St Lorenzo Ruiz Catholic Community
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St Lorenzo Ruiz Catholic Community Welcome to St. Lorenzo’ Faith Formation Class 2018-2019 We are very pleased to have your children registered in our Parish Faith Formation Programs and we look forward to working in partnership with you and your child this year. Please be informed that by registering your children in our program you accept: - To come to mass on a regular bases with your children. - To actively participate on all the Faith Formation Program activities and events. - To attend 2 Informative parents meetings. - To attend at least 5 Enrichment Class for parents. At our first Parents Informative Meeting you will receive the Parent Hand Book along with our Year Activities Calendar. Without meeting the above requirements your child will not be fully prepared to receive their Sacraments of Reconciliation and Eucharist. We thank you in advance for all your support and understanding! - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _______________________________________________________ I commit myself to support all Rel. Education activities. ________________________________________________________________ Child (children) name and grade. St. Lorenzo Ruiz Office of Religious Education (909) 468-1812 ST. LORENZO RUIZ CATHOLIC PARISH COMMUNITY FAITH FORMATION REGISTRATION 2018/ 2019 Please complete an individual form for each child to be registered. A separate form is required for the Confirmation Program Name as appears on Baptismal Certificate please. STUDENT INFORMATION : Birth Date: ___/___/___ Age: ______ Grade in school Sept. 2018: ________ __________________________________________________________________________________________________ Child is: Male / Female Last Name First Name (Nickname) Middle Name New / Returning student YES NO SACRAMENT RECEPTION (certificate copies need to be submitted only once for sacrament) Baptism (official certificate copy is required) Reconciliation 1st Communion (official certificate copy is required) PLEASE ANSWER EACH QUESTION: Your confidential responses help us serve your child well and form balanced, effective classes. Has your child been identified as ADD or ADHD? Has your child been diagnosed on the autism spectrum? Does your child have learning disabilities? Please specify. Does your child have asthma ? Do they carry an inhaler? Does your child have food allergies? Please specify. What other allergies, medical conditions, disabilities or special needs does your child have? FAMILY INFORMATION: St. Lorenzo Parish ID: _____ __________ (Please complete Parish Registration in the Parish Office. Zone map is available in the Pavilion) Zone Envelope # FATHER ____________________________________________________________________ _________________________________ Last Name First Name Religion _____________________________________________________________________________________________________________ Address City State ZIP _________________________________ _________________________________ ______________________________________ Home phone Work phone Cell Phone _____________________________________________________________________ _____________________________________ Email address Primary language MOTHER ____________________________________________________________________ _________________________________ Last Name First Name Religion _____________________________________________________________________________________________________________ Address City State ZIP _________________________________ _________________________________ ______________________________________ Home phone Work phone Cell Phone _____________________________________________________________________ _____________________________________ Email address Primary language CUSTODY (circle one): Child lives with Both Parents in same home / Shared custody - separate homes / Mother only / Father only / Other ______________________ YES / NO: Does a non-custodial parent have legally restricted access to the child? (If yes, please provide current copies of court orders for the child’s protection.) SIBLINGS: Name Age Grade Enrolled in Religious Education? _________________________________________________________ ____________ __________ Yes / No _________________________________________________________ ____________ __________ Yes / No ____________________________________________________ ___________ _________ Yes / No PLEASE TURN OVER AND COMPLETE THE BACK OF THE FORM! THANK YOU! EMERGENCY CONTACT INFORMATION (Names MUST be individuals other than parents who we can call if neither parent can be reached!) Emergency _______________________________________ ________________________ _______________________ Contact 1 Name (not a parent) & relationship Home / work phone Cell Phone Emergency _______________________________________ __________________________ ______________________ Contact 2 Name (not a parent) & relationship Home / work phone Cell Phone Family Doctor: ________________________________________ _____________________________ Name Phone Number. Consent for treatment: Should it become necessary for my child to have medical treatment, I hereby give the Child Faith Formation personnel at St. Lorenzo Ruiz Parish permission to use judgment in obtaining medical service for my child(ren), and I give permission to the physician selected by the parish personnel to render medical treatment deemed necessary and appropriate by the physician. Parent signature:_________________________________________________________________________________________ Parent / Guardian Signature __________________________VOLUNTEER____________________________ OPPORTUNITIES Date _____/_____/_____ “What can I offer the Lord, for all the Lord’s goodness to me ?” Psalm 116:12 Your assistance is vital to our program. Without our valuable volunteers, we could not offer a Religious Education Program in our parish. Your involvement will also enrich your life and your child’s life. Check off the area you are interested in and you will be contacted with more information! □ Teach a Religion Class: Teach a class once a week. Training is available. □ Substitute Catechist: Fill in for Catechist when needed. □ Adult Aide: Assist the catechist in the classroom once a week. □ Traffic Monitor / Security: Help monitor the pick-up and drop off area to ensure children’s safety. □ Clerical Help: Provide clerical help in the Religious Ed office. □ Refreshment Committee: Provide and/or serve refreshments for various meetings or celebrations. □ Parent Advisory Board: Provides program support & opportunities for family involvement. □ Safeguard the Children Committee: Meets quarterly and assures a safe environment for the children of the parish. YES ! I would like to help! Day: ________________ Class: ________________ Time: ________________ Name: ______________________________________ Daytime phone #: ____________________________ All volunteers must be fingerprinted and complete VIRTUS training before beginning volunteer positions. Please call Gaby Coria at 909-468-1812 if you have any questions. THANK YOU ! ST. LORENZO RUIZ RELGIOUS EDUCATION 2018-2019 REGISTRATION FEES Fees cover the cost of registration, insurance, student textbooks and all materials used in class. A separate “Sacrament Fee” will apply to second year 1st Communion, Confirmation and RCIC students who will make sacraments during the year. This fee helps offset the additional costs associated with those celebrations and their documentation. Please make checks payable to: St. Lorenzo Ruiz. BY July 31 August 1 and after 1 student in family $110 $145 2 students in family $160 $200 3 or more in family $210 $250 The Word Among us subscription $25.00 Sacrament Fee * $35.00 *(Applies to 2nd year 1st Communion, Confirmation and RCIC students only) While payment is requested at registration, no one will be turned away because of the inability to pay. If a hardship exists, please contact the Coordinator for options or alternatives. PROTECTING OUR CHILDREN The Archdiocese of Los Angeles is committed to compliance with the U.S. Bishops’ Charter for the Protection of Children and Young People. Article 12 of the Charter mandates that “each diocese establish and maintain a Safe Environment Program for children and youth.” In light of this, the VIRTUS Teaching Touching Safety Program for Children and The Professor programs were adopted and approved by the Archdiocese of Los Angeles. St. Lorenzo Ruiz Catholic Community will present one of these sexual abuse prevention programs to our students as a part of our ongoing effort to help create and maintain a safe environment for children and to protect all children from sexual abuse. This program is mandated for ALL ENROLLED CHILDREN – EVERY YEAR, not just once. We encourage all parents to read Protecting God’s Children - Teaching Touching Safety, A Guide for Parents, Guardians, and Other Caring Adults, which is available in both the Parish and Faith Formation Offices. This document will also be distributed to parents at the 2018 / 2019 Parent Meeting to be held on the first day of classes in September or October. During this meeting you will have the opportunity to review the programs and materials and ask any questions you may have. As a parent, you have the right to choose whether your student participates. Please complete the form below for your child to participate in the 2018 / 2019 program. I give my permission for my child to participate in the Protecting God’s Children “Touching Safety Program” Or “The Professor” Program.