Prince of Peace Christian Formation Registration 2013-2014
Family Last Name:
Address:
Mother’s Name:
Phone: (Day)
(Evening)
Father’s Name:
Phone: (Day)
(Evening)
Family e-mail (The e-mail address you check MOST regularly):
Emergency contact who is available when your child(ren) is in class (Name and Phone):
I give Prince of Peace permission to take media images and understand that no identifying information will be posted. Permission granted:
YES
NO
FEES: For K-10th grade the fee is $55 per child (maximum $200 per family). Please make checks payable to “Prince of Peace.”
$50 per child Early Registration (Before 08/15)
$20 per child - Catechists
$40 per child – Assistant Catechists
$55 per child Late Registration (After 08/15)
Christian Formation Program Descriptions
The Christian Formation program dates will be available online at www.popparish.org and in the church commons area on or before August 1 st. Use the back of this form to
register your children in a program. Please return completed forms by August 15th. Call the Parish Office at 547-0356 with any questions.
Kindergarten – 5th Grade, Wednesday:
Kindergarten – 5th Grade, Sunday:
Middle and High School, Sunday evening:
High School, Sunday evening classes:
Classes meet on Wednesdays as follows: Wednesday 4:30-5:30pm: K-5th grade only
Classes meet on Sundays as follows:
Sunday 10:05-10:55am: K-5th grade only
Classes meet the first three Sundays a month from 6 – 8 p.m.
Classes meet the first three Sundays a month from 6 – 8 p.m.
Confirmed 11th and 12 grades free of charge!
Family Faith Formation:
Friday Family Faith meets once a month from 6:30-8:30 p.m. The remaining formation is completed at home with the family.
Saturday Family Faith meets once a month from 6:30-8:30p.m. The remaining formation completed at home with the family.
SUNSHINE class: for children with special
educational needs:
Classes meet at a times and dates prearranged by the parents. One parent is required to be present with his/her child at all
times and to help teach the lesson to his/her child. This class is for children whose cognitive development significantly lags
behind their physical development.
Important: Christian Formation alone does not meet the requirement for sacramental preparation. Families interested in
sacramental preparation for 1st Reconciliation & Eucharist (2nd grade or higher) or Confirmation (10th grade or higher), must
be enrolled in BOTH Christian Formation AND Sacramental preparation classes. For more info please call: 547-0356.
Sacramental Preparation:
 1st Reconciliaton / 1st Eucharist
 Confirmation
Parent Volunteer Position (Required)
In order for our Christian Formation
programs to run, each family with children
enrolled in Christian Formation is required to
volunteer. Those who do not select their
preference will be assigned a volunteer
responsibility. Thank you for your help!
Parent Volunteer:
Other Parent Volunteer:
Special Events Help
Conf. Module Check-ins
Hall Monitor (Wed Eve)
Hall Monitor (Sun Eve.)
Communion Prep Team
Confirmation Prep Team
Email / Phone Tree
Saint Board (1 time)
Communion Reception
Confirmation Receptions
HS&MS Snacks
Drape Cross (Seasonal)
MS&HS Activities
Clerical Assistant
Rm Supplies (1time)
Hang Decorations (1 time)
Vacation Bible School
Bulletin Boards (1 time)
VBS Set Crew
VBS Guide or Teacher
Assistant Catechist
Grade
Day
Time
For office use only: REC’D _____________
Catechist
Grade
Day
AMT ___________
Time
CHECK # ___________
BY _____________
Christian Formation Program Registration
1st Child Name:
Date of Birth:
Sacraments your child has ALREADY celebrated:
Baptism
Desired
Program:
K-5th grade (Wed 4:30pm)
Family Faith (Fri Eve.)
Date of Birth:
Sacraments your child has ALREADY celebrated:
K-5th grade (Wed 4:30pm)
Grade in Sep 2013:
Reconciliation
High School (Sun. 6-8pm)
School:
Eucharist
Sunshine (Sun morning)
Date of Birth:
K-5th grade (Wed 4:30pm)
Confirmation
Middle School (Sun 6-8pm)
High School (Sun. 6-8pm)
Baptism
Family Faith (Fri Eve.)
