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Middle School Youth Group Registration

- Contact Us
  
  Jason Feeney
  
  Coordinator of Evangelization and Catechisis
  
  515-285-2888 Ext 8092
  jfeeneychristthekingparish.org
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  Family Contact Info
  
  Mother's Name
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Name
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Phone and Email
  
  Contact Info REQUIRED
  Please List At Least 1 Contact (phone and email) for updates and weekly contact
  Please fill out this field.
  
  Contact 1
  
  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 Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Contact 2
  
  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 Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Contact 3
  
  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 Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Contact 4
  
  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 Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parish Registration
  
  What parish are you registered in? REQUIRED Please fill out this field. Please enter valid data.
  
  Student Information
  
  Number of Children to Register REQUIRED Please fill out this field.
  
  Child 1
  
  Registration Fee65.0
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Registering For
  
  What Language Does This Student Need Materials In? REQUIRED Please fill out this field.
  
  Who Does Student Live With? REQUIRED Mother Father Both Please fill out this field.
  
  Student's Age REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sacrament Info For Student
  
  Has This Student Been Baptized? REQUIRED Yes (Please Provide a copy of the Baptismal Certificate prior to the first class session) No (Please call the parish office to inquire about how we can help you baptize your child) Please fill out this field.
  
  Child's Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Name Of Church Child Was Baptized in REQUIRED Please fill out this field. Please enter valid data.
  
  Address of Church Child Was baptized in REQUIRED Please fill out this field.
  
  Has Your child recieved first Communion REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Are you seeking preparation for 1s communion for your child? REQUIRED Yes No Please fill out this field.
  
  Photo and Medical Release Information
  
  Do We (Christ the King) Have Permission to Take and Use Photos of Your Child to be posted on Social Media and/or our website for advertisement or communication about our events? REQUIRED Yes No Please fill out this field.
  
  Please Provide the Name of your Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Please also provide a copy of your health insurance card upon the first class session
  
  Any Medications taken on a daily basis? REQUIRED Please fill out this field.
  
  Any Allergies we should be aware of? REQUIRED Please fill out this field.
  
  Are there any chronic illnesses or disabilities we should be aware of? REQUIRED Please fill out this field.
  
  Any previous serious injuries or hospitalizations? REQUIRED Please fill out this field.
  
  Any restrictions on physical activity REQUIRED Please fill out this field.
  
  I hereby grant permission for the Director or other qualified staff member to take whatever steps may be necessary to obtain emergency medical care if necessary. REQUIRED I Agree Please fill out this field.
  
  Child 2
  
  Registration Fee65.0
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Registering For
  
  What Language Does This Student Need Materials In? REQUIRED Please fill out this field.
  
  Who Does Student Live With? REQUIRED Mother Father Both Please fill out this field.
  
  Student's Age REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sacrament Info For Student
  
  Has This Student Been Baptized? REQUIRED Yes (Please Provide a copy of the Baptismal Certificate prior to the first class session) No (Please call the parish office to inquire about how we can help you baptize your child) Please fill out this field.
  
  Child's Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Name Of Church Child Was Baptized in REQUIRED Please fill out this field. Please enter valid data.
  
  Address of Church Child Was baptized in REQUIRED Please fill out this field.
  
  Has Your child recieved first Communion REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Are you seeking preparation for 1s communion for your child? REQUIRED Yes No Please fill out this field.
  
  Photo and Medical Release Information
  
  Do We (Christ the King) Have Permission to Take and Use Photos of Your Child to be posted on Social Media and/or our website for advertisement or communication about our events? REQUIRED Yes No Please fill out this field.
  
  Please Provide the Name of your Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Please also provide a copy of your health insurance card upon the first class session
  
  Any Medications taken on a daily basis? REQUIRED Please fill out this field.
  
  Any Allergies we should be aware of? REQUIRED Please fill out this field.
  
  Are there any chronic illnesses or disabilities we should be aware of? REQUIRED Please fill out this field.
  
  Any previous serious injuries or hospitalizations? REQUIRED Please fill out this field.
  
  Any restrictions on physical activity REQUIRED Please fill out this field.
  
