Youth Religious Education Registration 2023-2024 grades 6th - 12th
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Select Program *
必須
Family Last Name *
Student's Information
Student's  Name *
Birthdate *
YYYY
/
MM
/
DD
Grade *
Place of Birth *
Student's email (non school email) *
Has the student been Baptized? *
必須
If yes, where (Parish)?
Has the student received First Communion? *
必須
If yes, where (Parish)?
Parent Information
Parent/Guardian Name *
Mailing address: *
Parent/Guardian Mobile # *
Parent/Guardian email: *
Emergency Contacts (other than parent/guardian)
Please provide 2 Contacts : please include their names, phone numbers, and relationship to your child. *
Family Doctor: Please provide name and phone number *
Medical Information
This information is and will be kept confidential. This information will only be released to medical personnel in the event your child requires medical attention.

Student's Medical/Special Needs/ Allergies: (please list all medical, special needs, or allergies, if none write None) *
Medications: (if none, write None) *
Authorization to provide Medical Services and Release
If you or your emergency contact cannot be reached in an emergency and if in the judgment of the Parish authorities, immediate medical and/or hospital attention is required, do you authorize the Parish authorities to send your child, properly accompanied, to an available hospital or doctor, and do you authorize the treatment of your minor child by a qualified and licensed medical doctor in the event of a medical emergency when, in the opinion of the attending doctor, it may endanger his/her life, cause physical disability or undue discomfort if delayed? This consent is granted only after a reasonable effort has been made to reach you. *
必須
Authorization to enroll in Religious Education or Youth Ministry
Parent/Guardian: I authorize the enrollment of my child in the Religious Education and Youth Ministry Program including the sacrament program at St. Catherine Labouré Catholic Church. *
必須
Authorization to Take, Release and Publish Photographs  Untitled Title
Parent/Guardian: I authorize the staff of St. Catherine Labouré Catholic Church to photograph, publish and post photographs of my child participating in parish activities for the purpose of creating a pictorial history of the parish program. I acknowledge that St. Catherine Labouré may use these photographs/videos/recordings in print or electronically, for the purposes of information, publicity, and/or advertising about church related activities. Names of individuals and families will not be used unless prior authorization is requested  (Please initial or write your name).* *
Tuition Fees
Due at the time of registration
$75.00 (for Year 1 students) + $35.00 Sacramental fee if you are making a sacrament this year (Year 2 students pay $110).
Please make your payment online, visit www.stcatherinelaboure.net, click DONATE ONLINE and go to “Payment” section to enter payment/student information. Then send a picture of payment receipt to youth@stcatherinelaboure.net along with your child's name.

Please type in Signature *
Registration will be complete once Tuition has been received and a copy of Baptismal Certificate has been turned in. If you prefer to make a cash payment, please come in to the Parish office located at 4124 Mount Abraham Ave, San Diego CA 92111. Fees for Year 1 students is $75. Fees for Year 2 students is $110.
If you have any questions please email me at youth@stcatherinelaboure.net
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