Student Registration Form

Dear Parents and Friends,

Thank you for partnering with us at Saint John Vianney Parish for the religious education and spiritual formation of your child(ren)!

It is our sacred privilege and special joy to assist you good parents in your wonderful and important work of the spiritual and religious education and formation of your children.

The aim of our Parish Religious Education Program (PREP) is to educate our children in our beautiful Catholic faith, to help them develop a lasting relationship with Jesus Christ, and to encourage their ongoing and wonderful development as children of God. We are glad you will be joining us this coming year!

Whether you are a new or returning family to our PREP program, we would be grateful if you could complete the following online Registration Form, which takes the place of former physical forms. We believe that it should take less than 20 minutes to complete your annual PREP registration.

Kindly note that the tuition payment, which goes towards covering some of the costs of the PREP program, is required at the time of registration and will be processed electronically at the conclusion of this Registration Form.

Only after you have completed the Registration Form and submitted payment will your family and children be considered “registered”. Then, our staff will be able to assign the student to a class.

If your family is experiencing financial difficulty at this time, and you would like to create a payment plan, please call the Parish Office (610-642-0938) for an appointment to register in person.

Please note that the tuition fees paid by the PREP families cover about one-third of the costs associated with the PREP program, and the remaining costs of the PREP program are covered from the Sunday collections. So, we are grateful to both our parents and parishioners for their supporting our wonderful Parish PREP program.

The 2022-2023 PREP tuition fees are as follows:

1 child - $ 200.00; 2 children - $ 250.00; 3+ children - $300.00

While the last two academic and pastoral years were significantly impacted by the worldwide pandemic, and while we were able to respond with various options of in-person and on-line learning, we are planning for all of our students to be able to follow all classes in person in the fall.

Given the growing size of the number of students in our PREP program, we also anticipate that we will be offering classes on both Tuesday afternoons and Wednesday afternoons, from 4:00 PM to 5:15 PM. The students will be assigned to either Tuesday or Wednesday. We ask in the Registration Form that you select your family preference for classes on either Tuesday or Wednesday afternoons. Our goal is schedule families who have several children in the PREP program to be registered for the same day. In addition to taking into consideration your family preference, students will be registered for their day (Tuesday or Wednesday) on a first-come first-serve basis, so kindly register as soon as possible.

We are grateful for your cooperation with the PREP registration process and we encourage you to complete the Registration Form as soon as possible, so that our staff can plan accordingly, by undertaking appropriate classroom assignments and securing adequate catechists and aides as well as textbooks and teaching material for the new year.

If you have any questions about the registration process, please call the parish office or email us at parishoffices@sjvgladwyne.com.

Once again, we welcome you – both new and current families – to our PREP program!

Gratefully in Our Risen Lord,

Fr Bill Donovan, Pastor

Mary Anne Monroe, DRE

Primary Family Address

Are you a registered member of our Parish? If for some reason you are not currently registered in the parish, you will have to register in the parish by contacting the parish office for Parish Registration.

Yes No

If NO, What is your current parish?

Families who are not parishioners must submit a letter from their home-parish pastor allowing them to receive Religious Education at Saint John Vianney.

Family 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

Number of Children you will be registering today

Number of Children (Alternate Pricing)

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

Work Phone

Mother / Guardian

Name

Deceased

Yes No

Maiden Name

E-mail

Marital Status

Religion

Cell Phone

Work Phone

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.

Children live with

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Child 1

Name

Gender

Male Female

Date of Birth

Place of Birth

City & State

Religious Education Grade

Grade this upcoming Fall

School Grade

School Grade this upcoming Fall

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

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 a child for the first time a scanned copy of your Child's Baptismal Certificate must be submitted in the "document upload" section below.

Date of Baptism

Church of Baptism

Church Name, City & State

Date of Reconciliation

Church of Reconciliation

Church Name, City & State

Date of First Communion

Church of First Communion

Church Name, City & State

Child 1 Session Preference

Child 1 Session Choice

Session One: Tuesday 4:00pm -5:15pm Session Two: Wednesday 4:00pm -5:15pm

Due to growing number of children in our PREP program as well as our desire to create smaller class sizes which will benefit our children pedagogically as well as ensuring better social distancing, we will be offering two PREP sessions: one on Tuesday afternoon and one on Wednesday afternoon. Given our planned class sizes (between 10-15 students), facility availability, and our goal to have families with several children in PREP come once a week, some families with more than one child in the program may be assigned to one session or another, but for the most part, placement in either session will be based upon a “first come, first serve” basis in registration. So, please indicate your session preference (Tuesday or Wednesday). Where possible, your preference register will be honored. Classes will be assigned on a "first come, first served basis." Once a session is filled, it will be closed for additional students. Families who have students in multiple grades will be accommodated one day in which all children can attend.