  I hereby grant permission for the Director or other qualified staff member to take whatever steps may be necessary to obtain emergency medical care if necessary. REQUIRED I Agree Please fill out this field.
  
  Child 3
  
  Registration Fee65.0
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Registering For
  
  What Language Does This Student Need Materials In? REQUIRED Please fill out this field.
  
  Who Does Student Live With? REQUIRED Mother Father Both Please fill out this field.
  
  Student's Age REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sacrament Info For Student
  
  Has This Student Been Baptized? REQUIRED Yes (Please Provide a copy of the Baptismal Certificate prior to the first class session) No (Please call the parish office to inquire about how we can help you baptize your child) Please fill out this field.
  
  Child's Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Name Of Church Child Was Baptized in REQUIRED Please fill out this field. Please enter valid data.
  
  Address of Church Child Was baptized in REQUIRED Please fill out this field.
  
  Has Your child recieved first Communion REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Are you seeking preparation for 1s communion for your child? REQUIRED Yes No Please fill out this field.
  
  Photo and Medical Release Information
  
  Do We (Christ the King) Have Permission to Take and Use Photos of Your Child to be posted on Social Media and/or our website for advertisement or communication about our events? REQUIRED Yes No Please fill out this field.
  
  Please Provide the Name of your Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Please also provide a copy of your health insurance card upon the first class session
  
  Any Medications taken on a daily basis? REQUIRED Please fill out this field.
  
  Any Allergies we should be aware of? REQUIRED Please fill out this field.
  
  Are there any chronic illnesses or disabilities we should be aware of? REQUIRED Please fill out this field.
  
  Any previous serious injuries or hospitalizations? REQUIRED Please fill out this field.
  
  Any restrictions on physical activity REQUIRED Please fill out this field.
  
  I hereby grant permission for the Director or other qualified staff member to take whatever steps may be necessary to obtain emergency medical care if necessary. REQUIRED I Agree Please fill out this field.
  
  Child 4
  
  Registration Fee65.0
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Registering For
  
  What Language Does This Student Need Materials In? REQUIRED Please fill out this field.
  
  Who Does Student Live With? REQUIRED Mother Father Both Please fill out this field.
  
  Student's Age REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sacrament Info For Student
  
  Has This Student Been Baptized? REQUIRED Yes (Please Provide a copy of the Baptismal Certificate prior to the first class session) No (Please call the parish office to inquire about how we can help you baptize your child) Please fill out this field.
  
  Child's Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Name Of Church Child Was Baptized in REQUIRED Please fill out this field. Please enter valid data.
  
  Address of Church Child Was baptized in REQUIRED Please fill out this field.
  
  Has Your child recieved first Communion REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Are you seeking preparation for 1s communion for your child? REQUIRED Yes No Please fill out this field.
  
  Photo and Medical Release Information
  
  Do We (Christ the King) Have Permission to Take and Use Photos of Your Child to be posted on Social Media and/or our website for advertisement or communication about our events? REQUIRED Yes No Please fill out this field.
  
  Please Provide the Name of your Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Please also provide a copy of your health insurance card upon the first class session
  
  Any Medications taken on a daily basis? REQUIRED Please fill out this field.
  
  Any Allergies we should be aware of? REQUIRED Please fill out this field.
  
  Are there any chronic illnesses or disabilities we should be aware of? REQUIRED Please fill out this field.
  
  Any previous serious injuries or hospitalizations? REQUIRED Please fill out this field.
  
  Any restrictions on physical activity REQUIRED Please fill out this field.
  
  I hereby grant permission for the Director or other qualified staff member to take whatever steps may be necessary to obtain emergency medical care if necessary. REQUIRED I Agree Please fill out this field.
  
  Child 5
  
  Registration Fee65.0
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Registering For
  
  What Language Does This Student Need Materials In? REQUIRED Please fill out this field.
  
  Who Does Student Live With? REQUIRED Mother Father Both Please fill out this field.
  
  Student's Age REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sacrament Info For Student
  
  Has This Student Been Baptized? REQUIRED Yes (Please Provide a copy of the Baptismal Certificate prior to the first class session) No (Please call the parish office to inquire about how we can help you baptize your child) Please fill out this field.
  
