Catechesis for Children

PARENT INFORMATION:

Parent/Guardian 1 Name REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian 2 Name Please enter valid data.

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.

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

Alternate Phone Number Please enter a phone number.

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

Alternate Email Please enter an email address.

Are you a registered parishioner of Saint Patrick Parish? REQUIRED Yes No, please send me information to register in the parish. Please fill out this field.

Emergency Contact 1 REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact 1 Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Emergency Contact 2 REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact 2 Phone Number REQUIRED Please fill out this field. Please enter a phone number.

STUDENT INFORMATION:

How many students are you registering? REQUIRED Please fill out this field.
Student 1
- Student First Name REQUIRED Please fill out this field. Please enter valid data.
- Student Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in school for 2020-2021 program year REQUIRED Please fill out this field.
- Is the child Baptized Catholic? REQUIRED Yes No Please fill out this field.
- Date of Baptism Please enter a date.
- Place of Baptism Please enter valid data.
- Has your child received First Communion and First Reconciliation? REQUIRED Yes No Please fill out this field.
- Date of First Communion Please enter a date.
- Place of First Communion Please enter valid data.
- Does your child have any special needs? REQUIRED Please fill out this field. Please enter valid data.
- Does your child have any allergies? (In case of in person classes in the future) REQUIRED Please fill out this field. Please enter valid data.
- Does your child take any medications? (In case of in person classes in the future) REQUIRED Please fill out this field. Please enter valid data.
Student 2
- Student First Name REQUIRED Please fill out this field. Please enter valid data.
- Student Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in school for 2020-2021 program year REQUIRED Please fill out this field.
- Is the child Baptized Catholic? REQUIRED Yes No Please fill out this field.
- Date of Baptism Please enter a date.
- Place of Baptism Please enter valid data.
- Has your child received First Communion and First Reconciliation? REQUIRED Yes No Please fill out this field.
- Date of First Communion Please enter a date.
- Place of First Communion Please enter valid data.
- Does your child have any special needs? REQUIRED Please fill out this field. Please enter valid data.
- Does your child have any allergies? (In case of in person classes in the future) REQUIRED Please fill out this field. Please enter valid data.
- Does your child take any medications? (In case of in person classes in the future) REQUIRED Please fill out this field. Please enter valid data.
Student 3
- Student First Name REQUIRED Please fill out this field. Please enter valid data.
- Student Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in school for 2020-2021 program year REQUIRED Please fill out this field.
- Is the child Baptized Catholic? REQUIRED Yes No Please fill out this field.
- Date of Baptism Please enter a date.
- Place of Baptism Please enter valid data.
- Has your child received First Communion and First Reconciliation? REQUIRED Yes No Please fill out this field.
- Date of First Communion Please enter a date.
- Place of First Communion Please enter valid data.
- Does your child have any special needs? REQUIRED Please fill out this field. Please enter valid data.
- Does your child have any allergies? (In case of in person classes in the future) REQUIRED Please fill out this field. Please enter valid data.
- Does your child take any medications? (In case of in person classes in the future) REQUIRED Please fill out this field. Please enter valid data.
Student 4
- Student First Name REQUIRED Please fill out this field. Please enter valid data.
- Student Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in school for 2020-2021 program year REQUIRED Please fill out this field.
- Is the child Baptized Catholic? REQUIRED Yes No Please fill out this field.
- Date of Baptism Please enter a date.
- Place of Baptism Please enter valid data.
- Has your child received First Communion and First Reconciliation? REQUIRED Yes No Please fill out this field.
- Date of First Communion Please enter a date.
- Place of First Communion Please enter valid data.
- Does your child have any special needs? REQUIRED Please fill out this field. Please enter valid data.
- Does your child have any allergies? (In case of in person classes in the future) REQUIRED Please fill out this field. Please enter valid data.
- Does your child take any medications? (In case of in person classes in the future) REQUIRED Please fill out this field. Please enter valid data.
Student 5
- Student First Name REQUIRED Please fill out this field. Please enter valid data.
- Student Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in school for 2020-2021 program year REQUIRED Please fill out this field.
- Is the child Baptized Catholic? REQUIRED Yes No Please fill out this field.
- Date of Baptism Please enter a date.
- Place of Baptism Please enter valid data.
- Has your child received First Communion and First Reconciliation? REQUIRED Yes No Please fill out this field.
- Date of First Communion Please enter a date.
- Place of First Communion Please enter valid data.
- Does your child have any special needs? REQUIRED Please fill out this field. Please enter valid data.
- Does your child have any allergies? (In case of in person classes in the future) REQUIRED Please fill out this field. Please enter valid data.
- Does your child take any medications? (In case of in person classes in the future) REQUIRED Please fill out this field. Please enter valid data.
Student 6
- Student First Name REQUIRED Please fill out this field. Please enter valid data.
- Student Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in school for 2020-2021 program year REQUIRED Please fill out this field.
- Is the child Baptized Catholic? REQUIRED Yes No Please fill out this field.
- Date of Baptism Please enter a date.
- Place of Baptism Please enter valid data.
- Has your child received First Communion and First Reconciliation? REQUIRED Yes No Please fill out this field.
- Date of First Communion Please enter a date.
- Place of First Communion Please enter valid data.
- Does your child have any special needs? REQUIRED Please fill out this field. Please enter valid data.
- Does your child have any allergies? (In case of in person classes in the future) REQUIRED Please fill out this field. Please enter valid data.
- Does your child take any medications? (In case of in person classes in the future) REQUIRED Please fill out this field. Please enter valid data.