Child 2

Name

Gender

Male Female

Date of Birth

Place of Birth

City & State

Religious Education Grade

Grade this upcoming Fall

School Grade

School Grade this upcoming Fall

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

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 a child for the first time a scanned copy of your Child's Baptismal Certificate must be submitted in the "document upload" section below.

Date of Baptism

Church of Baptism

Church Name, City & State

Date of Reconciliation

Church of Reconciliation

Church Name, City & State

Date of First Communion

Church of First Communion

Church Name, City & State

Child 2 Session Choice

Session One: Tuesday 4:00pm -5:15pm Session Two: Wednesday 4:00pm -5:15pm

Due to growing number of children in our PREP program as well as our desire to create smaller class sizes which will benefit our children pedagogically as well as ensuring better social distancing, we will be offering two PREP sessions: one on Tuesday afternoon and one on Wednesday afternoon. Given our planned class sizes (between 10-15 students), facility availability, and our goal to have families with several children in PREP come once a week, some families with more than one child in the program may be assigned to one session or another, but for the most part, placement in either session will be based upon a “first come, first serve” basis in registration. So, please indicate your session preference (Tuesday or Wednesday). Where possible, your preference register will be honored. Classes will be assigned on a "first come, first served basis." Once a session is filled, it will be closed for additional students. Families who have students in multiple grades will be accommodated one day in which all children can attend.

Child 3

Name

Gender

Male Female

Date of Birth

Place of Birth

City & State

Religious Education Grade

Grade this upcoming Fall

School Grade

School Grade this upcoming Fall

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

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 a child for the first time a scanned copy of your Child's Baptismal Certificate must be submitted in the "document upload" section below.

Date of Baptism

Church of Baptism

Church Name, City & State

Date of Reconciliation

Church of Reconciliation

Church Name, City & State

Date of First Communion

Church of First Communion

Church Name, City & State

Child 3 Session Choice

Session One: Tuesday 4:00pm -5:15pm Session Two: Wednesday 4:00pm -5:15pm

Due to growing number of children in our PREP program as well as our desire to create smaller class sizes which will benefit our children pedagogically as well as ensuring better social distancing, we will be offering two PREP sessions: one on Tuesday afternoon and one on Wednesday afternoon. Given our planned class sizes (between 10-15 students), facility availability, and our goal to have families with several children in PREP come once a week, some families with more than one child in the program may be assigned to one session or another, but for the most part, placement in either session will be based upon a “first come, first serve” basis in registration. So, please indicate your session preference (Tuesday or Wednesday). Where possible, your preference register will be honored. Classes will be assigned on a "first come, first served basis." Once a session is filled, it will be closed for additional students. Families who have students in multiple grades will be accommodated one day in which all children can attend.

Child 4

Name

Gender

Male Female

Date of Birth

Place of Birth

City & State

Religious Education Grade

Grade this upcoming Fall

School Grade

School Grade this upcoming Fall

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

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 a child for the first time a scanned copy of your Child's Baptismal Certificate must be submitted in the "document upload" section below.

Date of Baptism

Church of Baptism

Church Name, City & State

Date of Reconciliation

Church of Reconciliation

Church Name, City & State

Date of First Communion

Church of First Communion

Church Name, City & State

Child 4 Session Choice

Session One: Tuesday 4:00pm -5:15pm Session Two: Wednesday 4:00pm -5:15pm

Due to growing number of children in our PREP program as well as our desire to create smaller class sizes which will benefit our children pedagogically as well as ensuring better social distancing, we will be offering two PREP sessions: one on Tuesday afternoon and one on Wednesday afternoon. Given our planned class sizes (between 10-15 students), facility availability, and our goal to have families with several children in PREP come once a week, some families with more than one child in the program may be assigned to one session or another, but for the most part, placement in either session will be based upon a “first come, first serve” basis in registration. So, please indicate your session preference (Tuesday or Wednesday). Where possible, your preference register will be honored. Classes will be assigned on a "first come, first served basis." Once a session is filled, it will be closed for additional students. Families who have students in multiple grades will be accommodated one day in which all children can attend.

