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Groups
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Documents
Parent/Student Handbook 2020-2021
Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
Parent/Guardian 1
First Name
REQUIRED
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Last Name
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Address
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Other Phone Number
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No
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Parent/Guardian 2
First Name
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Address
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City
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Cell Phone Number
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Preferred Email for Correspondence
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Emergency Contact During Class Time
First Name
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Last Name
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Phone Number
REQUIRED
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Please enter a phone number.
Enter # of Children you are registering
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Child 1
First Name
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Last Name
REQUIRED
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Sex
None
Male
Female
Date of Birth (xx/xx/xxxx)
REQUIRED
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Please enter a date.
Grade Level in Fall
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Pre-K
Elementary K
Elementary 1st
Elementary 2nd
Elementary 3rd
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Jr. High 7th
Jr. High 8th
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High School 10th
High School 11th
High School 12th
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Please Check which Sacraments your Child has received
REQUIRED
Baptism
First Eucharist
Confirmation
None Received
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Faith Formation 2020-2021 Registration Fees
REQUIRED
$0.00 – (Select One)
$50.00 – Parishioner Registration Fee
$150.00 – Non-Parishioner Registration Fee
$25.00 – ECC Preschool Teachers
$0.00 – Returning CCE Teacher Child Registration Fee
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Child 2
First Name
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Last Name
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Sex
None
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Female
Date of Birth (xx/xx/xxxx)
REQUIRED
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Please enter a date.
Grade Level in Fall
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(Select One)
Pre-K
Elementary K
Elementary 1st
Elementary 2nd
Elementary 3rd
Elementary 4th
Elementary 5th
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Jr. High 7th
Jr. High 8th
High School 9th
High School 10th
High School 11th
High School 12th
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Please Check which Sacraments your Child has received
REQUIRED
Baptism
First Eucharist
Confirmation
None Received
Please fill out this field.
Faith Formation 2020-2021 Registration Fees
REQUIRED
$0.00 – (Select One)
$50.00 – Parishioner Registration Fee
$150.00 – Non-Parishioner Registration Fee
$25.00 – ECC Preschool Teachers
$0.00 – Returning CCE Teacher Child Registration Fee
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Child 3
First Name
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Last Name
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Sex
None
Male
Female
Date of Birth (xx/xx/xxxx)
REQUIRED
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Please enter a date.
Grade Level in Fall
REQUIRED
(Select One)
Pre-K
Elementary K
Elementary 1st
Elementary 2nd
Elementary 3rd
Elementary 4th
Elementary 5th
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Jr. High 7th
Jr. High 8th
High School 9th
High School 10th
High School 11th
High School 12th
Please fill out this field.
Please Check which Sacraments your Child has received
REQUIRED
Baptism
First Eucharist
Confirmation
None Received
Please fill out this field.
Faith Formation 2020-2021 Registration Fees
REQUIRED
$0.00 – (Select One)
$50.00 – Parishioner Registration Fee
$150.00 – Non-Parishioner Registration Fee
$25.00 – ECC Preschool Teachers
$0.00 – Returning CCE Teacher Child Registration Fee
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Child 4
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Sex
None
Male
Female
Date of Birth (xx/xx/xxxx)
REQUIRED
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Please enter a date.
Grade Level in Fall
REQUIRED
(Select One)
Pre-K
Elementary K
Elementary 1st
Elementary 2nd
Elementary 3rd
Elementary 4th
Elementary 5th
Jr. High 6th
Jr. High 7th
Jr. High 8th
High School 9th
High School 10th
High School 11th
High School 12th
Please fill out this field.
Please Check which Sacraments your Child has received
REQUIRED
Baptism
First Eucharist
Confirmation
None Received
Please fill out this field.
Faith Formation 2020-2021 Registration Fees
REQUIRED
$0.00 – (Select One)
$50.00 – Parishioner Registration Fee
$150.00 – Non-Parishioner Registration Fee
$25.00 – ECC Preschool Teachers
$0.00 – Returning CCE Teacher Child Registration Fee
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Child 5
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Sex
None
Male
Female
Date of Birth (xx/xx/xxxx)
REQUIRED
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Please enter a date.
Grade Level in Fall
REQUIRED
(Select One)
Pre-K
Elementary K
Elementary 1st
Elementary 2nd
Elementary 3rd
Elementary 4th
Elementary 5th
Jr. High 6th
Jr. High 7th
Jr. High 8th
High School 9th
High School 10th
High School 11th
High School 12th
Please fill out this field.
Please Check which Sacraments your Child has received
REQUIRED
Baptism
First Eucharist
Confirmation
None Received
Please fill out this field.
Faith Formation 2020-2021 Registration Fees
REQUIRED
$0.00 – (Select One)
$50.00 – Parishioner Registration Fee
$150.00 – Non-Parishioner Registration Fee
$25.00 – ECC Preschool Teachers
$0.00 – Returning CCE Teacher Child Registration Fee
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Child 6
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Sex
None
Male
Female
Date of Birth (xx/xx/xxxx)
REQUIRED
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Please enter a date.
Grade Level in Fall
REQUIRED
(Select One)
Pre-K
Elementary K
Elementary 1st
Elementary 2nd
Elementary 3rd
Elementary 4th
Elementary 5th
Jr. High 6th
Jr. High 7th
Jr. High 8th
High School 9th
High School 10th
High School 11th
High School 12th
Please fill out this field.
Please Check which Sacraments your Child has received
REQUIRED
Baptism
First Eucharist
Confirmation
None Received
Please fill out this field.
Faith Formation 2020-2021 Registration Fees
REQUIRED
$0.00 – (Select One)
$50.00 – Parishioner Registration Fee
$150.00 – Non-Parishioner Registration Fee
$25.00 – ECC Preschool Teachers
$0.00 – Returning CCE Teacher Child Registration Fee
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Child 7
First Name
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Last Name
REQUIRED
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Sex
None
Male
Female
Date of Birth (xx/xx/xxxx)
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Please enter a date.
Grade Level in Fall
REQUIRED
(Select One)
Pre-K
Elementary K
Elementary 1st
Elementary 2nd
Elementary 3rd
Elementary 4th
Elementary 5th
Jr. High 6th
Jr. High 7th
Jr. High 8th
High School 9th
High School 10th
High School 11th
High School 12th
Please fill out this field.
Please Check which Sacraments your Child has received
REQUIRED
Baptism
First Eucharist
Confirmation
None Received
Please fill out this field.
Faith Formation 2020-2021 Registration Fees
REQUIRED
$0.00 – (Select One)
$50.00 – Parishioner Registration Fee
$150.00 – Non-Parishioner Registration Fee
$25.00 – ECC Preschool Teachers
$0.00 – Returning CCE Teacher Child Registration Fee
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Child 8
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Sex
None
Male
Female
Date of Birth (xx/xx/xxxx)
REQUIRED
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Please enter a date.
Grade Level in Fall
REQUIRED
(Select One)
Pre-K
Elementary K
Elementary 1st
Elementary 2nd
Elementary 3rd
Elementary 4th
Elementary 5th
Jr. High 6th
Jr. High 7th
Jr. High 8th
High School 9th
High School 10th
High School 11th
High School 12th
Please fill out this field.
Please Check which Sacraments your Child has received
REQUIRED
Baptism
First Eucharist
Confirmation
None Received
Please fill out this field.
Faith Formation 2020-2021 Registration Fees
REQUIRED
$0.00 – (Select One)
$50.00 – Parishioner Registration Fee
$150.00 – Non-Parishioner Registration Fee
$25.00 – ECC Preschool Teachers
$0.00 – Returning CCE Teacher Child Registration Fee
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Child 9
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Sex
None
Male
Female
Date of Birth (xx/xx/xxxx)
REQUIRED
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Please enter a date.
Grade Level in Fall
REQUIRED
(Select One)
Pre-K
Elementary K
Elementary 1st
Elementary 2nd
Elementary 3rd
Elementary 4th
Elementary 5th
Jr. High 6th
Jr. High 7th
Jr. High 8th
High School 9th
High School 10th
High School 11th
High School 12th
Please fill out this field.
Please Check which Sacraments your Child has received
REQUIRED
Baptism
First Eucharist
Confirmation
None Received
Please fill out this field.
Faith Formation 2020-2021 Registration Fees
REQUIRED
$0.00 – (Select One)
$50.00 – Parishioner Registration Fee
$150.00 – Non-Parishioner Registration Fee
$25.00 – ECC Preschool Teachers
$0.00 – Returning CCE Teacher Child Registration Fee
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Child 10
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Sex
None
Male
Female
Date of Birth (xx/xx/xxxx)
REQUIRED
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Please enter a date.
Grade Level in Fall
REQUIRED
(Select One)
Pre-K
Elementary K
Elementary 1st
Elementary 2nd
Elementary 3rd
Elementary 4th
Elementary 5th
Jr. High 6th
Jr. High 7th
Jr. High 8th
High School 9th
High School 10th
High School 11th
High School 12th
Please fill out this field.
Please Check which Sacraments your Child has received
REQUIRED
Baptism
First Eucharist
Confirmation
None Received
Please fill out this field.
