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CCD/CYO Registration

CCD/CYO Registration

CCD/CYO Registration Form (Year 2020-21)
*: Required Field
Parent/Guardian Information
PRIMARY
ALTERNATE

Student Information
REGISTRATION FEE DUE
1 student: $50,   2 students: $90,   3 students: $130,   4 students: $130

STUDENT 1

Note: A copy of Baptismal Certificate is required to submit if this child has NOT been baptized at St. Paul Chung Catholic Church.

Note: Classes and material will be conducted in English - When feasible, additional material might be presented in Koreanas well as discussion relating to Korean-Catholic history and culture.

English Language Skills
Korean Language Skills

STUDENT 2

Note: A copy of Baptismal Certificate is required to submit if this child has NOT been baptized at St. Paul Chung Catholic Church.

Note: Classes and material will be conducted in English - When feasible, additional material might be presented in Koreanas well as discussion relating to Korean-Catholic history and culture.

English Language Skills
Korean Language Skills

STUDENT 3

Note: A copy of Baptismal Certificate is required to submit if this child has NOT been baptized at St. Paul Chung Catholic Church.

Note: Classes and material will be conducted in English - When feasible, additional material might be presented in Koreanas well as discussion relating to Korean-Catholic history and culture.

English Language Skills
Korean Language Skills

STUDENT 4

Note: A copy of Baptismal Certificate is required to submit if this child has NOT been baptized at St. Paul Chung Catholic Church.

Note: Classes and material will be conducted in English - When feasible, additional material might be presented in Koreanas well as discussion relating to Korean-Catholic history and culture.

English Language Skills
Korean Language Skills

Other Information, Permissions & Agreements
Email Consent. I consent to the release of my primary email contact information to the following for the purpose of coordinating Parish activities: (Please check all applicable)

* Photo, Press, Audio, and Electronic Media Release: I hereby authorize the Diocese of Arlington and St. Paul Chung Catholic Church to use my child’s picture or video for educational and/or marketing purposes.
   

* Formation in Christian Chastity Program: The Office of Child Protection and Safety for the Diocese of Arlington provides programs to ensure a safe environment for children within the community of the Church. Depending on the age of the child, and with parental permission and involvement, the Diocese of Arlington offers several training programs designed for youth to permit them to be a last line of defense and to ensure every child has the tools necessary to combat abuse.
For children in grades 1-8 Religious Education, St. Paul Chung Catholic Church uses the Diocesan training program Formation in Christian Chastity. For high school aged children in Religious Education, the training program used is Called to Protect.
Please CHECK below whether or not you wish your child(ren) to participate in the program. If you choose not to have your child(ren) participate, you will receive an official Arlington Diocese Opt-Out Form (for each child) to be completed and returned to the Religious Education Office.


I acknowledge that I am aware of my role and responsibility of primary catechist of my children. I agree to comply with the policies and requirements of the St. Paul Chung Religious Education program. Please sign below by typing your full name. Include the relationship you are with the student(s) and date.