CCD Pre-Registration 2024

Please fill out the pre-registration form. If you have any questions or concerns, please email Gretchen Lara at gretchen@ststephensmidland.com or call the Parish Office at (432) 520-7394

Person Completing the form REQUIRED Please fill out this field.

If you are not the Parent or guardian completing this form please explain: Please enter valid data.

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

Returning Family? REQUIRED Returning Family New Family Please fill out this field.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Home Phone Number (leave blank if there is no home phone number) Please enter a phone number.

Family Email Address REQUIRED Please fill out this field. Please enter an email address.

Sacrament Information Request-Would you like us to reach out to you regarding a sacrament for your child or family member (baptisms, holy communion, confirmation, marriage, etc.)? Yes please contact about sacramental needs. Baptism Holy Communion Confirmation Church Marriage

Name of Parish where you are registered? Note- This may or not be the Parish where you attend regularly, this is where you are registered as a parishioner. This is for informational purposes only, we gladly accept all families from any Parish. REQUIRED Please fill out this field. Please enter valid data.

Select Parents in Household REQUIRED Please fill out this field.

Mother's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Work Phone (Mother) REQUIRED Please fill out this field. Please enter valid data.

Cell Phone (Mother) REQUIRED Please fill out this field. Please enter valid data.

Email (Mother) REQUIRED Please fill out this field. Please enter valid data.

Mother's Religion REQUIRED Please fill out this field. Please enter valid data.

Father's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Work Phone (Father) REQUIRED Please fill out this field. Please enter valid data.

Email (Father) REQUIRED Please fill out this field. Please enter valid data.

Father's Religion REQUIRED Please fill out this field. Please enter valid data.

Cell Phone (Father) REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter valid data.

Relationship REQUIRED Please fill out this field. Please enter valid data.

Necessary Medical Information

Please let us know if we need to be aware of any concerns. Please enter valid data.

Volunteer to teach or assist?

What do these positions do? Catechist-plan, lead and instruct the children in the Holy Faith. Assistant Catechist-assists the catechist with their duties, be available to substitute when necessary. Substitute Catechist- available to help when catechists are unavailable. Hall Monnitor a.k.a. "Guardian Angel"- Helps create a secure environment, assist with children and help them go to the correct class, assists with dismissal and monitor the halls for safety and security.

Please select which option you are interested in. REQUIRED No, sorry can't help but we will pray! Yes, I can be a Catechecist. Yes, I can be an Assistant Catechist. Yes, I can be a substitute Catechist. Yes, I can be a "Guardian Angel" Hall Monitor. Please fill out this field.

How many students are you registering?

Total CCD & Payment Information

All children are entitled to be given an education in the holy Catholic faith. If the cost of CCD classes is a hardship, please contact the Director of Religious Education privately.

Registration Fees for 2022-2023 Catechesis and Sacramental Preparation/RCIC -If you have registered all of the above students for the same type of class select the appropriate box for the class type below.

40.0 – Regular CCD

40.0 – Sacramental Prep

40.0 – RCIC

IF YOU HAVE REGISTERED MORE THAN ONE STUDENT AND THEY WILL BE IN DIFFERENT CLASS TYPES, PLEASE SELECT THE APPROPRIATE PAYMENT OPTION BELOW FOR THE CLASS TYPE THEY WILL BE IN FOR THE 2022-2023 RELIGOUS EDUCATION PROGRAM.

Registration Fee For Student 1

40.0 – Regular CCD

40.0 – Sacramental Prep

40.0 – RCIC

Registration Fee For Student 2

40.0 – Regular CCD

40.0 – Sacramental Prep

40.0 – RCIC

Registration Fee Student 3

40.0 – Regular CCD

40.0 – Sacramental Prep

40.0 – RCIC

Registration Fee for Student 4

40.0 – Regular CCD

40.0 – Sacramental Prep

40.0 – RCIC

Registration for Student 5

40.0 – Regular CCD

40.0 – Sacramental Prep

40.0 – RCIC

Registration Fee for Student 6

40.0 – Regular CCD

40.0 – Sacramental Prep

40.0 – RCIC

St. Stephen's

Catholic Church

CCD Pre-Registration 2024

Total CCD & Payment Information