Grade in Sep 2013:
Reconciliation
School:
Eucharist
Sunshine (Sun morning)
Confirmation
Middle School (Sun 6-8pm)
High School (Sun. 6-8pm)
K-5th grade (Sun. 10:05am) Family Faith (Sat Eve.) Teen Phone:
Teen Email:
By providing your teen’s email/phone number you grant us permission to send event reminders. Allergies/Medical:
4th Child Name:
Date of Birth:
Sacraments your child has ALREADY celebrated:
th
K-5 grade (Wed 4:30pm)
Baptism
Family Faith (Fri Eve.)
Grade in Sep 2013:
Reconciliation
School:
Eucharist
Sunshine (Sun morning)
Confirmation
Middle School (Sun 6-8pm)
High School (Sun. 6-8pm)
K-5th grade (Sun. 10:05am) Family Faith (Sat Eve.) Teen Phone:
Teen Email:
By providing your teen’s email/phone number you grant us permission to send event reminders. Allergies/Medical:
5th Child Name:
Date of Birth:
Sacraments your child has ALREADY celebrated:
Desired
Program:
Baptism
Family Faith (Fri Eve.)
Sacraments your child has ALREADY celebrated:
Desired
Program:
Middle School (Sun 6-8pm)
K-5th grade (Sun. 10:05am) Family Faith (Sat Eve.) Teen Phone:
Teen Email:
By providing your teen’s email/phone number you grant us permission to send event reminders. Allergies/Medical:
3rd Child Name:
Desired
Program:
Sunshine (Sun morning)
School:
Confirmation
K-5th grade (Sun. 10:05am) Family Faith (Sat Eve.) Teen Phone:
Teen Email:
By providing your teen’s email/phone number you grant us permission to send event reminders. Allergies/Medical:
2nd Child Name:
Desired
Program:
Grade in Sep 2013:
Reconciliation
Eucharist
K-5th grade (Wed 4:30pm)
Baptism
Family Faith (Fri Eve.)
Grade in Sep 2013:
Reconciliation
School:
Eucharist
Sunshine (Sun morning)
Confirmation
Middle School (Sun 6-8pm)
K-5th grade (Sun. 10:05am) Family Faith (Sat Eve.) Teen Phone:
Teen Email:
By providing your teen’s email/phone number you grant us permission to send event reminders. Allergies/Medical:
Peer Ministry (Confirmed 11th & 12th Grades –No Charge) Names:
High School (Sun. 6-8pm)
Youth Event registration
PRINCE OF PEACE CATHOLIC CHURCH
Email completed form to Melody.Smith@popparish.org
YOUTH Registration and Liability Form for High School and Middle School Youth Attending Events in the Hampton Roads Area 2013-2014
YOUTH INFORMATION
PARTICIPANT NAME:
ADDRESS:
EVENT EMERGENCY
CONTACT PHONE:
PARENT CONTACT EMAIL:
PARISH NAME:
PRINCE OF PEACE
GENDER:
AGE:
GRADE:
ADULT T-SHIRT SIZE:
PARENT INFORMATION
Mother
Name:
Father
Name:
Mother
Cell:
Father
Cell:
EMERGENCY CONTACT INFORMATION
NAME:
CONTACT NUMBER:
RELATIONSHIP TO CHILD:
MEDICAL INFORMATION
In many cases, our staff and volunteers are not familiar with the medical, physical, and/or emotional history of each
participant.
Please share ANY information relating to the participant in detail. BE AS SPECIFIC AS POSSIBLE.
Allergies?
Yes
 No
Medications?
Yes
 No
Physical/Emotional/
Developmental
conditions?
Yes
 No
List any details below:
RELEASE OF LIABILITY AND MEDICAL RELEASE
As parent and/or legal guardian I remain legally responsible for any personal actions taken by the above named minor. I agree on behalf of myself, my child
named herein, or our heirs, successors, and assigns, to hold harmless and defend the Catholic Diocese of Richmond, its employees and agents, chaperones, or
representatives associated with this event from any claim arising from or in connection with my child attending the event or in connection with any illness or
injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the Diocese, and its employees and agents and
chaperons, or representatives associated with the event for reasonable attorney’s fees and expenses which may incur in any action brought against them as a
result of such injury or damage, unless such claim arises from the negligence of the Diocese.
I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. In the event of any
emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further
treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers I give permission for the noted
emergency contact to be notified. I will not hold the Diocese of Richmond responsible for authorizing any medical treatment beyond necessary transportation
to the hospital.
Parent/Guardian Signature:
Date:
USE OF MEDIA IMAGES
I give permission to for pictures and/or videos of my child (named above) engaged in activities related to any Diocesan or Prince of Peace event to have their
pictures posted in publications or websites. Names of participants will not be used without expressed permission from the parent or guardian. If the “no” box
is not checked below, the Diocese of Richmond and Prince of Peace Catholic Church assumes you give permission.
Yes
No
Date:
Parent/Guardian Signature:
For office use only: REC’D _____________
AMT ___________
CHECK # ___________
BY _____________
CHRISTIAN FORMATION DATES
2013-2014
PLEASE NOTE: These projected dates are presented to you for your convenience. It is important to note that
dates can and DO change from time to time. You will receive an email, call, and/or written notification in the
event the dates do change.
Middle & High School Sunday Evening Christian Formation: 6:00 PM to 8:00 PM
SEPTEMBER: (8th & 29th Peer Ministry Only) JANUARY: 5, 12
OCTOBER: 6, 13, 20, (27 – MS Youth Rally) FEBRUARY: 2(family take-home), 9, 23
NOVEMBER: 3, 10, 17
MARCH: 2, 9, 16, 23
DECEMBER: 8, 15
APRIL: 6(H.S. Jackie Francois Event), 27
MAY: 4
**Notes:
October 27th is for Middle School only. (9am – 6:30pm) High School does not meet.
On April 6th, Middle School meets at POP. High School travels by bus to the Jackie Francois event from 6:00PM
to 9:30PM. There is a requested $5 donation.
Elementary Sunday Morning Christian Formation: 10:05 AM to 10:55 AM
SEPTEMBER: 15, 22, 29
JANUARY: 5, 12
OCTOBER: 6, 13, 20, 27
FEBRUARY: 2, 9, 23
NOVEMBER: 3(Parade of Saints), 10, 17, 24 MARCH: 2, 9, 16, 23
DECEMBER: 8, 15
APRIL: 6, 27
MAY: 4
**Note: On November 2nd, (the Parade of Saints) class meets from 10:05 to Noon. Parents are encouraged to
attend the 9:00 Mass and bring a saint costume for their child to change into.
Elementary Wednesday Evening Christian Formation: 4:30 PM to 5:30 PM
SEPTEMBER: 18, 25
JANUARY: 8, 15, 22, 29
OCTOBER: 2, 9, 16, 23, 30
FEBRUARY: 5, 12, 19, 26
NOVEMBER: 6, 13, 20
MARCH: 5, 12, 19, 26
DECEMBER: 4, 11, 18
APRIL: 2, 9, 23, 30
MAY: 7
**Note: Ashes will be distributed to parents and children at the children’s Ash Wednesday Prayer Service on
March 5th.
Friday Family Faith: For the entire family once a month 6:30 PM to 8:30 PM
SEPTEMBER: 20
JANUARY: 3
OCTOBER: 4
FEBRUARY: 7
NOVEMBER: 8
MARCH: 7
DECEMBER: 6
APRIL: 4
** The remainder of the formation takes place at home with the family.
Saturday Family Faith: For the entire family once a month 6:30 PM to 8:30 PM
SEPTEMBER: 21
JANUARY: 4
OCTOBER: 5
FEBRUARY: 8
NOVEMBER: 9
MARCH: 8
DECEMBER: 7
APRIL: 5
** The remainder of the formation takes place at home with the family.
All Parents Help!
