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Mass Times
Daily Masses (Chapel)
(Hermitage and Addison)
Monday to Friday - 9am
Saturday - 8am
Weekend Masses (Church)
Addison & Paulina
Saturday Vigil
Confessions 3-3:45pm
Mass: 4pm
Sunday
Masses: 8am, 10am,
11:30am & 5:30pm
Holy Days
Masses: 9am & 7pm
LOCATIONS
Church:
3546 N Paulina St
Chicago, IL 60657
ph (773) 525-3016
fax (773) 525-4124
School:
1710 W Addison St
Chicago, IL 60613
ph (773) 248-2500
Chapel, Auditorium, Social Hall
3555 N. Hermitage
Chicago, IL 60657
Gym:
1658 W. Addison Street
Chicago, IL 60613
(773) 248-2500 X225
Saint Andrew Parish
>
Church
>
Religious Education & Formation
> Registration
Registration
Religious Education Registration
Please use this form to register for Religious Education at Saint Andrew, including Confirmation preparation. Questions? Please contact Rachel Caron at
rachelcaron@saintandrewchicago.com
.
Parent/Guardian Contact Information
Mother's / Guardian's Name:
*
First
Last
Mother’s / Guardian’s Mailing Address:
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Mother’s/ Guardian’s Email:
*
Enter Email
Confirm Email
Best Phone # to Contact Mother / Guardian:
*
Mother’s / Guardian’s Religion:
*
Catholic
Lutheran
Methodist
Baptist
Presbyterian
Jewish
Muslim
Hindu
None of the Above
Father’s / Guardian’s Name:
First
Last
Father’s / Guardian’s Mailing Address:
*
Same as above
Different
Not Applicable, Father's Name not Entered
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Father’s / Guardian’s Email:
*
Enter Email
Confirm Email
Best Phone # to Contact Father / Guardian:
*
Father’s / Guardian’s Religion:
*
Catholic
Lutheran
Methodist
Baptist
Presbyterian
Jewish
Muslim
Hindu
None of the Above
Child(ren) live(s) with:
*
Both Parents / Guardians
Mother / Guardian
Father / Guardian
Saint Andrew Parish should send info about CCD to:
*
Both Parents / Guardians
Mother / Guardian
Father / Guardian
Family Registered at Saint Andrew?
*
Yes
No
If not, where are you registered?
*
PHOTO PERMISSION (Please check one box):
I AUTHORIZE SAINT ANDREW PARISH TO USE PHOTOGRAPHY / VIDEOS OF MY CHILD(REN) FOR PRODUCTIONS, PUBLICATIONS, ETC.
Yes
No
Emergency Contact Information
IN CASE OF EMERGENCY & PARENT IS NOT AVAILABLE, PLEASE CONTACT:
First
Last
EMERGENCY CONTACT PHONE
RELATIONSHIP TO CHILD/CHILDREN:
Child(ren)'s Information
How many children do you wish to register?
*
1
2
3
4
5
First Child Name
First
Last
First Child Grade
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
List any illnesses or special needs (medical, learning, physical) this child has:
Is this the first time this child has attended Religious Education (CCD)?
*
Yes
No
List any places other than Saint Andrew Parish that this child has attended Religious Education Classes:
Has this child been Baptized?
*
Yes
No
Baptism Date:
*
What church was the child Baptized at?
*
Has this child been to First Reconciliation?
*
Yes
No
First Reconciliation Date:
*
What church did the child receive First Reconciliation at?
*
Has this child received First Communion?
*
Yes
No
First Communion Date:
*
What church did the child receive First Communion at?
*
Has this child been Confirmed?
*
Yes
No
Confirmation Date:
*
What church was the child Confirmed at?
*
Second Child Information
Second Child Name
*
First
Last
Second Child Grade
*
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
List any illnesses or special needs (medical, learning, physical) this child has:
Is this the first time this child has attended Religious Education (CCD)?
*
Yes
No
List any places other than Saint Andrew Parish that this child has attended Religious Education Classes:
Has this child been Baptized?
*
Yes
No
Baptism Date:
*
What church was this child Baptized at?
*
Has this child been to First Reconciliation?
*
Yes
No
First Reconciliation Date:
*
What church did this child receive First Reconciliation at?