  Child's Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Name Of Church Child Was Baptized in REQUIRED Please fill out this field. Please enter valid data.
  
  Address of Church Child Was baptized in REQUIRED Please fill out this field.
  
  Has Your child recieved first Communion REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Are you seeking preparation for 1s communion for your child? REQUIRED Yes No Please fill out this field.
  
  Photo and Medical Release Information
  
  Do We (Christ the King) Have Permission to Take and Use Photos of Your Child to be posted on Social Media and/or our website for advertisement or communication about our events? REQUIRED Yes No Please fill out this field.
  
  Please Provide the Name of your Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Please also provide a copy of your health insurance card upon the first class session
  
  Any Medications taken on a daily basis? REQUIRED Please fill out this field.
  
  Any Allergies we should be aware of? REQUIRED Please fill out this field.
  
  Are there any chronic illnesses or disabilities we should be aware of? REQUIRED Please fill out this field.
  
  Any previous serious injuries or hospitalizations? REQUIRED Please fill out this field.
  
  Any restrictions on physical activity REQUIRED Please fill out this field.
  
  I hereby grant permission for the Director or other qualified staff member to take whatever steps may be necessary to obtain emergency medical care if necessary. REQUIRED I Agree Please fill out this field.
  
  Child 6
  
  Registration Fee65.0
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Registering For
  
  What Language Does This Student Need Materials In? REQUIRED Please fill out this field.
  
  Who Does Student Live With? REQUIRED Mother Father Both Please fill out this field.
  
  Student's Age REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sacrament Info For Student
  
  Has This Student Been Baptized? REQUIRED Yes (Please Provide a copy of the Baptismal Certificate prior to the first class session) No (Please call the parish office to inquire about how we can help you baptize your child) Please fill out this field.
  
  Child's Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Name Of Church Child Was Baptized in REQUIRED Please fill out this field. Please enter valid data.
  
  Address of Church Child Was baptized in REQUIRED Please fill out this field.
  
  Has Your child recieved first Communion REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Are you seeking preparation for 1s communion for your child? REQUIRED Yes No Please fill out this field.
  
  Photo and Medical Release Information
  
  Do We (Christ the King) Have Permission to Take and Use Photos of Your Child to be posted on Social Media and/or our website for advertisement or communication about our events? REQUIRED Yes No Please fill out this field.
  
  Please Provide the Name of your Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Please also provide a copy of your health insurance card upon the first class session
  
  Any Medications taken on a daily basis? REQUIRED Please fill out this field.
  
  Any Allergies we should be aware of? REQUIRED Please fill out this field.
  
  Are there any chronic illnesses or disabilities we should be aware of? REQUIRED Please fill out this field.
  
  Any previous serious injuries or hospitalizations? REQUIRED Please fill out this field.
  
  Any restrictions on physical activity REQUIRED Please fill out this field.
  
  I hereby grant permission for the Director or other qualified staff member to take whatever steps may be necessary to obtain emergency medical care if necessary. REQUIRED I Agree Please fill out this field.
  
  Child 7
  
  Registration Fee65.0
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Registering For
  
  What Language Does This Student Need Materials In? REQUIRED Please fill out this field.
  
  Who Does Student Live With? REQUIRED Mother Father Both Please fill out this field.
  
  Student's Age REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sacrament Info For Student
  
  Has This Student Been Baptized? REQUIRED Yes (Please Provide a copy of the Baptismal Certificate prior to the first class session) No (Please call the parish office to inquire about how we can help you baptize your child) Please fill out this field.
  
  Child's Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Name Of Church Child Was Baptized in REQUIRED Please fill out this field. Please enter valid data.
  
  Address of Church Child Was baptized in REQUIRED Please fill out this field.
  
  Has Your child recieved first Communion REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Are you seeking preparation for 1s communion for your child? REQUIRED Yes No Please fill out this field.
  
  Photo and Medical Release Information
  
  Do We (Christ the King) Have Permission to Take and Use Photos of Your Child to be posted on Social Media and/or our website for advertisement or communication about our events? REQUIRED Yes No Please fill out this field.
  
