Sixth Grade Theology of the Body Education Registration Form 2019

Welcome to the 6th Grade Theology of the Body Education Day Registration Page

Below you will find the registration form for the Sixth Grade Theology of the Body Education Day which will be held in the Msgr. Kuzmich Life Center at St. Vincent de Paul Parish on Saturday, February 23, 2019 from 9:00 AM to Noon.  The $10 registration fee may be paid online at the time of form submission.  If you prefer not to pay online, please contact the RE Office for a paper registration form.  Those registering online must pay online or the form will not submit.

In order to make this day possible for the more than 70 students who will be attending, many parent volunteers are needed. One important volunteer opportunity is serving as a chaperone. In order to meet the safe environment adult/child ratio, we will need at least 8 to 10 chaperones. Pray about whether God is calling you to experience this day with your child. Chaperones will be assigned to a group of 8 to 10 students supervising and assisting with activities which will be lead by Mary Jo Parrish.  If you are interested in volunteering as a chaperone, please indicate on the registration form, and I will contact you regarding details. 

In addition, we also need parents to assist with registration and clean-up.  Donations of snack and drink items are also needed.  Each volunteer possibility is listed on the registration form.  Please check the area in which you are able to help. 

We ask that students arrive no earlier than 9:00 AM for registration unless the parent is a chaperone.  There will be a parent meeting for all parents in the Red Room of the Life Center at 9:15 AM.  Parents will be presented with an overview of the Theology of the Body program and receive a parent guide to assist you in discussing the topic of Theology of the Body at home with your child. 

The retreat will begin promptly at 9:15 AM and conclude at noon.  Students may be picked up at 12:00 PM at the Life Center.  Specific details regarding food donations and other retreat information will be sent the week of the retreat. 

If your child is unable to attend this Theology of the Body Education Day, he/she will need to attend next year in the 7th Grade in addition to the full day Theology of the Body Education Day for all 7th Grade students.   Students must receive The Theology of the Body education prior to Confirmation in the 8th Grade. I look forward to this special day with your child. 

Blessings,  

Debbie Blackburn

 

 

 

Student Information
Student Name
  •  
Parent/Guardian Name
  •  
Address
E-mail
Phone -- ext
Behavior Agreement
I have read and understand the following:
Please have your child check off the points in the behavior agreement below. Checking each point constitutes that they understand and will abide by that which is stated. After checking the boxes both students and parent should type their name and date.
Student Signature and Date I understand that by typing my name I am agreeing to the statements checked above.
Parent Signature and Date By typing your name you agree that you and your child have read and agree to the information in the behavior agreement.
Volunteer Opportunities
Snacks breaks will take place during the morning. If you are able to help with food donations, please indicate by checking below.
I can help in the following ways:
Parental/ Guardian Consent and Liability Waiver
Parent/Guardian Name
  •  
Student Name
  •  
I give my consent and waive liability to the following:
By checking the each statement below, you are giving your consent, waving liability, and agreeing with the statements contained herein.
Parent Signature
Emergency Contact Information
Emergency Contact Person
  •  
In the event of an emergency and we are unable to contact you at the phone number listed on this registration form please provide the name and contact information of an alternate contact person.
Emergency Contact Phone Number --
Medical and Insurance Information
Family Doctor
  •  
Family Doctor Phone Number --
Family Health Plan Carrier
Policy Number
Medical Conditions or Allergies
  •  
Photo Release
Permission for Photos to be Taken of Your Child
By checking below you are granting permission for photos of your child taken during the Confirmation Retreat to be used as stated.
Parent Signature
Payment
If you wish to pay with a credit card, please continue by imputing your payment information. You may also submit a cash or check payment to RE Office. All check's should be made payable to St. Vincent's.
Shopping Basket Please indicate the number of students you will be paying for.  
Quantity Extended

The Theology of the Body Education Day | $10.00

  •  

Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type

  •  

 
Online Giving

Online Giving

Secure and Convenient Donate now!