CCD Registration Form

For all NEW children registering, please complete 1 CCD Registration form for each child.

For all RETURNING children registering, please complete 1 Returning Registration form for each child.

Once completed please click the registration fee box to complete the payment process for the entire family.

Registration fee: $20 per child, $50 per family with 3+ children, additional donations welcome to cover cost of materials.

If volunteering as a catechist, the registration fee is waived. Volunteers welcome! "We don't want your money, we want you!" - quote from Lisa ;)

Disciple's Name

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Preferred Name Please enter valid data.

Date of Birth Please enter valid data.

Grade REQUIRED Please fill out this field.

Sacrament Needs Baptism First Reconciliation (Confession) First Communion Confirmation

Primary Contact First & Last Name REQUIRED Please fill out this field. Please enter valid data.

Relationship to child REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Secondary Contact First & Last Name Please enter valid data.

Relationship to child Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Emergency Contact - Name and Phone Number Please enter valid data.

Special Needs/Allergies/Medical Conditions/Physical Restrictions

For 4th Grade and up I give my Disciple permission to leave the Parish Hall without supervision after class. Yes No

All Disciples in Groups Kinder - 3rd must be signed in and out by a Parent.

Are you a registered member of St. Edward Parish? Yes No

If no, at what Parish are you registered at? Please enter valid data.

Would you like a registration form emailed to you? Please enter valid data.

I give permission to St. Edward to photograph my Disciple during church related activities and to use those photos on our website, bulletin boards, newsletters, etc. Yes No

PARENTAL PERMISSION AND RELEASE AND WAIVER OF LIABILITY
I agree to have my Disciple participate in the parish CCD program.

On behalf of the above named Disciple, I do herby release, waive, indemnify, hold harmless and defend the Roman Catholic Bishop of Las Cruces, and his successors, the Diocese of Las Cruces, St. Edward Parish, its officers, directors and agents, volunteers, chaperones, and/or representatives thereof from all damages and/or liability arising from or in connection with any activities undertaken as part of in relation to the Spiritual Formation program(s) of St. Edward, San Jose, Our Lady of Grace, Cristo Rey or the Diocese of Las Cruces.

I have read and agree to the above information. I agree

St. Edward Roman Catholic Church

Carlsbad, New Mexico

CCD Registration Form

CCD registration form For New child