Corpus Christi Church Parish Membership Registration

Corpus Christi Church

Round Lake, NY

Parish Membership Registration Form
Welcome to Corpus Christi Parish!

Family Information
*Family Last Name
*Home Phone or Primary Phone
Format: (000) 000-0000.
*Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
*I would like to receive the Evangelist Diocesan Newspaper.
*Stewardship Preference

Other

Adult #1 Information
*Adult #1

First NameLast Name
*Adult #1 Maiden Name
or type "Not Applicable"
*Adult #1 Cell Phone
Format: (000) 000-0000.
*Adult #1 E-mail Address
example@example.com
*Adult #1 Birth Date

MonthDayYear
*Adult 1 Religion
*Adult 1 Marital Status
*Adult 1 Married by a Priest
*Adult 1 Baptized
*Adult 1 Confirmed
*Adult 1 Occupation
Is there another adult in your household?

Adult #2 Information
*Adult #2

First NameLast Name
*Adult #2 Maiden Name
or type "Not Applicable"
*Adult #2 Cell Phone
Format: (000) 000-0000.
*Adult #2 E-mail Address
example@example.com
*Adult #2 Birth Date

MonthDayYear
*Adult #2 Religion
*Adult #2 Marital Status
*Adult #2 Married by a Priest
*Adult #2 Baptized
*Adult #2 Confirmed
*Adult #2 Occupation

Are there children or other residents in your home?

Are there additional children or residents in your home?

Emergency Contact Information
Emergency Contact 1 Name
First name and Last name
Emergency Contact 1 Relationship to Child(ren)
Grandparent, Friend, Coworker, etc.
Emergency Contact 1 Phone Number
Format: (000) 000-0000.
I give permission for emergency contact 1 to transport my child(ren)
Emergency Contact 2 Name (Optional)
First name and Last name
Emergency Contact 2 Relationship to Child(ren)
Grandparent, Friend, Coworker, etc.
Emergency Contact 2 Phone Number
Format: (000) 000-0000.
I give permission for emergency contact 2 to transport my child(ren)
Additional information and/or person(s) with your permission to transport your child(ren):

Registration Fee Information
Annual Fees for Faith Formation and Sacramental Preparation:
- K - 2 Faith Formation $43 PER CHILD
- 3 - 5 Faith Formation $63 PER CHILD
- First Reconciliation/First Eucharist Sacramental Fee is an additional $30 PER CHILD ~ (must also register for K-5 Faith Formation program)
- 6 - 12 YM Faith Formation $63 PER CHILD
- Confirmation Sacramental Fee (Grades 9 & 10 OR 10 & 11 OR 11 & 12) is an additional $25 PER CHILD per year ~ (must also register for 6-12 YM Faith Formation UNLESS child attends Catholic School)
Payment Options:
- We will be offering a slight discount to those families who pay with cash or check. Cash or check payments may deduct $3/child from the Faith Formation fee ONLY. There is NO discount on the Sacramental fee.
- Cash payments will be accepted in-person only at the Parish Office.
- Checks should be payable to: Corpus Christi Church. Please note your child's name and grade on the memo line of your check to distinguish a faith formation fee payment from a regular church donation.
  - Checks can be dropped off at the Parish Office or in the collection baskets during Mass. *Please indicate on the envelope "Faith Formation Payment".
  - You may mail your check to: Corpus Christi Church, 2001 Route 9, Round Lake, NY, 12151
- Online Payments: You may make your Faith Formation and Sacramental Preparation payments online. We will be offering a slight discount to those families who pay with cash or check.
- No child will be refused faith formation if the family cannot pay the fee. Please call the office if you would like to discuss an arrangement.
To Make an Online Payment:
- Once you have completed and submitted this registration form, you should receive an email confirming the registration. Also included in the email will be a direct link to WeShare, our secure online payment site.
- You can always find the WeShare ONLINE payment link on the BOTTOM of the opening page of the Corpus Christi website (corpuschristichurch.net).
Look for this image and click on it to be taken to our secure online payment site.

Permission for Photographs, Videotapes, and Films (for all registered children)
I, the parent/guardian of the above named child(ren) hereby authorize and give my consent for the taking of pictures (moving or still) of my child(ren), beginning September of 2021 and remaining in effect until September of the year my child(ren) turn 18 OR until I withdraw my consent. Further I give my permission for the reproduction of pictures for: CLICK ALL THAT APPLY
Please state any restrictions you may have:

Registration is almost complete...
Additional information about your family, concerns, or questions:
I authorize the permissions above and verified that the information provided is accurate. I understand that this information will be viewed by Corpus Christi staff.

We recommend printing your registration form to have for your records and reference.

Click on the "Print Form" button below.
Should be Empty:

Family Information

Adult #1 Information

Adult #2 Information

Additional Family Member # 1 - Information

Faith Formation & Sacramental Preparation Registration

Sacrament Information

Medical Alerts and/or Special Needs Information

Additional Family Member # 2 - Information

Faith Formation & Sacramental Preparation Registration

Sacrament Information

Medical Alerts and/or Special Needs Information

Additional Family Member # 3 - Information

Faith Formation & Sacramental Preparation Registration

Sacrament Information

Medical Alerts and/or Special Needs Information

Emergency Contact Information

Registration Fee Information

Permission for Photographs, Videotapes, and Films (for all registered children)