REMOTE LEARNING THROUGH ZOOM:

Due to the risk of Covid-19 in our local community, we will currently be offering Religious Education as a remote learning program with classes on Zoom video conferencing. Students must be able to access the internet, a device and the Zoom website/app at home for this remote learning program.

Do you have home internet for your student to be able to participate in religious education on Zoom. REQUIRED Yes, I have home wifi. Yes, I have internet through my smartphone. No, I do not have home internet of any kind for my child to participate. Please fill out this field.

What type of device will your child use for Zoom Religious Ed. classes? REQUIRED Desktop computer or laptop Tablet Smartphone We do not have a device to participate. Please fill out this field.

Does your home device have a web camera and microphone? Camera Microphone We do not have either of these options and cannot participate.

Do your children each have a separate device that they can use for zoom classes or will your children need to share one device? Each of my children have their own device to use in Zoom. This will allow them to be in their own separate Zoom class at the same time if program scheduling allows. My children will need to share one device. So their classes will need to be at different days/times.

I understand that my child will be expected to participate in Zoom classes over the internet from home for Religious Education.
My child's name will need to appear on the screen during their weekly class.

I will ensure that my child is engaged in their online class and have a place appropriate to learn without distractions.

I understand that my child will be expected to appear on camera during each Zoom class and be able to respond with the microphone in the group discussion and by the public chat option.

I understand that the Zoom classes may be recorded for Safe Environment purposes. These recordings will not be released to the public and are for the official use of the church.

Due to students sharing home devices, grade-level classes may be scheduled at different times. Classes will be scheduled for the same time on the weekend and weekday evenings throughout the whole year. A schedule will be sent out after the August 30th registration deadline.

I Agree Please select this field.

FEES:

Due to our program being a remote learning program, have reduced the fees from previous years.
The registration fee for each student is $30.
If students are in a sacramental preparation year, there will be an additional $20 fee.
Please see the payment instructions at the bottom of this page on how to make your payment. We ask that you please pay your fees within 30 days of registration. Thank you.

CONSENT:

I hereby authorize leaders of the event or program to use organizational or group-sponsored means to contact my child via Zoom, email, and phone by the listed contact information above.

I Agree Please select this field.

The Diocese requires that all students be trained on Safe Environment topics of the approved Circle of Grace curriculum. If parents or guardians do not wish your child to receive this instruction, you must fill out the Safe Environment Opt-Out Form. May we instruct your child(ren) in the Safe Environment topics?

Safe Environment REQUIRED Yes No Please fill out this field.

I hereby give my express and unqualified approval for my child’s name, voice/verbal statements, written statements, portraits and/or video to appear in diocesan publicity, publications and/or public relations activities. The use of my child’s voice/verbal statements, written statements, portraits and/or video may be used according to the sole discretion of the Diocese and is considered the property of the Diocese in perpetuity. No consideration, monetary or otherwise, shall be paid.

Media Consent REQUIRED Yes, I do give media consent No, I do NOT give media consent Please fill out this field.

The information provided in this form is correct to the best of my knowledge. I understand that in e-signing this document, I authorize verification of this information through communication with any person or organization named herein. I release from liability any person or organization which provides such information as well as the Diocese and the Parish/School. Furthermore, in the event of any changes in the above information, I shall provide the same in writing to the Parish.

Parent/Guardian Signature REQUIRED Please fill out this field. Please enter valid data.

Saturday's	10am-11am	First Year Confirmation
Saturday's	11am-12pm	Older Sacramental Prep (2nd year)
Saturday's	12pm-1pm	Fifth/Sixth Grade

Sunday's	1pm-2pm	First Grade
Sunday's	1pm-2pm	Second/Third Grade
Sunday's	2pm-3pm	Second Year Confirmation
Sunday's	2pm-3pm	First Communion (2nd year)

Thursday's	7pm-8pm	Fourth Grade

Saint Patrick Catholic Church

Salt Lake City, UTah

Catechesis for Children

Online Registration for Religious Education Online Zoom classes:

ZOOM CLASS SCHEDULE:

Documents

Online Registration Form

Religious Education Fees

PAY BY CHECK:

PAY BY CREDIT OR DEBIT CARD:

Contact: