2024/25 Family Catechesis Registration

2024/25 St. Clement Family Catechesis Registration

Please complete this form in its entirety to successfully register your family for St. Clement Family Catechesis.
GENERAL INFORMATION
Family Surname(s)*
Last Name
How many children are you registering for 2024/25 Family Catechesis?*
What parish are you registered in?*

St Clement of Rome
Child(Children) live(s) with -*

Both Parents TogetherMotherFatherGuardianOther
Current Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
STUDENT INFORMATION
FIRST CHILD

The child you list as First Child will be considered "Oldest/Only" in our database and, when given, will be the child to receive information to be brought home.
Child's Legal Name*

First NameLast NameNickname (if applicable)
Child's Birth Date*

MonthDayYear
Date
Gender
Schools Attended*
Please list Elementary and Middle Schools
Grade Level *
What would you like us to know about your child to help Family Catechesis staff in meeting your child's medical, emotional, or learning needs.*
Information will be kept confidential.
SECOND CHILD
Child's Legal Name*

First NameLast NameNickname (if applicable)
Child's Birth Date*

MonthDayYear
Date
Gender
Schools Attended*
Please list Elementary and Middle Schools
Grade Level *
What would you like us to know about your child to help Family Catechesis staff in meeting your child's medical, emotional, or learning needs.*
Information will be kept confidential.
THIRD CHILD
Child's Legal Name*

First NameLast NameNickname (if applicable)
Child's Birth Date*

MonthDayYear
Date
Gender
Schools Attended*
Please list Elementary and Middle Schools
Grade Level *
What would you like us to know about your child to help Family Catechesis staff in meeting your child's medical, emotional, or learning needs.*
Information will be kept confidential.
FOURTH CHILD
Child's Legal Name*

First NameLast NameNickname (if applicable)
Child's Birth Date*

MonthDayYear
Date
Gender
Schools Attended*
Please list Elementary and Middle Schools
Grade Level *
What would you like us to know about your child to help staff in meeting your child's medical, emotional, or learning needs.*
Information will be kept confidential.
PARENT/GUARDIAN INFORMATION

The following information is needed for our database and the student's permanent and Sacramental records.
Name of Father

First NameLast Name
Living/Deceased

LivingDeceased
Religion of Father

Roman CatholicOther
Marital Status of Father
Name of Mother

First NameLast NameMaiden Name
Living/Deceased

LivingDeceased
Religion of Mother

Roman CatholicOther
Marital Status of Mother
Name of Guardian

First NameLast Name
Religion of Guardian

Roman CatholicOther
Additional Parent Information:
CONTACT INFORMATION

Please submit the parents'/guardians' contact information.
Primary Phone Number*

Area CodePhone Number
Whose Phone Number is this?*

MomDadGuardianOther
Secondary Phone Number

Area CodePhone Number
Whose Phone Number is this?

MomDadGuardianOther
Primary Email*
Secondary Email
Emergency Contact 1 (other than parent/guardian listed above) *
First and Last Name, Relationship to Student(s)
Emergency Contact 1 Phone Number*

Area CodePhone Number
Do you give permission for your child's image to be used in the Sunday bulletin and parish newsletter?
9AM Mass

Family Catechesis in the School following Mass
REGISTRATION FEE
Registration is $125 per child and ends July 31st. If registration fee is not received by July 31st, your child will not be added to the class list.

Mail registration fee to:
Sue Cunningham FC Director
1510 Bopp Rd
St. Louis, MO 63131.
PARENT PARTICIPATION

Parents are the life breath to successful faith formation! We have a number of ways for you to be involved beyond the formation you provide at home.
Catechist: acts as the faith educator/teacher in the classroom and receives a small stipend. Registration Fee is waived.

Catechists must go through Protecting God's Children, have a background check and sign a Code of Ethical Conduct.
Please indicate your preference to help in the following areas:

Catechist
Should be Empty:

2024/25 St. Clement Family Catechesis Registration

GENERAL INFORMATION

STUDENT INFORMATION

FIRST CHILD

SECOND CHILD

THIRD CHILD

FOURTH CHILD

PARENT/GUARDIAN INFORMATION

CONTACT INFORMATION

9AM Mass

REGISTRATION FEE

PARENT PARTICIPATION