PreK-K CGS Registration

PreK/K CGS Registration

After submission of this registration, you will be automatically redirected to our payment page. You can pay there online or you can pay in person (via collection or parish office). Please label your cash or check payments with your students' names.

Cost:

$40/student, $100 total for three or more children

Time: Mondays 5:30-7PM

PreK-K Catechesis of the Good Shepherd Registration

Child 1 Full Name:

Child 1 DOB

Child 1 Gender

Please list allergies, disabilities, medical issues, custody/legal issues, educational needs, etc. of child 1

Please check all of the Sacraments that Child 1 has completed:

Baptism

First Reconciliation (Confession)

First Holy Communion

Confirmation

Child 2 Full Name:

Child 2 DOB:

Child 2 Gender

Child 2 Grade for 2025-2026 School Year

Please list allergies, disabilities, medical issues, custody/legal issues, educational needs, etc. of child 2

Please check all of the Sacraments that Child 2 has completed:

Baptism

First Reconciliation

First Communion

Confirmation

Mother's Name (including maiden name):

Mother's Mobile Phone

Father's Name:

Father's Mobile

Relevant Work Phone Number

Best Email for Parents

Address where youth(s) live:

What is the primary language of each parent?

Names of Persons Allowed to Pick Up Your Child:

Opt-In

By checking this box, I agree that my responses are accurate, and I give permission for the parish to use my child's photo on social media such as Facebook and the Parish Website.

Today's Date

I/We, the parent(s)/guardian(s) of the above named youth, hereby give my/our approval for his/her participation in the above event. I/We assume all risks and hazards incidental to the conduct of the activities and transportation to and from the event. I/We do further hereby waive, release, absolve, indemnify, and hold harmless the Bishop of the Catholic Diocese of Evansville, St. Mary’s Parish, Fr. Biju Thomas Pastor, and any of their respective affiliates, successors, agents, employees, members, and representatives, adult sponsors, and other volunteers involved in the activities and transportation associated with the event from any and all claims, including claims of personal injury to my/our youth or property damage, under any theory of law (including negligence, but not reckless or intentional conduct) in any way resulting from or arising in connection with the activities and/or transportation to and from the event. It is understood and agreed that neither the Parish, the Catholic Diocese of Evansville, any respective affiliate, successor, agent, employee, member, representative, adult sponsor, nor other volunteer is the insurer of my child’s health and safety while he/she is at youth functions, engaged in supervised activities, including sports, or being transported in association with the event. I/We understand it to be my/our obligation to provide such insurance as I/we may desire to purchase to protect myself/ourselves and my/our child against the costs of sickness or injury. In case of emergency or serious illness, should the above-named child require medical treatment, and neither a parent nor the designated family physician can be contacted, consent is hereby granted for such medical treatment as may be considered necessary in the opinion of the attending physician. I UNDERSTAND THAT MY SIGNATURE RELIEVES DIOCESAN AND/OR PARISH PERSONNEL OF ANY AND ALL LIABILITY RELATED TO THE ADMINISTRATION OF ANY PRESCRIBED MEDICATION LISTED ON THE DIOCESAN MEDICAL INFORMATION FORM (INCLUDING OVER-THE-COUNTER DRUGS). Further, I/we acknowledge having read, or been made aware of the Diocesan Youth and/or Adult Codes of Conduct, the Diocesan Release for Media Recording, and the Diocesan Off-site Transportation Policy, and I/we agree to be bound by the terms and conditions set forth in those documents (copies available via www.evdio.org/diocesan-forms-for-oyaya). I acknowledge and understand that any action on behalf of my/our child/dependent that is inconsistent with the Diocesan Code of Conduct may result in appropriate disciplinary action as outlined in those Documents. I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement.

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