If you would like to participate in the Fall 2009/Spring 2010 CCD program, information and enrollment forms can be found below.

• 8/23/09 - 6:00PM: Back-to-School night for teachers, parents and students.
• 9/2/09 - 4:15PM: Opening Mass and first day of class.
• Classes will be held on Wednesdays from 4:15-5:30.
• The cost is a free will donation of $20 per family
• Checks should be made payable to Assumption Catholic Church.

Please note that enrollment must be submitted by August 23, 2009.

Get involved!
If you are interested in helping the CCD program by becoming a teacher or working with the Youth Group please send an e-mail to ccd@assumptioncatholic.org

Online Enrollment
*indicates required fields

Family Name*
Address*
Home ph*	Email*
Cell ph	Emergency Contact*
Work ph	Emergency Ph*

Student 1

Name*
DOB* mm/dd/yy
Gender*	M F
Grade*
Sacrament
Baptism	Y N
Catholic	Y N
First Communion	Y N
Penance	Y N
Special Needs: health, medical and educational needs (this information remains strictly confidential and will be only used for purposes related to assisting the Catechist as determined by the Director of Religious Education.)
finished? skip to end

Student 2

Name*
DOB* mm/dd/yy
Gender*	M F
Grade*
Sacrament
Baptism	Y N
Catholic	Y N
First Communion	Y N
Penance	Y N
Special Needs: health, medical and educational needs (this information remains strictly confidential and will be only used for purposes related to assisting the Catechist as determined by the Director of Religious Education.)
finished? skip to end

Student 3

Name*
DOB* mm/dd/yy
Gender*	M F
Grade*
Sacrament
Baptism	Y N
Catholic	Y N
First Communion	Y N
Penance	Y N
Special Needs: health, medical and educational needs (this information remains strictly confidential and will be only used for purposes related to assisting the Catechist as determined by the Director of Religious Education.)
finished? skip to end

Student 4

Name*
DOB* mm/dd/yy
Gender*	M F
Grade*
Sacrament
Baptism	Y N
Catholic	Y N
First Communion	Y N
Penance	Y N
Special Needs: health, medical and educational needs (this information remains strictly confidential and will be only used for purposes related to assisting the Catechist as determined by the Director of Religious Education.)
finished? skip to end

Student 5

Name*
DOB* mm/dd/yy
Gender*	M F
Grade*
Sacrament
Baptism	Y N
Catholic	Y N
First Communion	Y N
Penance	Y N
Special Needs: health, medical and educational needs (this information remains strictly confidential and will be only used for purposes related to assisting the Catechist as determined by the Director of Religious Education.)
finished? skip to end

Parent/Guardian Consent*

In lieu of a signature, please check the box to the left to indicate parental/guardian consent to this enrollment, and type your name and relationship below.

Your Name*

Your relationship to enrolled student(s)*

Fill out the security code below and hit the Submit button below. Your information will be transmitted to Assumption Religious Ed via email.

(this code is necessary to prevent SPAM coming through this form)