Child 5

Name

Gender

Male Female

Date of Birth

Place of Birth

City & State

Religious Education Grade

Grade this upcoming Fall

School Grade

School Grade this upcoming Fall

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

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 a child for the first time a scanned copy of your Child's Baptismal Certificate must be submitted in the "document upload" section below.

Date of Baptism

Church of Baptism

Church Name, City & State

Date of Reconciliation

Church of Reconciliation

Church Name, City & State

Date of First Communion

Church of First Communion

Church Name, City & State

Child 5 Session Choice

Session One: Tuesday 4:00pm -5:15pm Session Two: Wednesday 4:00pm -5:15pm

Due to growing number of children in our PREP program as well as our desire to create smaller class sizes which will benefit our children pedagogically as well as ensuring better social distancing, we will be offering two PREP sessions: one on Tuesday afternoon and one on Wednesday afternoon. Given our planned class sizes (between 10-15 students), facility availability, and our goal to have families with several children in PREP come once a week, some families with more than one child in the program may be assigned to one session or another, but for the most part, placement in either session will be based upon a “first come, first serve” basis in registration. So, please indicate your session preference (Tuesday or Wednesday). Where possible, your preference register will be honored. Classes will be assigned on a "first come, first served basis." Once a session is filled, it will be closed for additional students. Families who have students in multiple grades will be accommodated one day in which all children can attend.

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.)

Page Break

Immunization

Are all of your child(ren)s vaccinations up to date?

Yes No

If no, please explain

If no, have they received an exemption from your current school district?

Yes No

Even if your child is exempt from immunizations, he/she may be excluded from school during an outbreak of the vaccine preventable disease.

Emergency Contact

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

Service Opportunities

Would you be interested in serving as a catechist, classroom aide, or general volunteer?

Yes No

Volunteers help with attendance, security in hall ways, arrival/dismissal, etc.

Volunteer Name

Volunteer Phone

Volunteer Interested in

Catechist‎ Classroom aide‎ General volunteer‎

You can choose more than one.

Thank you for considering volunteering.

Page Break

Support Your Parish!

Our parish is happy to assist you in the religious education and spiritual formation of your child(ren)! This is a wonderfully important task – to introduce our children to God who loves each one of us unconditionally and to know the truth of the Catholic Church, which was founded by Christ as the means of our salvation. This vital task is entrusted primarily to the parents and only secondarily to the faith community.

As your parish family, we take the religious education of your child(ren) very seriously. Our hope and prayers are that they grow up knowing how much they are loved by God and how the truth of our faith can open to them a life of grace, joy, peace, happiness, and relationship with the Lord.

On a practical level, our efforts to teach the faith to your children incur certain costs to the parish. For example, the PREP programs include certain administrative costs such as religious books and teaching materials, technology, supplies, and payroll. There are also the usual operational costs such as building utilities and maintenance as well as custodial services to ensure that the classrooms are clean and healthy. We also have salary, wages, and employee benefit costs of staff who serve in the PREP program.

With all that in mind, while we are grateful for your tuition payment depending on the number of children. The PREP tuition only covers about 30% of the total cost of running the PREP program. The remaining 70% is subsidized by the regular Sunday collection. To help support our parish and the PREP program, we are asking our PREP families to sign up for regular Sunday contributions of at least $10 per week.

Many PREP families are already making Sunday collection contributions – we thank you! Whether you have been contributing to the Sunday collection or not, we ask all PREP families to sign up for online giving and begin making contributions of $10 per week or more. Our online giving platform called “Parish Giving” is a safe and easy way to make contributions. It is used by hundreds of parishes and thousands of parishioners. At the conclusion of this PREP registration form, you will be asked to sign up for online giving in order to make your weekly Sunday contribution. We ask you to sign up and register to make a weekly Sunday contribution.

Thank you!

I have the read the above statement

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

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

Sacramental Fees

Volunteer Discount

Additional Fee

Current Date

Total Normal

Now you may make a payment which is required at the time of registration.

Total Amount

For online giving for weekly Sunday contributions, please go to www.parishgiving.org to sign up! Thank you.

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