OUR LADY OF VICTORY 2021 – 2022 CCD REGISTRATION – 1st Year (7-12 years old).
YOU MUST KNOW HOW TO READ AND WRITE

REGISTRATION FORMS WILL NOT BE ACCEPTED WITHOUT THE REQUIRED DOCUMENTS AND THE REGISTRATION FEE.

REQUIRED DOCUMENTS: BIRTH CERTIFICATE AND BAPTISM CERTIFICATE

THE REGISTRATION FEE OF $ 70.00 IS NON-REFUNDABLE.

ADDITIONAL DOCUMENTS TO BE COMPLETED: YOUTH ANNUAL AUTHORIZATION R22 AND YOUTH CODE OF CONDUCT AGREEMENT R14 / 15

FOR MORE INFORMATION PLEASE CONTACT JAMIE XIONG 559-797-0227, jamie_xiong14@hotmail.com

Sign in to Google to save your progress. Learn more
Email *
Sacraments Child Needs *
Required
Name of School *
Grade in School *
CHILDS FULL NAME *
Gender *
Age *
Child resides at *
City *
 Zip *
Childs Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
Date of Baptism *
MM
/
DD
/
YYYY
Church of Baptism Location *
Mother’s Maiden name noted on Birth certificate *
Cell # *
Fathers Full Name *
Cell #
Email Address
Child lives with *
Name of Legal Guardian *
Cell # *
Email Address *
Emergency contact (Other than Legal Guardian) *
Relationship *
Home/Cell Phone Number *
Does your child have any medical conditions or learning disabilities? Such as allergies, visual or hearing problems, special needs, etc. that you think we should know which may be relevant to your child’s health and safety or health and safety of others? *
If yes, please explain below
Does your child carry medication(s) on them? *
I affirm that I will email or take the required documents to the parish office. *
Type your name
I understand that if I do not meet the requirements it is possible that my child will not be enrolled in religious education classes. *
Type your name
I understand that it is my responsibility to bring or send all the requirements and inform myself that my child is enrolled in the program. *
Type your name
Signature *
Type your name
I've made the donation through PayPal *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms