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CCD Registration 2021-2022
Confraternity of Christian Doctrine for Grades K-8
First class will be held September 12
Class Time: 9:30-10:45
Tuition is $25 per FAMILY
You can pay by credit card here:
https://checkout.square.site/merchant/2F0MQEZ7JS6N6/checkout/W4SACLZZSMABPSNTSYN7UZM4
You can send in a check via the collection basket with your child(ren)'s first and last name(s)
Please make check payable to: St. Mark CCD
PLEASE FILL OUT 1 FORM PER STUDENT
QUESTIONS?? Dianne Shuntich, CCD Coordinator, 859-582-7655 -
dshuntich@live.com
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* Indicates required question
"Let the little children come to me" - Matthew 19:14
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student's Birthday
*
MM
/
DD
/
YYYY
Student's School
*
Your answer
Student's Grade Level in 2021-2022
*
K
1
2
3
4
5
6
7
8
Required
Does your child require a homeschooling option for 2021-2022?
*
Yes
No
Required
Sacraments student has received - 2nd graders must send in copy of their Baptismal certificate in order to register
*
Baptism
Reconciliation
1st Communion
None
Required
Please list any allergies, special needs, reading or writing difficulties, learning disabilities, ADHD, shyness - anything that teachers may need to know to assist your child in learning and being comfortable in the classroom.
Your answer
Parent 1 Name
*
Your answer
Parent 1 Phone
*
Your answer
Parent 1 Email
*
Your answer
Parent 2 Name
Your answer
Parent 2 Phone
Your answer
Parent 2 Email
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip
*
Your answer
Is your family registered in St. Mark Parish?
*
Yes
No
Required
If your family is not registered in St. Mark Parish, where are you registered?
Your answer
I would be willing to volunteer as a:
Catechist (Teacher)
Assistant Catechist (Teacher's Aide)
Room Parent
Technical Assistant
Other:
Will you assure that your child attends class regularly?
*
Yes
No
Other:
Required
Will you help your child with homework assignments or at-home follow-up activities?
*
Yes
No
Other:
Required
Will you attend Mass regularly with your child?
*
Yes
No
Other:
Required
Will you participate in the sacraments of Reconciliation and Eucharist with your child, once they are able to?
*
Yes
No
Other:
Required
Do you have any comments or concerns?
Your answer
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