2017-18 CCE Registration Form

For the third grade only

By filling out this form, you, the parent/guardian of the student(s) listed below, release from any liability The Eparchy of Our Lady of Lebanon, Our Lady of the Cedars Maronite Catholic Church, the priest, staff, teachers, and all volunteers including medical volunteers. You understand that you will be responsible for any medical treatment that may be necessary for my child while on Church Property of while participating in off-site sponsored parish activities. You also authorize the priest, parish, staff, and volunteers to administer any first aid and medical treatment that may be necessary in case of an emergency until you can be contacted.

CLASS TIME:

Class time: 10:00 am - 12:30 pm with a snack break.

ANNUAL FEES: 

One Child: $85
Two Children: $120
Three or more Children: $135

Please complete the form below for all your students

Home Phone
Home Phone
Father's Cell *
Father's Cell
Mother's Cell *
Mother's Cell
Home Address *
Home Address
Name of Legal Guardian (if different from above)
Name of Legal Guardian (if different from above)
Emergency Contact Name *
Emergency Contact Name
(Other than parents)
Emergency Contact Home Phone *
Emergency Contact Home Phone
(Other than parents)
Emergency Contact Cell Phone *
Emergency Contact Cell Phone
(Other than parents)
Student #1 Full Name *
Student #1 Full Name
Student #2 Full Name
Student #2 Full Name
Student #3 Full Name
Student #3 Full Name
Student #4 Full Name
Student #4 Full Name

Please fill out the first communion form if you haven't already. You will need one for each child.