2020-21 CCD REGISTRATION

There are three ways to register for Religious Education:

Click here to print out the 2020-21 Religious Education Registration Form. Please return to Religious Education Office.
Click here to have access to a fillable form that you would type directly onto and print out or (save on your computer) to attach to an email to our religious education office at religiouseducation@straymonds.org.
Interactive registration below:

Questions? contact the Religious Education Office 703-440-0537 or email religiouseducation@straymonds.org

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Saint Raymond of Peñafort

Religious Education K-12 Registration

8750 Pohick Road Springfield, VA 22153

703-440-0537 or fax 703-440-0538

ReligiousEducation@straymonds.org

www.straymonds.org

Registration Requirements:

Parish registration is a prerequisite for enrollment.

Complete entire form including the student background, carpool information, permission/opt-out etc)

Payment is due at time of registration and fee structure is as follows:

High School Aged Students are free!
◾1 child $100
◾2 children $115
◾3 or more children $130
◾First Communion Administration Fee $10 per child (2nd grade)
◾Confirmation Administration Fee $50 per child (8th grade)

Financial assistance is available (please call our Religious Education Office at 703-440-0537)

We accept checks and also offer the option to pay online. The option to pay online is available only for your convenience but is not required for completing this registration process. Please note, high school aged children have no cost to register for this program.

Good Shepherd Class available to students with special needs (please contact the Religious Education Office at 703-440-0537).

First Communion/Penance and Confirmation Programs: Both programs are two-year programs. Students must complete both years.

Baptismal Certificate: Due at registration for pre-sacrament years 1st and 7th grades.

Please note: Changes to schedules only accepted through October 31st.

Class schedule is dependent on volunteers and enrollment.

Parent/Guardian Last Name *

Mother's Name

Father's Name

Home Phone Number *

Mother's Cell Phone Number

Father's Cell Phone Number

Address 1 *

Address 2

City *

State

Zip / Post Code *

In order for us to make sure this is not a spam version, please answer the following question. What is the sum of 2+3 equal? *

Mother's Work Phone Number

Father's Work Phone Number

Primary Email *

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Relationship *

Student <1> Full Name (Last, First MI) *

Student <1> Gender *

Male
Female

Class options include: Schedule Sunday 6:30- 8:00 PM (Grades 1 - 12); Monday 4:45 - 6:15 PM (Grades K - 8); Tuesday 6:00 - 7:30 PM (Grades 1 - 8)

Student <1> Class Schedule Second Choice *

Student <1> Class Schedule Third Choice

Check the box if Student <1> has Special Needs

If Student <1> requires special needs please provide as much information as possible.

Student <1> Sacraments Received (B+Baptism, FC=First Communion, C=Confirmation)

Where did Student <1> receive their Religious Education in 2019-2020 (Name and location of Parish)? *

Student <1> resides with whom? *

Both Parents
Mother
Father
Other (if "other" is selected, please provide name and relationship in next section

If Student <1> does not live with parents please list with whom they live and what their relationship to them is.

Student <2> Full Name (Last, First MI)

Student <2> Gender

Male
Female

Class options include: Sunday 6:30 - 8:00 PM (Grades 1 - 12); Monday 4:45 - 6:15 PM (Grades K - 8); Tuesday 6:00 - 7:30 PM (Grades 1 - 8)

Student <2> Class Schedule Second Choice

Student <2> Class Schedule Third Choice

Check the box if Student <2> has Special Needs

If Student <2> requires special needs please provide as much information as possible

Student <2> Sacraments Received

Where did Student <2> receive their Religious Education in 2019-20 (name and location of Parish)?

Student <2> resides with whom?

Both Parents
Mother
Father
Other (if "other" is selected, please provide name and relationship in next section

If Student <2> does not live with parents please list with whom they live and what their relationship to them is.

Student <3> Full Name (Last, First MI)

Student <3> Gender

Male
Female

Class options include: Sunday 6:30 - 8:00 PM (Grades 1 - 12); Monday 4:45 - 6:15 PM (Grades K - 8); Tuesday 6:00 - 7:30 PM (Grades 1 - 8)

Student <3> Class Schedule Second Choice

Sunday 6:30 - 8:00 pm (Grades 1-12)
Monday 4:45 - 6:15 pm (Grades K- 8)
Tuesday 6:00 - 7:30 pm (Grades 1-8)

Student <3> Class Schedule Third Choice

Check the box if Student <3> has Special Needs

If Student <3> requires special needs please provide as much information as possible.

Student <3> Sacraments Received

Where did Student <3> receive their Religious Education in 2019-20 (Name and location of Parish)?

If Student <3> does not live with parents please list with whom they live and what their relationship to them is.

Student <4> Full Name (Last, First MI)

Student <4> Gender

Male
Female

Class options include: Sunday 6:30 - 8:00 PM (Grades 1-12); Monday 4:45 - 6:15 PM (Grades K - 8); Tuesday 6:00 - 7:30 PM (Grades 1 - 8)

Student <4> Class Schedule First Choice

Sunday 6:30 PM to 8 PM
Monday 4:45 PM to 6:15 PM
Tuesday 6:00 PM to 7:30 PM
Home School

Student <4> Class Schedule Second Choice

Check the box if Student <4> has Special Needs

If Student <4> requires special needs please provide as much information as possible.

Student <4> Sacraments Received

Where did Student <4> receive their Religious Education in 2019-20 (Name and location of Parish)?

If Student <4> does not live with parents please list with whom they live and what their relationship to them is.

Please list the following information that will assist your child(ren)'s teacher: Allergies/learning disability/language challenges/other family information/IEP/name of school attending etc. By leaving this blank you are stating that your child(ren) has (have) no need for special assistance.

The above information is kept confidential.

Formation in Christian Chastity

The safety of your children is always uppermost in your mind. We have continued to take steps in recent years to do our part in ensuring that children will be in a safe place when they are participating in the religious education program at Saint Raymond's. All staff and volunteers have received the background checks and training required by the USCCB (United States Conference of Catholic Bishops). Each year a program is implemented to help the children in grades 1-12 recognize the steps they can take to keep themselves safe. Guided by the Diocese of Arlington, the program is called "Formation in Christian Chastity". Lesson plans provided by the Diocese are used for different age groups. During the month of October, these lessons will be presented to students in all grades. The goal is to equip both you and your children with the knowledge to keep us all safe.

Parents have the choice to have their children participate in or to opt-out of the lesson. Please checkmark your choice below. This checkmark is equivalent to placing your initials next to your decision. If you opt-out, you will receive an official Arlington Diocese Opt-out Form to be completed and kept on file for each child.

Additional information is available on the Diocesan website listed below or through the DRE's office.

www.arlingtondiocese.org/childprotection/ocpyp_training.php

Approval or Opt Out *

Yes, I grant approval for my children to attend the safe environment “Formation in Christian Chastity” lesson; a safe environment lesson guided by the Diocese of Arlington. (Description above).
No, I opt-out of this program. (However, I understand that as primary educator of my children, the church requests that I provide such training to my children.)

Carpool Authorization- Name and Phone Number

I am able to teach or assist for this school year. *

The FCPS Family Life Education Program (FLE) contains elements which compromise Church teachings. Have you opted your child(ren) out of this program?

Allergies: please let us know any or all allergies by child name>

Below is the "Submit" button. It only needs to be pushed one time. All required fields must be filled out in order to register. If you receive an error message that states you are missing information, please go back and finish completing your registration then push submit. If you receive a message that starts “Notice: bbp_setup_current_user was called incorrectly" this indicates that we did receive your registration. You should receive an email from us confirming your registration was received.