OLPH Parish CCD Registration Form (2021-2022)

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THIS APPLICATION IS SPECIFICALLY FOR OUR LADY OF PERPETUAL HELP PARISH IN DALY CITY, CALIFORNIA

**Please complete a separate application for each student.**

NOTE: All students must submit a current copy of their baptismal certificate with their registration. Students receiving the sacrament of Confirmation must submit a copy of their Baptismal & First Holy Communion certificates.

Registration Dates: June 1 to August 31, 2021

Registration Fee for 2020-2021: $60 per student

(If you have any questions, please contact olphreoffice@gmail.com)

Email *

Untitled Title

Is this student a new student or a returning student? (Check one) *

New Student

Returning Student

Student's Full Name *

Student's Birthdate *

YYYY

Student's Address *

Father's Full Name *

Father's Contact Number *

Father's E-mail Address *

Mother's Full Name *

Mother's Contact Number *

Mother's E-mail Address *

Marital Status of Parents (Check One) *

Married

Divorced

Separated

Single Parent

Other

If the parents are divorced or separated, who has custody? *

Joint

Father

Mother

Not Applicable

Other

Name of Emergency Contact (NOT A PARENT) *

Phone Number of Emergency Contact *

Does the siblings who will also be attending CCD this year? *

Yes

If yes, how many? *

Not Applicable

Option 6

If yes, please list the siblings names. (If not applicable, please fill in "Not Applicable".) *

What grade will the student be entering in Public School? (Check One) *

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

High School

What was the previous CCD class the student attended? *

The student is a new student

1A: Preparation for First Communion - English (Grades K-1)

1B: Preparation for First Communion - English (Grades 2-4)

1S: Preparation for First Communion - Spanish

2A: First Communion English (Grades 1-2)

2B: First Communion English (Grades 3-4)

2C: First Communion English (Grades 5-6)

2S: First Communion Spanish

RCIC: First Communion (Grades 6 and up)

3/4: Faith Formation (Grades 3-4)

5/6: Faith Formation (Grades 5-6)

7: Faith Formation - Morality

8: Preparation for Confirmation

9: Confirmation

When was the student baptized? *

YYYY

Where was the student baptized? (Include Parish and Location) *

List Baptismal Sponsors/Godparents *

Has the student already received First Communion? *

Yes

If yes, when did the student receive First Communion and where? (Include Parish and Location) *

A copy of your responses will be emailed to the address you provided.

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