K - 8th Grade Registration — Catholic Community of Gonzales and Waelder

K - 8th Grade Registration Form 2024 - 2025

*Submit an individual form for each child.

Family name

Last name

Mailing Address

City

State

Zip Code

PARENT/GUARDIAN INFORMATION

Name of Mother

First Name

Last Name

Mother's Cell Phone

Name of Father

First Name

Last Name

Father's Cell Phone

Email - Only one parent

CHILD'S INFORMATION

Child's Full Name

Gender

Male

Female

Date of Birth

2024-2025 Grade

Please do not put current grade

Sacrament's Child has received

Baptism

First Communion & Reconciliation

Confirmation

Please List the Location of Sacraments

HEALTH INFORMATION

Health Issues/Medications/Conditions/Special Concerns (Catechists and aides will not distribute medication, prescription or non-prescription.).

PARENT/GUARDIAN SIGNATURE

I request that Catholic Community of Gonzales & Waelder, Religious Education Center enroll my child(ren) named above. I authorize a representative of Catholic Community of Gonzales & Waelder Religious Education Center to refer and/or transport my child(ren) to the doctor in the event of an emergency or sudden illness, providing the primary and alternative person(s) designated by me cannot be reached (See authority list below). I release the Religious Education Center and all personnel involved from liability for injuries sustained by my child(ren) while being transported for the above reason.

EMERGENCY CONTACT INFORMATION/ALTERNATIVE RELEASE

Alternate/Emergency Contact Name(Not Parent)

First Name

Last Name

Emergency Contact Cell Phone

Name of adult to whom we may release your child (other than biological parent or legal guardian)?

Please add phone number next to names

PERMISSIONS

Photo/Video Consent and Release

(Parent's/Guardian's initials required below) I hereby authorize St. James Catholic Church to take photographs, recordings, and/or videos (whether electronic, digital, or otherwise) of Participant in connection with the activities, and I hereby consent to the use, reproduction, and publication of such images by St. James Catholic Church in connection with the promotion and publicity of the activities of St. James Catholic Church, including, without limitation, publication of such images on St. James Catholic Church's website, media, etc. I, individually and in my capacity as parent/legal guardian of Participant, hereby waive any right to inspect or approve the actual use by St. James Catholic Church of any such image of Participant. Such images of Participant shall be the sole property of St. James Catholic Church, and I, individually and in my capacity as parent/legal guardian of Participant, acknowledge and agree that neither I nor Participant shall be entitled to any compensation whatsoever should any such images of Participant be used by St. James Catholic Church.

FAITH FORMATION FEE

The Faith Formation Program has a fee to help defray costs of the Faith Formation Program (books, supplies, utilities). Fees: K, 3rd, 4th, 5th, 7th and 8th Grade - $15.00 First Communion I & II $40.00 Confirmation I & II $40.00 6th Grade The fee is $15.00, and the add-on is $28 in order to purchase a study book for Faith Formation. The total cost for 6th grade is $43.00. This study book is required for 6th, 7th, and 8th grades. Once a book is purchased, you will not have to repurchase it unless your child misplaces the book. Please let us know if you need assistance with the fee. No child will be excluded from attending Faith Formation classes because of financial difficulty. We can work with you.

INQUIRIES:

Patricia Gonzalez

 830-672-6291

gonzalesfaithformation@gmail.com