Cathedral of St. John Berchmans

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

2020-2021 CCD Registration for Returning Families

Our fees cover books and materials used to enhance the faith education of the children in our parish.

Registration Fees

Qty

Description

Amount

Total

First Holy Communion/Confirmation Fee

$25.00

---

per child

Number of Students

$35.00

---

per child

Additional donation from my family

---

Total: $0.00

Parent Name(s): *

Children's Name(s): *

Updated allergy information:

Child not enrolled last year:

If you have a child who was not enrolled last year, please submit their full name, date of birth and baptismal info here:

Photo and Promotional Release

Photo and Promotional Permission: *

Please select one option above, acknowledging that you DO give permission or you DO NOT give permission for videos/photos.

Protecting God's Children Permission

Protecting God's Children Permission: *

Please select one option above, acknowledging that you DO give permission or you DO NOT give permission for your children to participate in PGC (if you select DO NOT, our DRE will contact you with the Opt-Out Form).

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Check here to receive our monthly e-Berchmans.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *