CCD Registration CCD Registration 2022-2023 "*" indicates required fields Family Last Name* Returning Family?* Returning Family New Family Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneLeave blank if there is no home phone numberFamily Email Address* Name of parish where you are registered*Note - This may or may not be the parish where you attend regularly, simply where you are registered as a parishioner. This is for informational purposes only; we gladly accept all families from any parish (Catholic or not). Sacrament Information RequestWould you like us to reach out to you regarding a sacrament for your child or family member (baptism, confirmation, holy communion, marriage, etc)? Yes, please contact about sacramental needs. Select Parents In Household*Mother & FatherMother onlyFather onlyOther GuardianMother's InformationMother's Name* First Last Work Phone (Mother)Cell Phone (Mother)Email (Mother)* Mother's Religion* Father's InformationName* First Last Work Phone (Father)Cell Phone (Father)Email (Father)* Father's Religion* Other GuardianOther Guardian Relationship* Legal Guardian Grand parent Other Other Guardian Name* First Last Other Guardian Work Phone*Other Guardian Cell Phone*Other Guardian Email* Emergency Contact InformationName* First Last Phone*Relationship* Necessary Medical InformationPlease let us know if we need to be aware of any concerns. Volunteer to teach or assist?*What do these positions do? Catechist - plan, lead, and instruct the children in the Holy Faith. Assistant Catechist - assists the catechist with his duties, be available to substitute when necessary. Substitute Catechist - available to help when catechists are unavailable. Hall Monitor a.k.a "the Good Shepherds" - Help create a secure environment, assist with children go to the correct class and assist with dismissal, monitor the halls for safety and security. No, sorry can't help. But we'll pray! Yes, I can be a Catechist. Yes, I can be an Assistant Catechist. Yes, I can be a Substitute Catechist. Yes, I can be a "Good Shepherd Hall Monitor". Name of Volunteer First Last Day-Session You Can Volunteer*You may choose multiple days if no specific day is preferred. Sundays 4:30-5:45 Mondays 4:30-5:45 Grade or position you wish to volunteer for*You may choose multiple grades if no specific age level is preferred. Any Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade High School Special Education Have you completed Child Protection requirements with the Diocese of Arlington?* Yes No What parish holds your Child Protection compliance information?* Please list all parishes that you have worked or volunteered.Full Name* First Middle Last What is your full name that you completed to diocese child protection training under?Date of Birth* Month Day Year This is used to verify the name listed as being child protection compliant.How many students are you registering?*One Student ('22-'23 CCD)Two Students ('22-'23 CCD)Three Students ('22-'23 CCD)Four Students ('22-'23 CCD)Five Students ('22-'23 CCD)How many students are you registering?*One Student ('22-'23 CCD)Two Students ('22-'23 CCD)Three Students ('22-'23 CCD)Four Students ('22-'23 CCD)Five Students ('22-'23 CCD)For children of catechists.How many students are you registering?*One Student ('22-'23 CCD)Two Students ('22-'23 CCD)Three Students ('22-'23 CCD)Four Students ('22-'23 CCD)Five Students ('22-'23 CCD)For children of assistant catechists.How many students are you registering?*One Student ('22-'23 CCD)Two Students ('22-'23 CCD)Three Students ('22-'23 CCD)Four Students ('22-'23 CCD)Five Students ('22-'23 CCD)For children of substitute catechists.How many students are you registering?*One Student ('22-'23 CCD)Two Students ('22-'23 CCD)Three Students ('22-'23 CCD)Four Students ('22-'23 CCD)Five Students ('22-'23 CCD)For children of hall monitors.Register Student 1Student 1* First Middle Last If child is called by a different name than first, please enter here. Sex* Male Female Date of Birth* Month Day Year Sacraments Received* None Baptism - Catholic Baptism - non Catholic Holy Communion Confirmation School grade student will begin in September 2022.*K123456789101112Name of school attending for 2022-2023 year.