FAITH FORMATION 2021-22 CGS Application

for Catechesis of the Good Shepherd

At this time all CGS sessions are FULL.

If you would like to be placed on a waitlist, please
complete and submit the application form.

How to register for *Catechesis of the Good Shepherd:

1. Complete FAITH FORMATION 2021-22 CGS Application. Fill out one form per child.

2. Complete FAITH FORMATION 2021-22 First Eucharist Preparation if your child will be preparing for First Eucharist in Spring 2022. Fill out one form per child.

3. Complete the FAITH FORMATION 2021-22 CGS Payment Form. Fill out one form for all the children you are registering.

Registration is ONLINE only.

-If you are not officially registered at Holy Family; please take a moment and visit our Welcome Newcomers page.

-At this time, applications will be prioritized from parishioners who have been registered for six months or more.

-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.

-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 prep, previous enrollment, attendance records, and changing Covid-19 and Delta variant regulations, etc.

FAMILY NAME

Family Last Name	Required*	Write the last name of the parent/guardian registering the child.
Same Name?	Required*	Is the child's LAST name the same as the family LAST name?
Child's Last	Required*	Write the LAST name of the child being registered.
Child's First	Required*	Write the child's FIRST name, include nickname in (parenthesis).

FAMILY CONTACT INFO

Parent #1 Name

First Name*

Last Name*

Relationship

Required*

Please indicate the relationship of parent/guardian #1 to the child (Mother, Father, Grandparent, Relative, Other)

Parent #1 Phone #1

Required* --

Enter the main phone number where we may reach you.

Parent #1 Phone #2

Parent #1 Email

Required*

Parent #1 Address

Street 1*

Street 2

City*

State*

Zip*

Parent #2 Name

First Name

Last Name

Relationship

Please indicate the relationship of parent/guardian #2 to the child (Mother, Father, Grandparent, Relative, Other)

Parent #2 Phone

Parent #2 Email

Parent #2 Address

Street 1

Street 2

City

State

Zip

Please list the Parent/Guardian #2 address only if different from 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.

Relationship

Briefly describe the emergency contact's relationship to your child (Neighbor, Friend, Aunt, Uncle, Grandparent etc.)

Emergency Phone

Required* --

Please provide a phone number where we may reach your emergency contact in case of an emergency. Thank you!

FAMILY PARISH

Parish Ministries

Required*

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

Parishioner Status
Required*

	Yes
	No
	I am not sure

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

Registration Date

Required* //

Enter the calendar date your family registered at Holy Family. This will be verified by administration. Don't know? Call the Parish Office at 425-822-0295.

FAMILY ORIENTATION

	Every family is required to attend one orientation in-person or on Zoom; date and time to be determined.
Parent Orientation	Required*	I agree to attend an IN-PERSON or ZOOM family orientation. Date and time are still to be determined.
Parent Handbook	Required*	I agree to abide by the procedures and policies stated in the CGS Parent Handbook which may be found online.

CHILD'S GENERAL INFORMATION

CGS sessions are scheduled based on the number of children enrolled and the number of catechists available. Sessions may be added or cancelled, based upon the needs of the community.

Child's Name

First Name*

Middle Name

Last Name*

Date of Birth

Required* //

Gender
Required*

	Male
	Female

Grade (Fall 2021)

Required*

School (Fall 2021)

Required*

Baptism
Required*

	Yes
	No

Has your child been baptized?

First Communion
Required*

	Yes
	No
	This is the year!

Does your child need to prepare for First Communion this year?

My child is...

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? This information is confidential and will NOT be shared.

WAITLIST ONLY

ALL of our sessions are currently full. When there is an opening, you will be notified in the order that your application was received. We thank you for your patience and prayers!

WAITLIST

Please place my child's name on the waitlist for CGS.

ATRIUM SESSIONS

	Your child's name will be placed on a waitlist. Please indicate below, the session that you would prefer for your child when there is an opening.
1st Choice	Please select your 1st choice *
2nd Choice		Choose an ALTERNATE day as we have limited sessions and numerous requests.
Family Needs		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 Treatment
Required*

	Yes
	No

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 or a doctor. *

Parent/Guardian Name

First Name*

Last Name*

Today's Date

Required* //

Insurance Carrier

Required*

Policy Number

Required*

Physician Name

Required*

Please write the name of your child's primary care physician

Physician Phone

Required* --

Please write the phone number of your child's primary care physician

Medications

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

Medical Information

Please list any information pertinent to the health and safety of your child such as allergies, dietary restrictions, diagnosed medical conditions etc. All information is confidential.

Disease Exposure
Required*

	Yes
	No

Has your child recently been exposed to contagious disease or conditions, such as mumps, measles, chicken pox, covid-19, delta variant, etc.?

If above is "yes"

If the answer above is "yes" please describe the specific circumstances here.

Health Screening
Required*

	Yes
	No

I agree to screen my child for fever and/or health conditions prior to atrium each week.

In case of Illness
Required*

	Yes
	No

I agree that if my child demonstrates symptoms of illness during the atrium session I, or my emergency contact will be readily available to pick them up.

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
Required*

	Yes
	No

Parent/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/Guardian #2

Characters remaining:

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FAITH FORMATION 2021-22 CGS Application

for Catechesis of the Good Shepherd

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