  Please Provide the Name of your Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Please also provide a copy of your health insurance card upon the first class session
  
  Any Medications taken on a daily basis? REQUIRED Please fill out this field.
  
  Any Allergies we should be aware of? REQUIRED Please fill out this field.
  
  Are there any chronic illnesses or disabilities we should be aware of? REQUIRED Please fill out this field.
  
  Any previous serious injuries or hospitalizations? REQUIRED Please fill out this field.
  
  Any restrictions on physical activity REQUIRED Please fill out this field.
  
  I hereby grant permission for the Director or other qualified staff member to take whatever steps may be necessary to obtain emergency medical care if necessary. REQUIRED I Agree Please fill out this field.
  
  Child 8
  
  Registration Fee65.0
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Registering For
  
  What Language Does This Student Need Materials In? REQUIRED Please fill out this field.
  
  Who Does Student Live With? REQUIRED Mother Father Both Please fill out this field.
  
  Student's Age REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sacrament Info For Student
  
  Has This Student Been Baptized? REQUIRED Yes (Please Provide a copy of the Baptismal Certificate prior to the first class session) No (Please call the parish office to inquire about how we can help you baptize your child) Please fill out this field.
  
  Child's Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Name Of Church Child Was Baptized in REQUIRED Please fill out this field. Please enter valid data.
  
  Address of Church Child Was baptized in REQUIRED Please fill out this field.
  
  Has Your child recieved first Communion REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Are you seeking preparation for 1s communion for your child? REQUIRED Yes No Please fill out this field.
  
  Photo and Medical Release Information
  
  Do We (Christ the King) Have Permission to Take and Use Photos of Your Child to be posted on Social Media and/or our website for advertisement or communication about our events? REQUIRED Yes No Please fill out this field.
  
  Please Provide the Name of your Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Please also provide a copy of your health insurance card upon the first class session
  
  Any Medications taken on a daily basis? REQUIRED Please fill out this field.
  
  Any Allergies we should be aware of? REQUIRED Please fill out this field.
  
  Are there any chronic illnesses or disabilities we should be aware of? REQUIRED Please fill out this field.
  
  Any previous serious injuries or hospitalizations? REQUIRED Please fill out this field.
  
  Any restrictions on physical activity REQUIRED Please fill out this field.
  
  I hereby grant permission for the Director or other qualified staff member to take whatever steps may be necessary to obtain emergency medical care if necessary. REQUIRED I Agree Please fill out this field.
  
  Child 9
  
  Registration Fee65.0
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Registering For
  
  What Language Does This Student Need Materials In? REQUIRED Please fill out this field.
  
  Who Does Student Live With? REQUIRED Mother Father Both Please fill out this field.
  
  Student's Age REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sacrament Info For Student
  
  Has This Student Been Baptized? REQUIRED Yes (Please Provide a copy of the Baptismal Certificate prior to the first class session) No (Please call the parish office to inquire about how we can help you baptize your child) Please fill out this field.
  
  Child's Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Name Of Church Child Was Baptized in REQUIRED Please fill out this field. Please enter valid data.
  
  Address of Church Child Was baptized in REQUIRED Please fill out this field.
  
  Has Your child recieved first Communion REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Are you seeking preparation for 1s communion for your child? REQUIRED Yes No Please fill out this field.
  
  Photo and Medical Release Information
  
  Do We (Christ the King) Have Permission to Take and Use Photos of Your Child to be posted on Social Media and/or our website for advertisement or communication about our events? REQUIRED Yes No Please fill out this field.
  
  Please Provide the Name of your Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Please also provide a copy of your health insurance card upon the first class session
  
  Any Medications taken on a daily basis? REQUIRED Please fill out this field.
  
  Any Allergies we should be aware of? REQUIRED Please fill out this field.
  
  Are there any chronic illnesses or disabilities we should be aware of? REQUIRED Please fill out this field.
  
  Any previous serious injuries or hospitalizations? REQUIRED Please fill out this field.
  
  Any restrictions on physical activity REQUIRED Please fill out this field.
  
