CGS Registration

CGS Registration

Each section will be capped at 10 students. Payment of $115/family must be received by the Parish Office by June 9th or your spot will be forfeited. If the day/time you are interested in is filled, please email cgs@stmaryeg.org to be placed on a waiting list. - -- --Please note, if your child is enrolled at St. Mary's Visitation School, please sign him/her up for a time slot that does not coincide with their regular school hours! Children should also be potty-trained
Child Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Has your child been Baptized?

YesNo
Please give medical information about your child'(s) (allergies, medications, etc) which may be pertinent to his or her participation in this activity.
Parent Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number/ emergency contact
Please enter a valid phone number.
I hereby consent that any image in which I or my child appear, may be used by SMV to support recruitment or other communication efforts. I release the staff and volunteers and understand and agree that use of my picture is not an invasion of privacy.

I consent
$115 per family (meaning, if signing up two children, the fee is still $115). Cash or Checks ONLY (made out to St. Mary's Visitation). Please drop off at Parish Office. MUST include on the memo line: CGS or label cash envelope "CGS" with your First and Last Name.

Payments must be received at the Parish Office by June 9th, 2025 to secure your spot.
Should be Empty:

$115 per family (meaning, if signing up two children, the fee is still $115). Cash or Checks ONLY (made out to St. Mary's Visitation). Please drop off at Parish Office. MUST include on the memo line: CGS or label cash envelope "CGS" with your First and Last Name.