New Student Registration Form

Primary Family Address

Are you a member of St. Bede the Venerable Parish?

Yes No

If NO, What is you current parish?

Family Last Name

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 (Early Bird Pricing)

Number of Children you will be registering today

Number of Children

Number of Children you will be registering today

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Father / Guardian

Name

Deceased

Yes No

E-mail

Marital Status

Religion

Cell Phone

Mother / Guardian

Maiden Name

Name

Deceased

Yes No

E-mail

Marital Status

Religion

Cell Phone

Custody Information

Are there any custody issues we should be made aware of? If yes, please submit copies of custody documents for for ORE files) or anyone specifically that the child should not go home with.

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Child 1

Name

Gender

Male Female

Date of Birth

Place of Birth

City & State

Religious Education Grade

Grade in Fall 2020

School Grade

School Grade in Fall 2020

School

School District

Individualized Education Program (IEP)

No Yes

Please list all pertinent medical/learning data so we can best meet the needs of your child. (Medical Conditions/Allergies - Prescribed Medications - Disability*/Learning Support Services)

Medical/Learning Data

*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."

Is your child a New or Returning Student to our program?

New Student Returning Student

Child 1 Sacraments

Previous Religious Education Experience

Please provide student's last grade completed and Parish Name / Address

If registering for first time your Child's Baptismal Certificate must be submitted to the office or use our upload form below.

Baptised?

Yes No

Date of Baptism

Church of Baptism

Church Name, City & State

First Penance?

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

Confirmation?

Yes No

Date of Confirmation

Church of Confirmation

Church Name, City & State

Child 1 Session Choice

Sunday (9:15 a.m. to 10:45 a.m.) - Pre-K, Kindergarten & Grades 1 - 7 Sunday Evening (7:00 p.m. to 8:30 p.m.) - Grade 8 only Monday Afternoon (4:30 p.m. to 6:00 p.m.) - Kindergarten & Grades 1 – 7 Monday Evening (6:30 p.m. to 8:00 p.m.) - Grades 1 - 7 Thursday Evening RCIC (5:00 p.m. to 6:00 p.m.) - Grades 3 - 6 Thursday Evening RCIC (6:00 p.m. to 7:00 p.m.) - Grades 7 - 12

Please note: Thursday Evening is reserved for those who have not been baptized or are baptized and received no formal religious education.

Child 2

Name

Gender

Male Female

Date of Birth

Place of Birth

City & State

Religious Education Grade

Grade in Fall 2020

School Grade

School Grade in Fall 2020

School

School District

Individualized Education Program (IEP)

No Yes

Please list all pertinent medical/learning data so we can best meet the needs of your child. (Medical Conditions/Allergies - Prescribed Medications - Disability*/Learning Support Services)

Medical/Learning Data

*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."

Is your child a New or Returning Student to our program?

New Student Returning Student

Child 2 Sacraments

Previous Religious Education Experience

Please provide student's last grade completed and Parish Name / Address

If registering for first time your Child's Baptismal Certificate must be submitted to the office or use our upload form below.

Baptised?

Yes No

Date of Baptism

Church of Baptism

Church Name, City & State

First Penance?

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

Confirmation?

Yes No

Date of Confirmation

Church of Confirmation

Church Name, City & State

Child 2 Session Choice

Sunday (9:15 a.m. to 10:45 a.m.) - Pre-K, Kindergarten & Grades 1 - 7 Sunday Evening (7:00 p.m. to 8:30 p.m.) - Grade 8 only Monday Afternoon (4:30 p.m. to 6:00 p.m.) - Kindergarten & Grades 1 – 7 Monday Evening (6:30 p.m. to 8:00 p.m.) - Grades 1 - 7 Thursday Evening RCIC (5:00 p.m. to 6:00 p.m.) - Grades 3 - 6 Thursday Evening RCIC (6:00 p.m. to 7:00 p.m.) - Grades 7 - 12

Please note: Thursday Evening is reserved for those who have not been baptized or are baptized and received no formal religious education.

