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St. Dominic Parish
Youngstown, Ohio
Served by the Dominican Friars of the Province of St. Joseph
Facebook
Search
Search
Home
About
Staff
Contact Us
Joining the Parish
Donate
Dominican Order
Liturgy / Sacraments
Baptism
Penance and Reconciliation
Confirmation
Eucharist
Matrimony
Anointing of the Sick
Holy Orders
Divine Office
Faith Formation
CCD
RCIA
St. Dominic Faith and Life Lecture Series
Catholic Men's Fellowship
Parish Library
Parish Center
Ministries and Groups
Frassati Fellowship
Altar Servers
Catholic Men's Fellowship
Frassati Fellowship
Lay Dominican
Parish and Family Life
Queen of Peace Prayer Cenacle
News & Resources
CCD online registration form
Faith Formation
CCD
CCD online registration form
RCIA
St. Dominic Faith and Life Lecture Series
Catholic Men's Fellowship
Parish Library
2019-2020 St. Dominic's CCD Registration
The maximum number of form submissions has been reached. This form is currently not available.
Family Last Name
REQUIRED
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Parents/Guardians
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Mother's maiden name
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Are you registered parishoners of St. Dom's?
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No
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Address
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City
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Home Phone
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Cell Phone
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Text?
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Email
REQUIRED
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Individuals who may pick up my children (other than parents):
Name and relation to children:
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Name and relation to children:
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Name and relation to children:
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Child Information
Names, DOB, Age and Grades of Children (Grades K through 8)
Name, Birthday/year, Grade, Age
REQUIRED
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Name, Birthday/year, Grade, Age
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Name, Birthday/year, Grade, Age
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Name, Birthday/year, Grade, Age
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Name, Birthday/year, Grade, Age
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Children baptized at St. Dominic's?
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No
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If Yes, please put Date of Baptism (at least the year). If No, please state date and parish.
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Emergency Information:
Do any children have allergies?
Yes
No
If so, which child and what allergy?
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Do any children have any learning or physical disabilities?
REQUIRED
Yes
No
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If so, which child and what disability?
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In an EMERGENCY, if parents cannot be reached, call:
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Legal Information:
Please check if applicable. Describe/attatch documentation if necessary.
Marital Status
Married
Divorced
Single
Custody issues, transportation permissions?
REQUIRED
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No
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Court orders restricting contact with child?
REQUIRED
Yes
No
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Child has IEP?
REQUIRED
Yes
No
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Attendance issues impacting participation?
Yes
No
CCD begins Sunday, September 8, 2019 from 9:00-10:15 AM in the St. Dominic Parish Center.
Questions? Give us a call (330) 783-1900 ext 241, or send an email to james.wiscott@gmail.com.
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