PREP Online Registration/Payment Form 2020-2021

Complete One Registration Per Student

PREP 2020-2021

Online Registration/Payment

Welcome to the Parish Religious Education Program (PREP) at St. Bede the Venerable Roman Catholic Church. Please complete the following form to register a student(s) in the 2020-21 school year.

Our pre-school sessions consist of a combined Pre-Kindergarten and Kindergarten classes (4 & 5 year olds). Our catechists have come up with great ways of keeping your student engaged and excited about learning thier faith.

Our elementary sessions for grades 1-6 meet will be distance learning via Zoom, Google Classroom and other platforms. Families are encouraged to attend the 9:00am Mass in person or watch via live stream at 11:00am on Sundays. Our home stduy program will now blend in to our distance learning. We will have semi-monthly "check-ins" with catechists. All cirriculum supplies are provided.

It is expected all families actively participate in our St. Bede weekend and Holy Day liturgies, as the Eucharist is the source and sumimit of our faith.

If your family is registered as St. Bede parishioners, the fee is $125 per student (and $100 per additional family member) which covers materials, catechist training, etc. We welcome non-parishioners as well; however, the fee for children whose families are not registered as parishioners is $175 per child.

Session dates are incorporated into the public school calendars of both La Canada and Glendale Unified School Districts. A calendar will be provided in August to all registered families.

After submitting this online form to register your child in our 2020-2021 PREP classes, you may receive several other pieces of information including the Empowring God's Children form which needs to be signed and returned to the PREP Office and a list of supplies that are always needed in the PREP Office.

If you have any questions or concerns, feel free to contact Moira Arjani, Director of Religious Education at 818-949-4323 or by email to moira@bede.org.

Thank you and many blessings to your family.

Student to Be Registered

Name of Student

First Name*

Middle Name

Last Name*

Family Address

Street 1*

Street 2

City*

State*

Zip*

Family E-mail

Required*

Sex
Required*

Male

Female

Date of Birth

Required* //

School Attending

Required*

Grade Level Entering in the Fall 2020
Required*

	PK-K
	1
	2
	3

	4
	5
	6

Sacraments Received
Required*

	Baptism
	First Reconciliation

	First Communion
	None

Church of Baptism

	St. Bede
	Other Catholic Parish
	Other Non Catholic Church

Date of Baptism

If Other than St. Bede, Please Provide Name of Parish/Church

Address of Parish/Church Where Baptized

Street 1

Street 2

City

State

Zip

If Not Baptized in the Catholic Faith, Please Specify Which Religion:

Date of First Reconciliation

If Other than St. Bede, Please Provide Name and Address Where 1st Reconciliation was Received

Date of First Communion

If Other than St. Bede, Please List Name and Address Where 1st Communion was Received

2020-2021 Program Requested
Required*

	PREP Sunday
	PREP Home Study (GR. 3 to 6 only)

Previous Religious Education

If student has been in a program at another Catholic parish, please list parish name.

General Information

Is Family Currently Registered as St. Bede Parishioner?
Required*

	Yes
	No

Special Circumstances

Please explain any special needs or circumstances that we should know about regarding this student include both medical and non medical.

Permission to Use Student's Photo (without name) in Bulletin or on St. Bede Website?

Required*

Parent/Guardian #1 Information

Name	Required*
Relationship to Child	Required*
Occupation	Required*
Primary Phone Number	Required* -- ext
Secondary Phone Number	-- ext
E-mail	Required*
Religion	Required*
Marital Status	Required*
Maiden Name (if applicable)

Parent/Guardian #2 Information (if applicable)

Name
Occupation
Primary Phone	-- ext
Secondary Phone	-- ext
E-mail
Religion
Marital Status
Maiden Name (if applicable)

Emergency Contact Information

In the event neither parent nor guardian can be reached, please contact:

Name

First Name*

Last Name*

Relationship to Child

Required*

Address

Street 1*

Street 2

City*

State*

Zip*

Phone

Required* --

Child's Health Insurance Provider

Required*

Group #*

Subscriber*

Doctor's Name

Required*

Doctor's Phone Number*

Doctor's Address*

Dentist's Name

Required*

Dentist's Phone Number*

Dentist's Address*

Payment Processing

Shopping Basket

		Quantity	Extended

	First Student Registration (Parishioner) \| $125.00
	Student Registration (Non-parishioner) \| $175.00
	Additional Student Registration (Parishioner) \| $100.00 If the child you are registering is a second or subsequent registration, please use this amount.