Child 3

Name

Gender

Male Female

Date of Birth

Place of Birth

City & State

Religious Education Grade

Grade in Fall 2020

School Grade

School Grade in Fall 2020

School

School District

Individualized Education Program (IEP)

No Yes

Please list all pertinent medical/learning data so we can best meet the needs of your child. (Medical Conditions/Allergies - Prescribed Medications - Disability*/Learning Support Services)

Medical/Learning Data

*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."

Is your child a New or Returning Student to our program?

New Student Returning Student

Child 3 Sacraments

Previous Religious Education Experience

Please provide student's last grade completed and Parish Name / Address

If registering for first time your Child's Baptismal Certificate must be submitted to the office or use our upload form below.

Baptized?

Yes No

Date of Baptism

Church of Baptism

Church Name, City & State

First Penance?

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

Confirmation?

Yes No

Date of Confirmation

Church of Confirmation

Church Name, City & State

Child 3 Session Choice

Sunday (9:15 a.m. to 10:45 a.m.) - Pre-K, Kindergarten & Grades 1 - 7 Sunday Evening (7:00 p.m. to 8:30 p.m.) - Grade 8 only Monday Afternoon (4:30 p.m. to 6:00 p.m.) - Kindergarten & Grades 1 – 7 Monday Evening (6:30 p.m. to 8:00 p.m.) - Grades 1 - 7 Thursday Evening RCIC (5:00 p.m. to 6:00 p.m.) - Grades 3 - 6 Thursday Evening RCIC (6:00 p.m. to 7:00 p.m.) - Grades 7 - 12

Please note: Thursday Evening is reserved for those who have not been baptized or are baptized and received no formal religious education.

Child 4

Name

Gender

Male Female

Date of Birth

Place of Birth

City & State

Religious Education Grade

Grade in Fall 2020

School Grade

School Grade in Fall 2020

School

School District

Individualized Education Program (IEP)

No Yes

Please list all pertinent medical/learning data so we can best meet the needs of your child. (Medical Conditions/Allergies - Prescribed Medications - Disability*/Learning Support Services)

Medical/Learning Data

*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."

Is your child a New or Returning Student to our program?

New Student Returning Student

Child 4 Sacraments

Previous Religious Education Experience

Please provide student's last grade completed and Parish Name / Address

If registering for first time your Child's Baptismal Certificate must be submitted to the office or use our upload form below.

Baptized?

Yes No

Date of Baptism

Church of Baptism

Church Name, City & State

First Penance?

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

Confirmation?

Yes No

Date of Confirmation

Church of Confirmation

Church Name, City & State

Child 4 Session Choice

Sunday (9:15 a.m. to 10:45 a.m.) - Pre-K, Kindergarten & Grades 1 - 7 Sunday Evening (7:00 p.m. to 8:30 p.m.) - Grade 8 only Monday Afternoon (4:30 p.m. to 6:00 p.m.) - Kindergarten & Grades 1 – 7 Monday Evening (6:30 p.m. to 8:00 p.m.) - Grades 1 - 7 Thursday Evening RCIC (5:00 p.m. to 6:00 p.m.) - Grades 3 - 6 Thursday Evening RCIC (6:00 p.m. to 7:00 p.m.) - Grades 7 - 12

Please note: Thursday Evening is reserved for those who have not been baptized or are baptized and received no formal religious education.

Child 5

Name

Gender

Male Female

Date of Birth

Place of Birth

City & State

Religious Education Grade

Grade in Fall 2020

School Grade

School Grade in Fall 2020

School

School District

Individualized Education Program (IEP)

No Yes

Please list all pertinent medical/learning data so we can best meet the needs of your child. (Medical Conditions/Allergies - Prescribed Medications - Disability*/Learning Support Services)

Medical/Learning Data

*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."