  I hereby grant permission for the Director or other qualified staff member to take whatever steps may be necessary to obtain emergency medical care if necessary. REQUIRED I Agree Please fill out this field.
  
  Child 10
  
  Registration Fee65.0
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Registering For
  
  What Language Does This Student Need Materials In? REQUIRED Please fill out this field.
  
  Who Does Student Live With? REQUIRED Mother Father Both Please fill out this field.
  
  Student's Age REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sacrament Info For Student
  
  Has This Student Been Baptized? REQUIRED Yes (Please Provide a copy of the Baptismal Certificate prior to the first class session) No (Please call the parish office to inquire about how we can help you baptize your child) Please fill out this field.
  
  Child's Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Name Of Church Child Was Baptized in REQUIRED Please fill out this field. Please enter valid data.
  
  Address of Church Child Was baptized in REQUIRED Please fill out this field.
  
  Has Your child recieved first Communion REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Are you seeking preparation for 1s communion for your child? REQUIRED Yes No Please fill out this field.
  
  Photo and Medical Release Information
  
  Do We (Christ the King) Have Permission to Take and Use Photos of Your Child to be posted on Social Media and/or our website for advertisement or communication about our events? REQUIRED Yes No Please fill out this field.
  
  Please Provide the Name of your Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Please also provide a copy of your health insurance card upon the first class session
  
  Any Medications taken on a daily basis? REQUIRED Please fill out this field.
  
  Any Allergies we should be aware of? REQUIRED Please fill out this field.
  
  Are there any chronic illnesses or disabilities we should be aware of? REQUIRED Please fill out this field.
  
  Any previous serious injuries or hospitalizations? REQUIRED Please fill out this field.
  
  Any restrictions on physical activity REQUIRED Please fill out this field.
  
  I hereby grant permission for the Director or other qualified staff member to take whatever steps may be necessary to obtain emergency medical care if necessary. REQUIRED I Agree Please fill out this field.
  
  Policies and Agreements
  
  Cell Phone Policy
  Religious Education, Youth Group, and Confirmation Preparation hold the same policy as Christ the King School. If your child is using their cell phone while at a faith formation program, the phone will be taken from your child and the staff member will return it to the parent or guardian at pick up. The phone WILL NOT BE RETURNED TO THE STUDENT.
  
  I have read and agree to the above policy REQUIRED I Agree Please fill out this field.
  
  Absence Policy
  We ask that every effort be made to attend as many classes as possible. We only meet once a week and have a lot of work to do at that time. If your child cannot attend class please email the director or submit an absence form on the website. IF YOUR CHILD IS BEING PREPARED FOR A SACRAMENT MISSING TOO MANY CLASSES COULD RESULT IN NEEDING TO REPEAT PREPARATION.
  
  I have read and agree to the above policy REQUIRED I Agree Please fill out this field.
  
  Assignment Policy
  Your student may be assigned work to be completed at home either individually or as a family. Please complete these assignments to the best of your ability. IF YOUR CHILD IS BEING PREPARED FOR A SACRAMENT MISSING THESE ASSIGNMENTS COULD RESULT IN NEEDING TO REPEAT PREPARATION.
  
  I have read and agree to the above policy REQUIRED I Agree Please fill out this field.
  
  Payment Policy
  Payment is due prior to the first class period. There is a $20 registration fee for any faith formation program to help cover supplies. There are additional fees depending on which program.
  You can make a payment here with either a check number or via credit card. You can pay with cash at the parish office during normal business hours.
  
  I have read and agree to the above policy REQUIRED I Agree Please fill out this field.
  
  Please fill out the following information to indicate you have read the above information and that all that you have provided is correct to the best of your knowledge, and that you agree to pay the full amount of your registration.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Today's Date REQUIRED Please fill out this field. Please enter a date.
  
  Please Provide your Email to serve as a digital signature REQUIRED Please fill out this field. Please enter an email address.
  
  Registration Fee20.0
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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Christ the King Catholic Church

5711 SW 9th / Office: 820 Porter Ave. Des Moines Iowa, 50315

515-285-2888

Middle School Youth Group Registration

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