Religious Education Registration Form

K-6th Grade Religious Education Registration

Sunday, 9:00 AM - 10:15 AM, 2023-2024
Student Name*

First NameLast Name
Prefer to be called:
Birthday*

MonthDayYear
Date
MaleFemale
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Grade in Fall:*
School:*
Year of last religious education class:*
Parish of last religious education class:*

K-6th Grade Religious Education Registration (2/5)
- Baptism
- 1st Reconciliation
- 1st Eucharist
- Mother's Name*
  
  First NameLast Name
- Mother's Religious Denomination*
- Mother's Marital Status*
- Mother's Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Mother's Email*
  example@example.com
- Father's Name*
  
  First NameLast Name
- Father's Religious Denomination*
- Father's Marital Status*
- Father's Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Father's Email*
  example@example.com
- Emergency Contact*
- CONSENT: I understand that the parish/catechist does not assume responsibility for medical care. However, in an emergency, you may permit treatment. Parent Signature
  
  Powered by Jotform SignClear
- Parish in which you are registered, active, supporting members:*
- Student's special learning concerns:
- Student's special medical concerns:
- Any other information you would like us to know about your child?

ST TIMOTHY CATHOLIC PARISH (4/5)

RELIGIOUS EDUCATION DISCIPLINE GUIDELINES

Dear Parent or Guardian,

Discipline is an essential aspect of development. Its purpose in an educational setting is to

provide an environment conducive to learning, to educate students to an appreciation of the

importance of developing self-control and responsibility for their actions. Discipline works best

where the dignity of every person involved is respected. If a person is accused of wrongdoing

s/he will be informed of what s/he did that was wrong and will be given a chance to present

his/her side of the story. The age and maturity of the child will be taken into account in making

such an assessment.

The Diocese of San Diego guidelines regarding religious education classroom discipline (DCM

Guideline #22) requires that parents and students be informed of the parish's policy for behavior

standards prior to the beginning of the school year. Please go over the following guidelines with

your child and sign below. If you have any questions or concerns please do not hesitate to

contact Christine Avella, Director of Catechetical Ministry, at 760-489-1242.

1. Class Rules
- Keep hands, feet, and objects to yourself. No teasing or swearing.
- Electronic devices must be turned off & put away and may be used with instructor or Director's permission only. These include but are not limited to: laptop computer, tablet, cell phone, etc.
- Follow directions (including dress code) and participate in class.
- Possession and/or use of illegal substances will not be tolerated and will result in a call to the student's parent/guardian for immediate pickup.
2. Consequences for Broken Rules
- First consequence: warning from catechist
- Second consequence: meeting with catechist and/or Director
- Third consequence: if the problem persists a conference with the parents will be called and if no solution can be found then suspension from the program will be warranted.
**The consequences listed above are cumulative throughout the course of the year.**

It is absolutely forbidden for any disciplinary measure to involve personal indignities,

humiliation, indiscriminate punishment, sending students outside the classroom without adult

supervision, or corporal punishment of any kind.

I have read the Disciplinary Guidelines as stated above and agree to abide by them.
Student Signature*

Powered by Jotform SignClear
Date*

MonthDayYear
Date
Parent Signature*

Powered by Jotform SignClear
Date*

MonthDayYear
Date

PHOTO/VIDEO RELEASE (5/5)

This letter authorizes St. Timothy Catholic Parish of the Catholic Diocese of San Diego, its representatives, or volunteers, to photograph or record on audio and/or video (tape, digital, or online meeting platforms) my child, during First Holy Communion preparation and special events between September 2023 and May 2024. Photos, audio, or video may be used in printed materials and any other visual display or media.

I understand that such photos and/or video recordings will be used for Religious Education related purposes and will not be used for any commercial purpose whatsoever. I therefore hereby waive any kind and all rights I may have for remuneration of any kind that could otherwise accrue for the uses of such photos and/or audio or video recordings.

Revised: 8/2020
Parent Signature*

Powered by Jotform SignClear
Date*

MonthDayYear
Date

Payment: One child-$120, two children-$150, three or more-$200. If you have multiple children in grades Kinder-6th, please submit the total fees on one registration form and leave the remaining registration forms without payment.

USDReligious Education Fee K-6

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

K-6th Grade Religious Education Registration

K-6th Grade Religious Education Registration (2/5)