*
Has this child received First Communion?
*
Yes
No
First Communion Date:
*
What church did this child receive First Communion at?
*
Has this child been Confirmed?
*
Yes
No
Confirmation Date:
*
What church did this child receive Confirmation at?
*
Third Child Information
Third Child Name
*
First
Last
Third Child Grade
*
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
List any illnesses or special needs (medical, learning, physical) this child has:
Is this the first time this child has attended Religious Education (CCD)?
*
Yes
No
List any places other than Saint Andrew Parish that this child has attended Religious Education Classes:
Has this child been Baptized?
*
Yes
No
Baptism Date?
*
What church was this child Baptized at?
*
Has this child received First Reconciliation?
*
Yes
No
First Reconciliation Date:
*
What church did this child receive First Reconciliation at?
*
Has this child received First Communion?
*
Yes
No
First Communion Date:
*
What church did this child receive First Communion at?
*
Has this child been Confirmed?
*
Yes
No
Confirmation Date:
*
What church was this child Confirmed at?
*
Fourth Child Information
Fourth Child Name:
*
First
Last
Fourth Child Grade:
*
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
List any illnesses or special needs (medical, learning, physical) this child has:
Is this the first time this child has attended Religious Education (CCD)?
*
Yes
No
List any places other than Saint Andrew Parish that this child has attended Religious Education Classes:
Has this child been Baptized?
*
Yes
No
Baptism Date:
*
What church was this child Baptized at?
*
Has this child received First Reconciliation?
*
Yes
No
First Reconciliation Date:
*
What church did this child receive First Reconciliation at?
*
Has this child received First Communion?
*
Yes
No
First Communion Date:
*
What church did this child receive First Communion at?
*
Has this child been Confirmed?
*
Yes
No
Confirmation Date:
*
What church was this child Confirmed at?
*
Fifth Child Information
Fifth Child Name:
*
First
Last
Fifth Child Grade:
*
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
List any illnesses or special needs (medical, learning, physical) this child has:
Is this the first time this child has attended Religious Education (CCD)?
*
Yes
No
List any places other than Saint Andrew Parish that this child has attended Religious Education Classes:
Has this child been Baptized?
*
Yes
No
Baptism Date:
*
What church was this child Baptized at?
*
Has this child received First Reconciliation?
*
Yes
No
First Reconciliation Date:
*
What church did this child receive First Reconciliation at?
*
Has this child received First Communion?
*
Yes
No
First Communion Date:
*
What church did this child receive First Communion at?
*
Has this child been Confirmed?
*
Yes
No
Confirmation Date:
*
What church was this child Confirmed at?
*
Volunteer Opportunities
Each family is required to help with ONE thing during the year. Please check (at least) one of the following options, and we will contact you when we need you!
*
I will serve as a catechist’s aide (teacher’s assistant) for one week.
I will serve as a substitute catechist (in case catechist is out sick) for one week.
I will help prepare food for the Confirmation Retreat luncheon in the Spring.
I am interested in becoming a Catechist (CCD teacher).
I am interested in becoming a Catechist’s Aide (CCD teacher assistant).
I am interested in becoming a catechist (leader) or assistant for Children’s Liturgy of the Word during 10am Mass.
I would like to help develop our Religious Education Program website.
I would like to help setup / cleanup for the First Communion Reception in the Spring.
I would like to help setup / cleanup for other CCD Socials / Events during the year.
I would like to help with the Annual Parish Fundraiser / Event - Wearin’ of the Green (March).
I have another talent or gift that I would be willing to share with the Religious Education program.
Other Talent:
*
Tuition Payment Options
Tuition for 2012-2013
*
$225.00 per family
* Please note that there are NO additional fees for Sacramental Preparation. *
Tuition and fees are due at the time of registration, or by the dates specified below if choosing the Payment Plan Option. Please contact the office at (773) 525 – 3016 for more information. We do not turn anyone away for inability to pay.
Cash
Check
Credit Card/Pay Pal
Payment Plan (if you check this option details will show)
NEW: Payment Plan Option:
3 Payments of $75.00 can be made on the following dates:
•September 25, 2012 - $75.00
•December 25, 2012 - $75.00
•March 25, 2013 - $75.00
Religious Education Tuition
Price:
$225.00