Is your child a New or Returning Student to our program?

New Student Returning Student

Child 5 Sacraments

Previous Religious Education Experience

Please provide student's last grade completed and Parish Name / Address

If registering for first time your Child's Baptismal Certificate must be submitted to the office or use our upload form below.

Baptized?

Yes No

Date of Baptism

Church of Baptism

Church Name, City & State

First Penance?

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

Confirmation?

Yes No

Date of Confirmation

Church of Confirmation

Church Name, City & State

Child 5 Session Choice

Sunday (9:15 a.m. to 10:45 a.m.) - Pre-K, Kindergarten & Grades 1 - 7 Sunday Evening (7:00 p.m. to 8:30 p.m.) - Grade 8 only Monday Afternoon (4:30 p.m. to 6:00 p.m.) - Kindergarten & Grades 1 – 7 Monday Evening (6:30 p.m. to 8:00 p.m.) - Grades 1 - 7 Thursday Evening RCIC (5:00 p.m. to 6:00 p.m.) - Grades 3 - 6 Thursday Evening RCIC (6:00 p.m. to 7:00 p.m.) - Grades 7 - 12

Please note: Thursday Evening is reserved for those who have not been baptized or are baptized and received no formal religious education.

Document Uploads

File Uploads

Add files

Drop files anywhere to add

Please upload any documents required by the office with this form. (Baptism, Custody, etc.)

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Emergency Contacts

Emergency Contact Name 1

If we are unable to contact a parent in the event of an emergency, whom should we contact?

Relationship

Emergency Contact Phone 1

Emergency Contact Name 2

Relationship

Emergency Contact Phone 2

Volunteer Information

I would like to volunteer.

Yes No

Volunteer Name

Volunteer Phone

Volunteer Interested inx

Catechist Substitute Catechist Hall Monitor

Volunteer Interested inx

Sunday Morning Monday Afternoon Monday Evening

SCRIP account

Amount to apply to tuition?

Indicate that you have a SCRIP account with the parish office. Call Cathleen Lynskey to find out how much money is in your account. You can minus SCRIP funds from the tuition.

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Terms & Conditions

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 I disagree

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 disagree

PHOTO - PERMISSION During the Religious Education year, there may be times when your child's picture may be taken or name used in print. Some of these times may include, but are not limited to the following: - Articles in a CCD newsletter, hand-out, brochure or other publication - Pictures to accompany a newspaper article - Pictures taken to include in a PowerPoint presentation, video about a classroom project, various service situations, etc… - Pictures and videos to be used in classroom learning experiences - Pictures and videos of participation in a special event or program - Pictures used in the parish bulletin and on the ORE website Our policy requires that we have your permission to take and print your child's picture or to use your child's name in print. This permission will be in effect during the time your child attends the St. Bede the Venerable Parish Religious Education Program. If you wish to withdraw your permission, you may do so at any time in writing informing us of your decision.

I agree I disagree

SAFE ENVIRONMENT CLASS - PERMISSION In the Charter for the Protection of Children and Young People, Article 12 calls for all dioceses to establish "Safe Environment" programs at all grade levels. This on-going education is presented to the students in the parish and regional elementary schools of the Archdiocese of Philadelphia as well as the Parish Religious Education Programs. This is a mandated obligation from the Archdiocese with the lessons provided for our catechists. The lessons are available for you to review by visiting www.catholicschools-ohl.org and clicking on Safe Environment. If you decline permission - The child will not come to class on the specified date of the Safe Environment Lesson as an excused absence. We need notification in writing. Instruction is generally scheduled for March - check yearly calendar for particular dates.

I agree I disagree

Total Choices

Catechist Discount

Pricing After Sept 1

Current Date

Total Normal

Payment is required at the time of registration. Your child will not be assigned to a class without full payment.

If your family is experiencing financial difficulty, please call to acquire a financial aide packet. After financial aide is approved - registration can proceed.

Total Amount

Verification