*ex. Canterbury Woods ES, Lake Braddock HS, etc CCD Session Choice*All classes are from 4:30 pm to 5:45 pm. Sunday are grades Kindergarten to High School, Monday are grades Kindergarten to 8th. Online classes are asynchronous.SundayMondaySpecial Education (Mondays)Online Only (asynchronous)Register Student 2Student 2* First Middle Last If child is called by a different name than first, please enter here. Sex* Male Female Date of Birth* Month Day Year Sacraments Received* None Baptism - Catholic Baptism - non Catholic Holy Communion Confirmation School grade student will begin in September 2022.*K123456789101112Name of school attending for 2022-2023 year.*ex. Canterbury Woods ES, Lake Braddock HS, etc CCD Session Choice*All classes are from 4:30 pm to 5:45 pm. Sunday are grades Kindergarten to High School, Monday are grades Kindergarten to 8th. Online classes are asynchronous.SundayMondaySpecial Education (Monday)Online Only (asynchronous)Register Student 3Student 3* First Middle Last If child is called by a different name than first, please enter here. Sex* Male Female Date of Birth* Month Day Year Sacraments Received* None Baptism - Catholic Baptism - non Catholic Holy Communion Confirmation School grade student will begin in September 2022.*K123456789101112Name of school attending for 2022-2023 year.*ex. Canterbury Woods ES, Lake Braddock HS, etc CCD Session Choice*All classes are from 4:30 pm to 5:45 pm. Sunday are grades Kindergarten to High School, Monday are grades Kindergarten to 8th. Online classes are asynchronous.SundayMondaySpecial Education (Monday)Online Only (asynchronous)Register Student 4Student 4* First Middle Last If child is called by a different name than first, please enter here. Sex* Male Female Date of Birth* Month Day Year Sacraments Received* None Baptism - Catholic Baptism - non Catholic Holy Communion Confirmation School grade student will begin in September 2022.*K123456789101112Name of school attending for 2022-2023 year.*ex. Canterbury Woods ES, Lake Braddock HS, etc CCD Session Choice*All classes are from 4:30 pm to 5:45 pm. Sunday are grades Kindergarten to High School, Monday are grades Kindergarten to 8th. Online classes are asynchronous.SundayMondaySpecial Education (Monday)Online Only (asynchronous)Register Student 5Student 5* First Middle Last If child is called by a different name than first, please enter here. Sex* Male Female Date of Birth* Month Day Year Sacraments Received* None Baptism - Catholic Baptism - non Catholic Holy Communion Confirmation School grade student will begin in September 2022.*K123456789101112Name of school attending for 2022-2023 year.*ex. Canterbury Woods ES, Lake Braddock HS, etc CCD Session Choice*All classes are from 4:30 pm to 5:45 pm. Sunday are grades Kindergarten to High School, Monday are grades Kindergarten to 8th. Online classes are asynchronous.SundayMondaySpecial Education (Monday)Online Only (asynchronous)CONSENT FOR ONLINE EDUCATION PLATFORMS* I give my permission for online education. I give permission for my enrolled child / children in Holy Spirit Catholic Church Religious Education to participate in the following online educational platforms for the 2022-2023 school year: Google Classroom for Education (including Meet, Hangouts and GSuite), Zoom (Meeting), email communication. If my child uses the camera and microphone features on these platforms, my permission is implied and granted. I understand online educational meetings may be recorded per diocesan policy. If I do not wish for my child to be recorded, it is my responsibility to ensure the camera/microphone is turned off. I further understand that there is a potential of third-party interference (hacking), and therefore, I will be monitoring each session. I have spoken to my child about what to do should this occur. Students/parents/guardians should not take photos, screenshots, or record any video or audio, from these conference sessions. Total CCD & Payment InformationAll children are entitled to be given an education in the holy Catholic faith. If the cost of CCD classes is a hardship, please contact the Director of Religious Education privately. Total Credit Card*Card Details Cardholder Name Δ
