FAITH FORMATION 2020-21 Catechesis of the Good Shepherd

Application Form for Catechesis of the Good Shepherd (CGS)

If you are NOT a Holy Family parishioner please visit: Welcome Newcomers

How to register for *Catechesis of the Good Shepherd (CGS):

1. Fill out this form, FAITH FORMATION 2020-21 Catechesis of the Good Shepherd (CGS). Fill out one form for each child you are registering pre-K thru 5th grade.

2. Fill out the FAITH FORMATION 2020-21 First Eucharist Preparation if you are registering your child for First Communion 2021 (optional).

3. Complete the FAITH FORMATION 2020-21 CGS Payment Form. Please include all of the children you are registering for CGS, Home-school and sacramental preparation on one form.

Registration is ONLINE only.

-If you are not registered at Holy Family, do not fill out this registration form, please visit our Welcome Newcomers page.

*Completing this registration form and/or a parish registration form is not a guarantee of admittance or session preference.

-There are three different levels for CGS, click here for more information.

-Level I is for children ages 3-6 years old. Level II is for children ages 6-9 years old and Level III is for children ages 9-12 years old. Please see the "Atrium" section below for specific guidelines.

-Level I morning sessions are for preschool-aged children, age 3 by September 1st. Children must be potty trained and able to self-toilet.

-Level I afternoon sessions are for children in Kindergarten and older. If you have a Kindergarten+ child with a younger sibling, please contact Connie Moretti for placement options.

-Schedules will be communicated to accepted families 2 weeks prior to the program start date.

Disclaimer: We work hard to accommodate your family schedule needs but scheduling decisions are based on variables including total children enrolled, qualified catechists available, children with special needs, families with siblings across multiple levels, parish registration date, sacramental preparation, previous enrollment, attendance record, and changing Covid-19 regulations, etc.

Program Choice

This form is for
Required*

	CGS (children ages 3 to 5th grade)
	HFK Youth Ministries: Junior High
	HFK Youth Ministries: Senior High

FAMILY PARISH

Parishioner Status
Required*

Are you a registered parishioner at Holy Family Kirkland?*

	Yes
	No
	I am not sure

Did you attend a Newcomer's Social? Submit a parish registration card? If not, call the Parish Office at 425-822-0295.

Parish Registration Date

Required* //

Enter the date that your family registered at Holy Family. Don't know? Call the Parish Office at 425-822-0295.

Family Mass
Required*

	Saturday 5:00 pm Mass
	Sunday 7:30 am Mass
	Sunday 9:00 am Mass
	Sunday 11:00 am Mass
	Sunday 5:00 pm Mass

Choose the Mass your Family attends most frequently (before COVID-19).

Parish Ministries

Required*

List any parish or volunteer activities that you are involved with. You may list parish, school, and community activities.

FAMILY NAME

Family's Last Name	Required*	Please provide the last name of the parent or guardian who is registering the child.
Child's Last Name	Required*	Please provide the last name of the child being registered.
Same Last Name	Required*	Is the child's LAST name the same as the family LAST name?
Child's First Name	Required*	Please list the child's first name. If your child has a nickname please include this in (parenthesis).

FAMILY CONTACT INFO

Parent/Guardian #1 Name

First Name*

Last Name*

Parent/Guardian #1 Relationship

Required*

Parent/Guardian #1 Primary Phone

Required* --

Enter the main phone number where we may reach you.

Parent/Guardian #1 Secondary Phone

Parent/Guardian #1 Email

Required*

Parent/Guardian #1 Address

Street 1*

Street 2

City*

State*

Zip*

Parent/Guardian #2 Name

First Name

Last Name

Parent/Guardian #2 Relationship

Parent/Guardian #2 Phone

Parent/Guardian #2 Email

Parent/Guardian #2 Address

Street 1

Street 2

City

State

Zip

Please list the Parent/Guardian #2 address only if it different form Parent/Guardian #1 address.

Emergency Contact

First Name*

Last Name*

In the event of an emergency and we are UNABLE TO CONTACT PARENTS OR LEGAL GUARDIANS, please provide an alternate Emergency Contact Person.

