and no certificate is necessary.
Baptized?
Yes
No
Date of Baptism
Church of Baptism
Church Name, City & State
Reconciliation?
Yes
No
Date of Reconciliation
Church of Reconciliation
Church Name, City & State
First Communion?
Yes
No
Date of First Communion
Church of First Communion
Church Name, City & State
Child 3 Session Choice
Child 3 Session Choice
Grades 1-8 - Sundays 8:50am - 9:50am
Child 4
Is your child a New or Returning Student to our program?
New Student
Returning Student
Name
Gender
Male
Female
Baptismal name (if different from above)
Date of Birth
Place of Birth
City & State
Religious Education Grade
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Grade in Fall 2018
School Grade
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
School Grade in Fall 2018
School Attending
Last Grade of Religious Education attended
Where did your child attend Religious Education Classes last year?
Parish address and phone number
Medical Conditions/Allergies - Prescribed Medications - Disability*
Learning Support Services
Individualized Education Program (IEP)
No
Yes
*As defined by Individuals with Disabilities Education Act (IDEA), the term "child with a disability" means a child: "with mental retardation, hearing impairments (including deafness), speech or language impairments, visual impairments (including blindness), serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities and who, by reason thereof, needs special education and related services."
Child 4 Sacraments
Has baptismal certificate been given to office? If not, please use the upload form below to send it to us. Please note: Baptisms performed at St. Kevin remain on file and no certificate is necessary.
Baptized?
Yes
No
Date of Baptism
Church of Baptism
Church Name, City & State
Reconciliation?
Yes
No
Date of Reconciliation
Church of Reconciliation
Church Name, City & State
First Communion?
Yes
No
Date of First Communion
Church of First Communion
Church Name, City & State
Child 4 Session Choice
Child 4 Session Choice
Grades 1-8 - Sundays 8:50am - 9:50am
Child 5
Is your child a New or Returning Student to our program?
New Student
Returning Student
Name
Gender
Male
Female
Baptismal name (if different from above)
Date of Birth
Place of Birth
City & State
Religious Education Grade
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Grade in Fall 2018
School Grade
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
School Grade in Fall 2018
School Attending
Last Grade of Religious Education attended
Where did your child attend Religious Education Classes last year?
Parish address and phone number
Medical Conditions/Allergies - Prescribed Medications - Disability*
Learning Support Services
Individualized Education Program (IEP)
No
Yes
*As defined by Individuals with Disabilities Education Act (IDEA), the term "child with a disability" means a child: "with mental retardation, hearing impairments (including deafness), speech or language impairments, visual impairments (including blindness), serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities and who, by reason thereof, needs special education and related services."
Child 5 Sacraments
Has baptismal certificate been given to office? If not, please use the upload form below to send it to us. Please note: Baptisms performed at St. Kevin remain on file and no certificate is necessary.
Baptized?
Yes
No
Date of Baptism
Church of Baptism
Church Name, City & State
Reconciliation?
Yes
No
Date of Reconciliation
Church of Reconciliation
Church Name, City & State
First Communion?
Yes
No
Date of First Communion
Church of First Communion
Church Name, City & State
Child 5 Session Choice
Child 5 Session Choice
Grades 1-8 - Sundays 8:50am - 9:50am
For New Students: A copy of baptismal certificate must be submitted before child can attend classes.You can upload a copy here or have the Church of Baptism fax a copy over to 732-2832 ATTN Religious Education
Add files
Drop files anywhere to add
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Page Break
Emergency Contact
Emergency Contact Name
Relationship
Emergency Contact Phone
In case of emergency, what hospital should your child be sent to?
Volunteer Information
Will you be volunteering?
Yes
No
Volunteer Name
Volunteer Phone
Volunteer Interested in
Teacher
Assistant Teacher
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Page Break
St. Kevin/St. Benedict Religious Education Policies Grade 9
Classes meet Sundays at St. Kevin School from 10:50 am to 11:50 am. The class schedule can be found on the St. Kevin’s website on the religious education tab.
Attending Mass and receiving the Eucharist is an important part of our Catholic faith. Parents, we humbly ask for your partnership in teaching your children the importance of mass by bringing them to church.
If your child is absent, please email Brian Callahan or Trish Meegan at
confirmationdirector@saintkevinri.org
for chapter and makeup work that will need to be turned in at next class.
After three absences without makeup work being turned in, a meeting with Confirmation director will be required. This may result in your child repeating the grade.
Cell phone use is not allowed during class.
Parents are responsible for any damage their child(ren) cause to St. Kevin School property. Please talk with your child(ren) about respecting SKS students personal property as well as school property.
Online registration must be completed in full before the first day of class. If any information or baptismal certificates are missing, parents will be contacted for corrections. Corrections must be received before your child can attend class.
Please speak directly with Fr. Marciano or Deacon Fulton about registration fees being waived. If fees are waived, email
confirmationdirector@saintkevinri.org
and let Confirmation Director know who assigned approval.
A late fee of $5.00 will be assessed for any registration received after October 8, 2018.
St. Kevin/St. Benedict Religious Education Policies Grades 1-8
Classes meet Sundays at St. Kevin School from 8:50 am to 9:50 am. The class schedule can be found on the St. Kevin’s website on the religious education tab.
Attending Mass and receiving the Eucharist is an important part of our Catholic faith. Parents, we humbly ask for your partnership in teaching your children the importance of mass by bringing them to church.
When children are late to class, it is disruptive to both the teacher and other students. School doors will be closed and locked at 9:00 am.
Please drop off and pick up children in the school’s back parking lot at the double doors.
Children in grades 1-5 must be escorted to their classroom by either an adult, or a siblings also attending CCD in grades 6-8 only. This is for the safety of the students, and to avoid blocking neighborhood streets.
Students in grades 1-5 must be picked up at classrooms by 9:50 am by an adult, or a sibling also attending CCD in grades 6-8 only. Since some of our teachers go to 10:00 am mass, please be on time. Students in grades 6-8 will be escorted by their teachers to the double doors for dismissal.
If your child is absent, please email Christine Reilly at
ccddirector@saintkevinri.org
for chapter and makeup work that will need to be turned in at next class.
After three absences without makeup work being turned in, a meeting with DRE will be required. This may result in your child repeating the grade.
Cell phone use is not allowed during class.
Parents are responsible for any damage their child(ren) cause to St. Kevin School property. Please talk with your child(ren) about respecting SKS students personal property as well as school property.
Online registration must be completed in full before the first day of class. If any information or baptismal certificates are missing, parents will be contacted for corrections. Corrections must be received before your child can attend class.
Please speak directly with Fr. Marciano or Deacon Fulton about registration fees being waived. If fees are waived, email
ccddirector@saintkevinri.org
and let DRE know who assigned approval.
A late fee of $5.00 will be assessed for any registration received after October 8, 2018.
I agree to the above policies
I agree
I understand that in the case of injury or illness, every effort will be made to contact me in a medical emergency. In the event I cannot be reached, I give permission to parish staff to secure all proper and necessary treatment for my child(ren). I understand that no liability is assumed by the church or the Archdiocese for claims that may arise.
I agree
Parental Consent for Medical Care: In case of an emergency, I give permission for my child to receive emergency medical treatment and, if necessary, be transported to the nearest appropriate medical facility.
I agree
I understand that photos of my child(ren) may be taken and used in Parish publications including web and print media.
I agree
I disagree
Total Cap
Total Choices
Late Fee
Processing Fee
Discount
Current Date
A Late Fee of $5.00 will be added after October 8, 2018
Total Normal
Total Amount
Verification
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SUBMIT FORM AND PAY