CCD - Confirmation Registration Level I or Level II | Our Lady of the Rosary San Diego, CA

: Thank you for registering your child in the Our Lady of the Rosary CCD program. After you have completed the registration form, you will be directed to our payment page where you have an opportunity to make your payment for the program.
Today's Date
Which class are you registering for?: Level I - First yearLevel II Second Year
Student's First and Last Name
Address - Street
City
Zip Code
Student's Cell Phone
Student's Email
Gender
Date of birth
Place of birth
Age
Grade in School

Father's First and Last Name
Father's Religion
Father's address
Father's Address - if different from above
Father's phone
Father's email
Father's occupation

Mother's First and Last Name
Mother's Religion
Mother's address
Mother's Address - if different from above
Mother's phone
Mother's email
Mother's occupation

Main contact person: FatherMotherBoth

Click here to edit title: Photo Release: By checking this box, I grant permission to Our Lady of the Rosary Church to use photographs and/or video taken of my student and/or my family at CCD events in the Church bulletin, news releases, online, and in other communications related to Our Lady of the Rosary Church.
Student's date of Baptism
Church of Baptism - Name and Address

Has student received First Holy Communion?: YesNo
Date of First Holy Communion, if received
Church of First Holy Communion - Name and Address

Other siblings enrolled in the OLR CCD program
: STUDENT RELEASE AUTHORIZATION
In the interest of providing a safe environment for students when they are released after class to parents or other adults, please designate the name of parents or other adults authorized to pick your child up after class. This list helps ensure that your child is placed in the safe custody of a trusted and authorized individual when leaving Our Lady of the Rosary's Pastoral Center. Children will not be allowed to leave with anyone not listed below without written authorization from their parent or legal guardian.
Other comments:
: Registration fee: $75
Retreat fee: $200
Total fees: $275

After registration, you will receive a permission slip for signature.

Our Lady of the Rosary San Diego, CA

CCD - Confirmation Registration Level I or Level II

STUDENT RELEASE AUTHORIZATION

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