St. Monica Student Registration
2009 - 2010 Sunday Program
Age 3 through High School

St. Monica Catholic Community
9933 Midway Road, Dallas, Texas 75220
Phone: 214-357-8549 x135 Fax: 214-357-7802

First Reconciliation / First Communion / Confirmation Preparation
All children MUST COMPLETE TWO CONSECUTIVE YEARS OF INSTRUCTIONS before receiving sacraments.
Sacramental Preparation is a TWO year program! In order to receive the sacraments, children are required to have completed two full consecutive years of religious education either here at St. Monica or at another parish. This means if children are to receive any sacraments this year they must have completed one full year of religious education last year!

If your child has completed religious education at another parish, it will be your responsibility to provide us with proof of attendance, such as a certificate of completion or a letter from that parish. If your child has NOT completed the two-year requirement, then we can place your child in a first year basic beliefs religion class.

I prefer all infomation in: English     Spanish

Student's First Name *     Middle Name or Initial     Last Name *    

Date of Birth: *   mm/dd/yyyy      Grade

Home Phone *     Parent's Email

Street Address *     Apt.

City *    State *    ZIP *

I wish to receive all communications by:        

Student lives with:            

If Other, please specify:

Mother's Maiden Name:    Religion:

Daytime Phone:     Cell Phone

Father's First Name *     Middle Name or Initial     Last Name *    Religion:

Daytime Phone:     Cell Phone

If your child has any allergies, physical or learning disabilities (e.g. ADD, ADHD, Autism, etc.) or any other information we should know, please list below. A Special Needs class is available for physical and learning disabilities.

Please specity:

Does your child take any medication for these disabilities?

Did your child attend CCD classes last year?

Which Sacraments does your child need?
Baptism    First Confession    First Communion    Confirmation

In case of emergency the following people may collect my child from class on Sunday. (They must bring a "picture" ID.) Please list (3) names. Phone numbers must be different from parents.

Name   Phone

Name   Phone

Name   Phone

I will become involved in my child/children's Catholic Education. I will follow all procedures of the program and see to it that my child/children attend class and Mass on a regular basis. It is my responsibility to pick up my child/children on time. I will notify the Office of Faith Formation if I am not able to pick up my child/children on time.

By checking the following box, I am agreeing to the above statements.

Would you be interested in helping in the following areas? (Tuition fee will be waived.)
           

Preferred Age Group:


Registration Fees: (Includes books and all class materials; add $25 for each child receiving a sacrament)

1 Child $50;    2 Children $95;    3 Children $125;    4 Children $100

We accept Visa or MasterCard with a $2 service charge

Monthly payment plans are available with a down payment of $20.00. (Balance must be paid in full by January 30th, 2010) Full/partial scholarships are available upon qualification. For information on payment plans, scholarships or credit card payments please contact the Office of Faith Formation.

Are you registered at St. Monica Parish?