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St. Martin de Porres
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St. Joseph Catholic Church
Livingston,TX-
Diocese of Beaumont
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Bulletin
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Sacraments
CCD Program
Adult Education
St. Martin de Porres
CCD Registration
Sacraments & Education
Sacraments
CCD Program
St. Joseph Youth Group
CCD Registration
Adult Education
The maximum number of form submissions has been reached. This form is currently not available.
CCD, or religious education classes, are held every Wednesday from 6:00pm to 7:30pm in the Family Center. The registration fee to enroll your child/children is
$50 per child for the first two children, and $25.00 for each following child
.
Payment is due before your child/children's first class.
If you have any questions, please contact the Office of Religious Education at (936) 967-8385.
To begin the registration of your child/children in the CCD, or religious education class, program, please complete the following form.
Family Name
Please enter valid data.
Mailing Address
Please enter valid data.
City
Please enter valid data.
Zip Code
Please enter valid data.
Parent's Information
Father's Name
Please enter valid data.
Religion of Father
Please enter valid data.
Father's Home Phone #
Please enter valid data.
Father's Cell Phone #
Please enter valid data.
Can we send you a text message?
None
Yes
No
Father's Email Address
Please enter valid data.
Mother's Name
Please enter valid data.
Mother's Maiden Name
Please enter valid data.
Religion of Mother
Please enter valid data.
Mother's Home Phone #
Please enter valid data.
Mother's Cell Phone #
Please enter valid data.
Can we send you a text message?
None
Yes
No
Mother's Email Address
Please enter valid data.
Who does the Child live with?
None
Both Parents
Father
Mother
Other
If other is selected, please tell us who the Child resides with.
Are you registered at St. Joseph Parish?
None
Yes
No
Emergency Contacts
Emergency Contact Name
Please enter valid data.
Emergency Contact Relationship
Please enter valid data.
Emergency Contact Phone #
Please enter valid data.
Emergency Contact 2 Name
Please enter valid data.
Emergency Contact 2 Relationship
Please enter valid data.
Emergency Contact 2 Phone #
Please enter valid data.
Please read the following statement carefully and acknowledge below:
TO WHOM IT MAY CONCERN: As a parent/guardian, I do hereby authorize the treatment by a qualified and licensed Medical Doctor in an emergency which, in the opinion of the attending physician, may endager his/her life, cause disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me.
I have read and acknowledge the above statement.
REQUIRED
Yes
Please fill out this field.
Child 1
Child's Full Name
Please enter valid data.
Date of Birth
Please enter valid data.
Grade
Please enter valid data.
Name of School Child currently attends
Please enter valid data.
Please indicate which Sacraments are needed:
Baptism
Reconciliation
Eucharist
Confirmation
Does your child have any medical, learning, or social problems we should be aware of?
None
Yes
No
If the above question was answered "Yes", please list any issues.
Child 2
Child's Full Name
Please enter valid data.
Date of Birth
Please enter valid data.
Grade
Please enter valid data.
Name of School Child currently attends
Please enter valid data.
Please indicate which Sacraments are needed:
Baptism
Reconciliation
Eucharist
Confirmation
Does your child have any medical, learning, or social problems we should be aware of?
None
Yes
No
If the above question was answered "Yes", please list any issues.
Child 3
Child's Full Name
Please enter valid data.
Date of Birth
Please enter valid data.
Grade
Please enter valid data.
Name of School Child currently attends
Please enter valid data.
Please indicate which Sacraments are needed:
Baptism
Reconciliation
Eucharist
Confirmation
Does your child have any medical, learning, or social problems we should be aware of?
None
Yes
No
If the above question was answered "Yes", please list any issues.
Media Release Authorization
St. Joseph Parish will not photograph, videotape, and/or voice tape individuals in its programs without consent. This form allows you to make known your wishes.
Please click the appropriate box below to indicate your wishes for your child:
I DO give permission for the personnel of St. Joseph Parish to photograph, videotape, and/or voice tape my child/children (or allow area news reporters to do the same) for any purpose.
Yes
I DO NOT give permission for the personnel of St. Joseph Parish to photograph, videotape and/or voice tape my child/children (or allow area news reporters to do the same) for any purpose.
No
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