SJB - C.C.D. Registration  2021-2022
The upcoming CCD year will be in-person on the Cathedral of St. John Berchmans campus. Our C.C.D. classes are on Sunday from 9:15 am to 10:45 am, beginning August 22, 2021 and ending on May 1, 2022 with the celebration of First Holy Communion and Confirmation.

Fees: Due by August 20, 2021
$35 per child
First Holy Communion Preparation $25
Confirmation Preparation $25

Contact: Gregory Laroux
Director of Religious Education
Email: glaroux@sjbcathedral.org
Tel#:   318-221-5296 ext. 105
Cell#: 219-508-7215

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Email *
                                                                Year of St. John Berchmans
Father's First & Last Name
Father's Email Address
Father's Mailing Address
Father's Cellphone Number (Format: 3182215296)
Mother's First & Last Name
Mother's Email Address
Mother's Mailing Address
Mother's Cellphone Number (Format : 3182215296)
Emergency Contact's First & Last Name *
Emergency Contact's Number (Format:  3182215296) *
Person's First & Last Name allowed to pickup your child other than parent.
Person's Cellphone Number allowed to pick up child other than parent. (Format: 3182215296)
Photo, Video, Social Media and Promotional Release *
Protecting God's Children *
CHILD #1  INFORMATION
Child #1 - First & Last Name *
Child #1 - Primary Address *
Child #1 - Gender *
Child #1 - Date of Birth *
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Child # 1 - School Attending for 2021-2022 *
Child #1 - Grade *
Child #1 - Allergies *
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Child #1 - Medical Concerns or Special Needs                        (Note: If your child takes medication, enter here.)
To register another child, please complete the information under CHILD #2. Otherwise go to the end of this form and click on Submit.
CHILD #2 INFORMATION
Child #2 - First & Last Name
Child #2 - Primary Address
Child #2 - Gender
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Child #2 - Date of Birth
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Child #2 - School Attending for 2021-2022
Child #2 - Grade
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Child #2 - Allergies
Child #2 - Medical Concerns or Special Needs                        (Note: If your child takes medication, enter each medication here.)
To register another child, please complete the information under CHILD #3. Otherwise go to the end of this form and click on Submit.
CHILD #3 INFORMATION
Child #3 - First & Last Name
Child #3 - Primary Address
Child #3 - Gender
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Child #3 - Date of Birth
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DD
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YYYY
Child #3 - School Attending for 2021-2022
Child #3 - Grade
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Child #3 - Allergies
Child #3 - Medical Concerns or Special Needs                        (Note: If your child takes medication, enter here.)
To register another child, please complete the information under CHILD #4. Otherwise go to the end of this form and click on Submit.
CHILD #4 INFORMATION
Child #4 - First & Last Name
Child #4 - Primary Address
Child #4- Gender
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Child #4 - Date of Birth
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DD
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YYYY
Child #4 - School Attending for 2021-2022
Child #4 - Grade
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Child #4 - Allergies
Child #4 - Medical Concerns or Special Needs                        (Note: If your child takes medication, enter here.)
Once you submit your child's C.C.D. registration, it will be reviewed, processed and a link for payment will be sent to your email.  Thank you for completing the registration.
A copy of your responses will be emailed to the address you provided.
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