St. Peter Religious Education Registration Form

St. Peter Religious Education Registration Form

St. Peter Religious Education Registration Form
1st – 5th Grade (Grados 1° – 5°)
2016-2017
Mother (Madre):__________________________________ Father (Padre): _________________________________________
Address (Dirección): __________________________________ City (Ciudad): ___________________ Zip: _____________
Primary Phone
Alternate Phone
Teléfono primero: ________________________________ Teléfono alternativo: __________________________________
E-Mail: ___________________________________________________________________________________________________
Emergency Contact
Phone
Contacto de emergencia: ______________________________________ Teléfono: __________________________________
Student Information (Información del estudiante):
Child’s Name (First and Last)
Nombre formal de niño/a (nombre y
apellido)
Grade
Grado
Baptized Catholic?
If yes, list name and city of parish
¿Bautizada Católica? Si sí, escriba el
nombre y la ciudad de la parroquia
Needs 1st
Communion?
¿Necesita
Primera
Comunión?
□ Yes (Sí) □ No
□ Yes (Sí) □ No
□ Yes (Sí) □ No
□ Yes (Sí) □ No
___ Sí
___ No
Yo necesito libros en español también (necesario si los padres no leen ingles)
Requirements (Requisitos):
Parents are required to attend 6 sessions of Adult Catechesis classes throughout the school year.
Parents are also required to attend and take their children to Mass every Sunday or Saturday
evening.
I/We, _______________________________________________________ agree to this requirement.
Los padres están obligados a asistir a 6 clases de catequesis de adultos durante todo el año
escolar. Los padres también están obligados para asistir y llevar a sus hijos a Misa cada domingo o
sábado por la tarde.
Estoy/Nosotros, _____________________________________________, de acuerdo con este
requisito.
Students are required to attend Mass every Sunday or Saturday evening.
I/We, __________________________________________________________, agree to this requirement.
Los estudiantes están obligados a asistir a misa cada domingo o sábado por la tarde.
Estoy/Nosotros, _____________________________________________, de acuerdo con este
requisito.
Over, please (Por favor llene la parte trasera)
Important: If your child(ren) needs First Holy Communion, you must submit a copy of their
Baptismal Certificate with this registration in order for them to receive the Sacrament.
Importante: Si su hijo(s) necesita Primera Comunión, usted debe presentar una copia de su
certificado de bautismo con este registro en orden para recibir el Sacramento.
Does your child(ren) have medical issues or learning disabilities about which we should know? If yes, please list.
¿Alguno de sus hijos tienen problemas médicos o problemas de aprendizaje que debemos saber? Si sí, escriba por favor.
Are you interested in volunteering for RE? __ Yes
__ No
__ Maybe
¿Está interesado en ser voluntario para la educación religiosa? __ Sí __ No __ Tal vez
Permission & Medical Release (Permiso y Autorización Médica)
Permission & Medical Release: I agree on behalf of myself, my child(ren) named as minor participant herein, or our heirs, successors, and
assigns, to hold harmless and defend St. Peter Catholic Parish, its officers, directors, employees and agents, and the Archdiocese of Denver,
its employees and agents, chaperones, or representatives associated with the activities, form any claim arising from or in connection with
my child participating in the activities, or in connection with any illness or injury (including death) or cost of medical treatment in
connection therewith, and I agree to compensate St. Peter Catholic Parish, its officers, directors and agents, and the Archdiocese of Denver,
its employees and agents and chaperones, or representative associated with the activities for reasonable attorney’s fees and expenses which
they may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of St.
Peter Catholic Parish or the Archdiocese of Denver.
Parent/Guardian Signature
Date
Firma de madre o padre:
__________________________________________ Fecha: __________________
Supply List for Students (Lista de suministros necesarios para estudiantes)
Every student will need (Cada estudiante tendrá que):

1-inch 3-ring binder with pockets
1 pulgada de carpeta de 3 anillos con bolsillos

3-ring pencil bag (to hold flash cards)
Bolso del lápiz para carpeta de 3 anillos (para sostener las
tarjetas de memoria)
Students whose last name begins with
(Estudiantes cuyo apellido comienza con):

A-K box of tissue
A-K cuadro de tejido

L-Q small bottle of hand sanitizer
L-Q pequeña botella de desinfectante de manos

R-Z sanitizing wipes
R-Z desinfección toallitas
Office Use Only
Cost (Costo):
 $50 for 1 child ($50 por un niño)
 $90 total for 2 or more
($90 total por 2 o más niños)
 Additional $20 per child
for books in Spanish
($20 más por cada niño
por los libros en español)
Fee Required _________ Fee Paid __________ Baptismal Certificate _________