CGS Level II Returning Student Registration - Mondays - St. John the Evangelist-St. Charles Borromeo Parish

Child's Full Name REQUIRED Please fill out this field. Please enter valid data.

I confirm that the following information remains the same as on the original registration: REQUIRED Yes No, I need to update the following information below. Please fill out this field.

Home Address

Please include both street address and if applicable, PO Box number

Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Best Contact Phone Number Please enter a phone number.

Best email contact Please enter an email address.

Child's Date of Birth Please enter a date.

Best email contact Please enter an email address.

My child has the following allergies: Please enter valid data.

Please list the name(s) of anyone who has permission to pick up your child and provide phone contact information.

The following individuals have permission to pick up my child from the atrium. I have listed the best contact phone or each individual. REQUIRED Please fill out this field.

Procedure to be followed in an emergency.

I understand that in case of an emergency, "911" will be called and an ambulance may be called by the Catechist or her designate.

In case of accident or illness, I request that the catechist or assistant of the CSG program contact me. If I am unable to be reached, I hereby authorize this representative to make whatever arrangements are necessary for the proper treatment of my child. I agree to assume the financial responsibility for any diagnosis, treatment and/or medication deemed necessary.

To the best of my knowledge all information given is accurate and complete. I hereby consent to, and authorize the necessary procedures that have been stated above.

I Agree Please select this field.

Whenever emergency medication is
administered, "911" will be called without exception.

I Agree Please select this field.

Parents are asked to commit to some service to the program each year. Please check the best ways for you to share your time & talents. REQUIRED Assistant in atrium Substitute assistant in the atrium Contact other families about CGS family events. Contribute additional food or supplies toward family events Help to decorate for CGS family events. Other ideas. Please fill out this field.

Please specify other ways you might be able to share your time & talents with CGS. Please enter valid data.

PLEASE NOTE: In order to register as a parishioner you must be officially registered with the parish and attend Mass regularly in St. John the Evangelist-St. Charles Borromeo Parish.

I will be registering my child as a REQUIRED Parishioner Non-parishioner Please fill out this field.

My registration fee will be submitted by: REQUIRED Please fill out this field.

St. John the Evangelist (Pawling, NY)
St. Charles Borromeo (Dover Plains, NY)

CGS Level II Returning Student Registration - Mondays

Catechesis of the Good Shepherd Returning Student Registration - Mondays