Assistant Catechist – An assistant catechist is a support person for the catechist. Assistant catechists are trained
and security clearance checked at our expense. Please indicate your preferred grade and day.
Bulletin Boards (Seasonal) – Bulletin boards are managed monthly to updated schedules, post announcements,
and advertise upcoming events. Seasonally we change the background or boarders.
Catechist – A catechist is responsible for handing on our Faith through the Christian Formation program. All
catechists will be trained and security clearance checked at our expense. Please indicate your preferred grade.
Clerical Assistant – Clerical assistants assist with cutouts, filing, mailings, entering data, and copying.
Communion Preparation Team – (Catechist) Sacramental preparation for 1st Reconciliation and 1st Eucharist.
Communion Reception Team – Volunteers might purchase cake, or set tables, or serve after 1st Eucharist Masses.
Confirmation Preparation Team – (Catechist) Sacramental preparation for Confirmation. Catechists are trained
at our expense. They are responsible for implementing the standardized Curriculum.
Confirmation Module Check-ins – Check-in volunteers for Confirmation modules are needed to set out
notebooks, name tags, and to ensure that all teens are given credit for having attended the required modules for
Confirmation.
Confirmation Reception Team – Volunteers help with purchasing the cakes, setting tables, serving drinks, or
decorating the parish hall.
Drape Cross (Seasonal) – Our large cross in the Education wing must be draped with the color according to the
liturgical season. Additionally all tables in the education wing must be draped with the same color tablecloths.
Email / Phone Tree – occasionally there is need to contact parents regarding a change of schedule or to send out
reminders about an event. Several Parent volunteers are needed in order for this system to work.
Hall Monitor (Wednesday Evening) – Wednesday Hall Monitors arrive early and monitor all exits in the
education wing during Wednesday Evening Christian Formation. Ten parents are needed.
Hall Monitor (Sunday Evening) – Hall monitors assist with check-ins, checkouts, and monitor all exits while High
School and Middle School youth are in the building.
Hang Decorations (1 time) – Hall decorations need to be changed seasonally. Most hang from the ceiling but
there is one table to display. Choose: Ordinary Time, Advent, Christmas, Lent, Easter.
Middle School & High School Activities – Assist Catechists in organizing games and activities on Sunday
Formation. You may also help coordinate, chaperone, or drive for a Middle or High School event.
Middle School & High School Snacks – Snack Coordinators check the pantry to make sure we have enough
snacks for the teens on Sunday night. There’s usually plenty, but occasionally, we’ll need to call parents to donate
snacks.
Room Supplies (1 time) – Room Supplier checks the rooms for the right amount of supplies and restocks (at no
cost to the volunteer) as necessary, and changes the table cloth seasonally. 11 volunteers are needed.
Saint Board (1 time) – The Saint Board in the Education wing needs a saint picture and description changed once
a month. Choose one month. Saints are chosen from the formation lesson or liturgical season.
Special Events Help – Assist in a number of ways with Elementary parties and special holidays. You may also
want to assist with Middle or High School events such as helping with concerts, NEST, or Vocations night.
Vacation Bible School – There are a number of jobs for which we need help. Parents assist with check-ins,
registrations, advertising, signs, snacks, cutouts, decorating, and other small jobs.
Vacation Bible School Guide or Teacher – A guide simply leads a group of children from one activity to the next
throughout the week. A Teacher manages the station: Faith teaching, Crafts, Snacks, Music, or Movement.
Vacation Bible School Set Crew – The Set Crew is responsible for and sometimes constructing the various sets in
the Parish Hall. All hands, ages, and abilities are needed!