2023-24 CGS/CRE/"707" Registration and Emergency Release Form
Sacred Heart Catholic Church · 655 C AVENUE · CORONADO, CA · 92118
Catechesis of the Good Shepherd (CGS)
3 Years old- Kindergarten: Requirements for Program Participation: child is potty trained and able to attend most sessions. CGS Coordinator will notify you which day your child is assigned. Time: Sundays 10:30-12:00 or Wednesdays 2:30-4:00 Location: Atrium Cost: $150
1st-6th Grade CRE Classes
Time: Sundays 10:25-11:45AM Location: Sacred Heart Parish School Cost: $100 ($75- if payed before August 31st)
7th and 8th Grade "707" Sunday Classes/ "707" Social Nights
Time: Sundays 10:30-11:45 AM and Wednesday (check calendar) 7:07-8:30pm Location: Youth Room/Parish Center Cost: $150
Parent or Guardian Information
Is your family Registered Sacred Heart Parishioners?
*
Please Select
Yes
No
I'm not sure
Parent/Guardian #1 Name
*
First Name
Last Name
Parent/Guardian #1 Email
*
example@example.com
Parent/Guardian #1 Phone Number
*
Please enter a valid phone number.
Parent/Guardian #2 Name
First Name
Last Name
Parent/Guardian #2 Email
example@example.com
Parent/Guardian #2 Phone Number
Please enter a valid phone number.
Child's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Information (Non-Parent)
Name
*
First Name
Last Name
Relationship to Child/Children
*
Phone Number
*
Please enter a valid phone number.
Permission to Pick up Child
The following have permission to pick my child/children up:
Name
*
First Name
Last Name
Child Information
Only list children enrolling in our CGS/CRE program
Child #1
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Age/ Grade
*
Please Select
3 years old-Kindergarten (CGS)
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
6th Grade
7th Grade
8th Grade
Which Sacrament(s) has your child already received? (choose all that apply)
*
Baptism
Reconciliation/Confession
Holy Communion
Confirmation
If your child is 3 years old-kindergarten (CGS), would you prefer Sunday (10:30-12:00) or Wednesday (2:30-4:00) sessions?*
*
Please Select
Waitlist-Sunday
Waitlist-Wednesday
N/A
* Requirements for Program Participation: child is potty trained and able to attend most sessions. CGS Coordinator will notify you which day your child is assigned.
Is there anything we need to be aware of (family needs, allergies, medical condition, learning disabilities, etc.)?
Child #2
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age/ Grade
*
Please Select
N/A
3 years old-Kindergarten (CGS)
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
6th Grade
7th Grade
8th Grade
Which Sacrament(s) has your child already received? (choose all that apply)
*
N/A
Baptism
Reconciliation/Confession
Holy Communion
Confirmation
If your child is 3 years old-kindergarten (CGS), would you prefer Sunday (10:30-12:00) or Wednesday (2:30-4:00) sessions?
*
Please Select
WAITLIST-Sunday
WAITLIST-Wednesday
N/A
* Requirements for Program Participation: child is potty trained and able to attend most sessions. CGS Coordinator will notify you which day your child is assigned.
Is there anything we need to be aware of (family needs, allergies, medical condition, learning disabilities, etc.)?
Child #3
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age/ Grade
*
Please Select
N/A
3 years old-Kindergarten (CGS)
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
6th Grade
7th Grade
8th Grade
Which Sacrament(s) has your child already received? (choose all that apply)
*
N/A
Baptism
Reconciliation/Confession
Holy Communion
Confirmation
If your child is 3 years old-kindergarten (CGS), would you prefer Sunday (10:30-12:00) or Wednesday (2:30-4:00) sessions?
*
Please Select
WAITLIST-Sunday
WAITLIST-Wednesday
N/A
* Requirements for Program Participation: child is potty trained and able to attend most sessions. CGS Coordinator will notify you which day your child is assigned.
Is there anything we need to be aware of (family needs, allergies, medical condition, learning disabilities, etc.)?
Release Form Information
This Emergency Card (EC) will be accessible by the adult in charge during all on-site events, local Coronado activities involving walking and/or biking, and it will be referred to if other Medical Information is not provided. Additionally, this EC covers the anticipated events below—new or changed events require a separate form.
I, the parent/guardian remain legally responsible for any personal actions taken by my child (student(s) named above). I agree on behalf of myself, my child’s other parent if known or living, our heirs, successors, and assignees, to hold harmless and defend Sacred Heart Coronado, the Diocese of San Diego; its officers, directors, agents, volunteers, chaperones, and representatives associated with the event with respect to any and all actions, claims or demands that may be made or brought against the parish, the Diocese of San Diego; its officers, directors, agents, volunteers, chaperones, and representatives associated with the event, arising from or in connection with my child attending this event or in connection with any illness, injury or cost of medical treatment in connection therewith. I agree to compensate the parish/school, its officers, directors and agents, and the Diocese of San Diego, its employees and agents and chaperones, or representative associated with the event for reasonable attorney’s fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the parish/school or the Diocese of San Diego.
CELL PHONE / ELECTRONIC DEVICES POLICY
To ensure a Safe (learning) Environment I understand students are encouraged NOT to bring electronic devices to CRE. If the student should bring these devices to CRE, we assume NO responsibility for loss or damage of any such items. No electronic listening or recording device may be used by students during CRE hours without the teacher permission. Students may not photograph or record peers or school events without permission.
Initial if you understand the above statement
*
MEDICAL TREATMENT CONSENT
In the event of an emergency and neither parent or guardian can be reached, I give my permission to the Director of Religious Education to authorize medical treatment for my child. I understand that I will be financially responsible for any medical treatment that may be necessary for the welfare of my child.
Please choose option:
*
Please Select
Yes, I herby give my consent
No, I don't give my consent
PHOTO RELEASE CONSENT
I hereby give my consent for Sacred Heart Catholic Church to use my child’s photograph and likeness to be used for any publications, including its website, Facebook, and parish bulletin. I release them from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below.
Please choose option:
*
Please Select
Yes, I herby give my consent
No, I don't give my consent
Please sign below to confirm you have read ALL the above Consent and Release Statements.
Please use the mouse holding on to the left clicker or sign with your finger on a hand held device.
Signature
*
Contact
Katherine Soper- Coordinator of Religious Education and Youth cre@sacredheartcor.org (619) 435-3167 ext. 316
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If you have a child who is in Year 2 of First Holy Communion Preparation, please print and submit form to Sacred Heart Parish Office.
Payment
I understand that my child's registration isn't complete until payment is received by Sacred Heart Parish. You may pay by cash or check to Sacred Heart. CGS=$150, CRE 1st-6th= $100 ($75-if payed before August 31st), "707" Middle School =$150, Sacrament Year 2 Preparation $75
Initial if you understand the above statement
*
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