Faith Formation 2020-2021 Registration Fees
REQUIRED
$0.00 – (Select One)
$50.00 – Parishioner Registration Fee
$150.00 – Non-Parishioner Registration Fee
$25.00 – ECC Preschool Teachers
$0.00 – Returning CCE Teacher Child Registration Fee
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Child 11
First Name
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Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Sex
None
Male
Female
Date of Birth (xx/xx/xxxx)
REQUIRED
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Please enter a date.
Grade Level in Fall
REQUIRED
(Select One)
Pre-K
Elementary K
Elementary 1st
Elementary 2nd
Elementary 3rd
Elementary 4th
Elementary 5th
Jr. High 6th
Jr. High 7th
Jr. High 8th
High School 9th
High School 10th
High School 11th
High School 12th
Please fill out this field.
Please Check which Sacraments your Child has received
REQUIRED
Baptism
First Eucharist
Confirmation
None Received
Please fill out this field.
Faith Formation 2020-2021 Registration Fees
REQUIRED
$0.00 – (Select One)
$50.00 – Parishioner Registration Fee
$150.00 – Non-Parishioner Registration Fee
$25.00 – ECC Preschool Teachers
$0.00 – Returning CCE Teacher Child Registration Fee
Please fill out this field.
Child 12
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Sex
None
Male
Female
Date of Birth (xx/xx/xxxx)
REQUIRED
Please fill out this field.
Please enter a date.
Grade Level in Fall
REQUIRED
(Select One)
Pre-K
Elementary K
Elementary 1st
Elementary 2nd
Elementary 3rd
Elementary 4th
Elementary 5th
Jr. High 6th
Jr. High 7th
Jr. High 8th
High School 9th
High School 10th
High School 11th
High School 12th
Please fill out this field.
Please Check which Sacraments your Child has received
REQUIRED
Baptism
First Eucharist
Confirmation
None Received
Please fill out this field.
Faith Formation 2020-2021 Registration Fees
REQUIRED
$0.00 – (Select One)
$50.00 – Parishioner Registration Fee
$150.00 – Non-Parishioner Registration Fee
$25.00 – ECC Preschool Teachers
$0.00 – Returning CCE Teacher Child Registration Fee
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Doctor's Name
REQUIRED
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Doctor's Phone Number
REQUIRED
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Please enter a phone number.
Insurance Name
REQUIRED
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Insurance Group Number
REQUIRED
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Please enter valid data.
Insurance Phone Number
REQUIRED
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Parent/Guardian Electronic Signature
REQUIRED
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Please enter valid data.
Medical Consent
In the event of an emergency, I hereby give permission to the staff of St. Bernadette Catholic Church to seek emergency medical transport and/or treatment for my child(ren) named above. I will be responsible for all costs incurred. I wish to be advised before further care is given by the hospital or dorctor.
I Agree
Please select this field.
Video/Photography Consent
As parent/guardian, I understand that promotional pictures and videos ( individual and group) may be taken during the classes and activities. I give permission for my child(ren)'s pictures (named above) to be used for church promotional materials such as newsletters, web pages, calendars, Power Point presentations, or videos to promote or highlight activities of the children in their Faith Formation classes.
Please Check One
REQUIRED
I Agree
I Do Not Agree
Please fill out this field.
Consent and Liability Waver
In the event of any accident or injury, I agree on behalf of myself, my child(ren)'s other parent if known or living, the child(ren) named above or our heirs, successors, and assigns, to hold harmless and defend the Archdiocese of Galveston-Houston, its pastor or any representative of Faith Formation, unless the parties involved were careless and negligent. Effective for all Faith Formation activities at St. Bernadette Catholic Church.
I Agree
Please select this field.
Virtual Learning Statement
By registering your child(ren) for Faith Formation you give permission to the parish to provide its catechists with access to your child(ren) for the purpose of catechesis. Depending on the circumstances and the program, this access may be face-to-face in a parish facility, or may be on a virtual platform approved and overseen by the parish, or both. All catechists have been cleared by the Archdiocesan Office of Child and Youth Protection to work with minors and have completed all required safe environment training
I Agree
Please select this field.
Faith Formation Handbook
I have read and agree to the policies of the Faith Formation Handbook (found
here
) for the child(ren) named above.
I Agree
Please select this field.
Accommodations, Support, Health, or Allergy Concerns?
REQUIRED
Please give child(ren)'s name and explain
Please fill out this field.
New to Online Faith Formation:
Do you have a way to access Faith Formation Online?
REQUIRED
Yes
Yes (but with limitations)
No
Please fill out this field.
Faith Formation Materials
REQUIRED
I am requesting only Online materials
I am requesting only Physical Materials
I am requesting both Online and Physical Materials
Please fill out this field.
Total:
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