Religious Education Registration

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Phone(s) REQUIRED Please fill out this field. Please enter valid data.
Family Name REQUIRED Please fill out this field. Please enter valid data.
Address REQUIRED Please fill out this field. Please enter valid data.
Mother and Father's Names REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter an email address.
Children's Names and Grades in September REQUIRED Please fill out this field.
Emergency Contact(s) Name/Phone REQUIRED Please fill out this field. Please enter valid data.
Doctor's Name/Phone REQUIRED Please fill out this field. Please enter valid data.
Allergies/Health Concerns Please enter valid data.
If a parent/emergency contact cannot be reached, choose a hospital to authorize ICC to obtain emergency ambulance service to.
Hospital REQUIRED Please fill out this field. Please enter valid data.
Media Release: Choose one REQUIRED Please fill out this field.
ICC will conduct a Safe Environment lesson as part of the Diocesan Faith Formation Curriculum "Forming Disciples". This provides age-appropriate instruction designed to provide chidlren with an understanding of safe boundaries and keeping oneself safe.
Safe Environment Lesson: Choose one REQUIRED Please fill out this field.
VOLUNTEER. There are many opportunities to serve in our churches. Check all that apply. I would like to be a catechist. I would like to be a substitute for our catechists. I would like to be a classroom assistant. I would like to volunteer at events. I can assist with service projects. I can help with our youth ministry. I can bring a snack or bake for events.
All volunteers that work with children must be VIRTUS certified. This entails taking one "God's Protecting Children" workshop offered by the diocese and doing a monthly online VIRTUS bulletin. Questions? Call the office 992-3933 or email https://religiousedicc@gmail.com
YOUTH OPPORTUNITIES: Check all that apply. My child(ren) is interested in becoming an Altar Server. My child(ren) is interested in singing with the youth choir. (Grades 3-6) My child(ren) is interested in Youth Group.
PARENTAL COMMITMENT:
The ICC and Holy Spirit Religious Education program strives to build a Faith Community by sharing the richness of God's Word and celebrating the sacramental life of The Church. It provdies an on-going process of religious and spritual growth. I understand that it is my responsibility and privilege to bring my children to Mass every weekend and to make sure they are attending their Religious Education classes faithfully. I understand that attendane at Mass is required as part of our Catholic Faith and for my children to receive the sacraments.
I Agree Please select this field.
FEES for ACTIVE PARISHIONERS:
Active Parishioners are registered at ICC or Holy Spirit Church, attend mass and use envelopes or WeShare online-giving consistently.

$50 - One student (K-9)
$90 - Two students (K-9)
$120 - Three or more students (K-9)
$50 - Confirmation student

All fees should be paid before classes begin.
Mail check made out to ICC Religious Education
8791 South Main St., Eden, NY 14057
or stop in M - F 9am - 3pm

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Immaculate Conception Church

Holy Spirit Church

Eden, NY & North Collins, NY

Religious Education Registration