Emergency Contact Relationship

Briefly describe the emergency contact's relationship to your child.

Emergency Contact Phone

Required* --

FAMILY ORIENTATION (for CGS in-person)

Every family signing up for CGS in-person must attend one ZOOM Orientation.

Family Orientation

(for CGS in-person ONLY) *

Every family signing up for CGS in-person must attend one ZOOM orientation whether you are new to CGS or have attended in the past.

Parent Handbook

Required*

I acknowledge there is an online CGS Parent Handbook and agree to abide by the procedures and policies stated therein.

Prepare to Care

I am able to:

	Train to be a Catechist
	Volunteer in the Atrium
	Donate Materials through Amazon Wish List
	Prepare Materials at Home
	Maintain Materials (repairs, laundry, paint etc.)
	Other, please clarify below

It takes a village...we need YOU! Check any boxes you are able to help with and/or list specific skills you have.

Volunteer OTHER

Are you a skilled seamstress? A carpenter? List in detail specific skills you may have to help CGS. Thank you!

CHILD'S GENERAL INFORMATION

Child's Name

First Name*

Middle Name

Last Name*

Gender
Required*

	Male
	Female

Date of Birth

Required* //

Grade (Fall 2020)

Required*

School (Fall 2020)

Required*

School Type (Fall 2020)
Required*

	In-Person only
	Online only
	Combination of In-Person and Online

Please indicate the type of schooling your child will be participating in for Fall 2020.

Baptism
Required*

	Yes
	No

Has your child been baptized?

First Communion
Required*

	Yes
	No
	This is the year! I understand that I must fill out a separate First Eucharist Sacramental Preparation form.

Has your child received their First Communion?

Additional Information

Required*

Please share any insight about your child that may help us. Is your child shy? Outgoing? Do they acclimate well to change? Do they do well in groups?

ATRIUM SESSIONS

1st Choice	Required*	See Information section above regarding age level and atrium sessions.
2nd Choice	Required*	Choose an ALTERNATE day as we have limited sessions and numerous requests.
Scheduling		List anything specific to your family such as carpooling with a friend, sibling needs etc.

CHILD'S MEDICAL INFORMATION

All information on this form will be kept confidential and only used in case of medical need or emergency.

Child's Health
Required*

I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. **

	Yes
	No

Emergency Medical Treatment
Required*

In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital of a doctor. **

	Yes
	No

Parent/Guardian Name

First Name*

Last Name*

Today's Date

Required* //

Insurance Carrier

Required*

Policy Number

Required*

Primary Care Physician Name

Required*

Primary Care Physician Phone

Required* --

Medications

List any medications your child is currently taking, including dosage and purpose.

Allergies, dietary restrictions, diagnosed conditions etc.

Please list any information pertinent to the health and safety of your child.

Contagious Disease Exposure
Required*

Has your child recently been exposed to contagious disease or conditions, such as mumps, measles, chicken pox etc.?*

	Yes
	No

Covid-19 Screening
Required*

I agree to have my child screened for fever and/or health conditions prior to entering the atrium each week that atrium is in session.*

	Yes
	No

MEDIA RELEASE

I/We, the parent(s)/guardian(s) of the youth named on this form, authorize and give full consent, without limitations or reservation, to Holy Family Catholic Parish, to publish any photograph or video in which the above-named student appears while participating in any program associated with Holy Family Catholic Parish and its ministries. There will be no compensation for use of any photograph or video at the time of publication or in the future.

I/We agree with the above statement.
Required*

	Yes
	No

Parent/Legal Guardian #1

Required*

Characters remaining:
My typed name constitutes my electronic signature and legal consent. In the event a paper signature is required, I agree to submit the appropriate form.

Parent/Legal Guardian #2

Characters remaining:

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FAITH FORMATION 2020-21 Catechesis of the Good Shepherd

Application Form for Catechesis of the Good Shepherd (CGS)

If you are NOT a Holy Family parishioner please visit: Welcome Newcomers

Online Giving