About The Child
Full Name
Sacraments Completed: Please check all that apply:
Catholic Baptism
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Yes
No
Other Baptism
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Yes
No
Eucharist
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Yes
No
Reconciliation
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Yes
No
Confirmation
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Yes
No
Condition
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Baptized in St. Louis
Already in record
New registration
Select a class option
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Monday K-6 4:00pm-5:30pm
Tuesday K-6 5:30pm-7pm
Wednesday K-6 4:00pm-5:30pm
Sunday Family Catechesis K-12 9am Spanish
Name of School
Special needs?
Medical, Allergies, Learning, Physical
Office Use Only
Emergency contact: Please complete the following authorization form with the names of contacts who will be contacted, if parents/guardians cannot be located. You authorize St. Louis Catholic Church to transport child to an emergency room in the event of accident or sickness. Parents are responsible for all the medical expenses incurred during emergencies.
List two (2) persons in order of priority:
List the names of all authorized persons who'll pick up your child on class days
Parents/Guardians are responsible to notify us of any changes to this information.
Protecting God’s Children – Teaching Safety
As caring adults, we have the great responsibility of ensuring the safety of children and youth. Research based and evidence informed, the Archdiocese’s Empowering God’s Children® is an age-appropriate comprehensive program through which Lesson Leaders (teachers, catechists, youth ministers, etc.) and parents, partner to give children and youth the tools they need to protect themselves and know what to do if someone tries to violate their boundaries.
Each year, the program provides a theme that introduces and builds on the basic concepts of the Teaching Boundaries and Safety Guide. The material is developmentally appropriate for each age group and includes content and activities that reinforce the message.
Materials for Parents are available in the Rel Ed Office and at www.virtusonline.org
Media Release
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Yes, I agree and will let my child assist to this class
No, I will keep my child home on the day this class takes place