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St. Patrick's Catholic Church

A Catholic Community in Casper, WY

  • Bulletins
  • Homilies
  • About Us
    • Parish Office & Staff
    • Parish Council
    • History
    • Parish Registration
    • Other Resources
  • Sacraments
    • Baptism
    • Reconciliation
    • Holy Eucharist
    • Confirmation
    • Marriage
    • Holy Orders
    • Anointing of the Sick
  • Ministries
  • Children & Youth
    • Religious Ed: Youth Registration
    • First Communion & First Reconciliation
    • Confirmation Education
    • Senior High Youth Ministry
    • St. Anthony’s Tri-Parish School
    • Totus Tuus
  • Evangelization & Faith Formation
    • Adult Education
    • RCIA
    • Tithing & Online Giving
  • Contact Us

Religious Ed: Youth Registration

We are asking all registrants to fill out this form. It helps us to ensure we have correct data. Thank you for your understanding!

"*" indicates required fields

Parent Name*
Other Parent Name
Mother's Maiden Name
Family Address*
** Please note: only a max. of 6 children (Pre K - High School) can be registered on a single form.
Hidden

Student #1 Information

Student Name*
Gender
MM slash DD slash YYYY
Grade*
Grade*
Grade*
Is your child baptized?*
Please provide date, church, city and state of Baptism.
Max. file size: 300 MB.
Please upload a scan or picture of your child's baptismal certificate.
I would like Baptism for my child*
Has your child received First Reconciliation & First Communion?*
Please provide date, church, city and state of First Reconciliation & First Communion.
I would like First Reconciliation & First Communion for my child*
Has your child been Confirmed?*
Please provide date, church, city and state of Confirmation.
I would like Confirmation for my child*

Student #2 Information

Student Name*
Gender
MM slash DD slash YYYY
Grade*
Grade*
Grade*
Is your child baptized?*
Please provide date, church, city and state of Baptism.
Max. file size: 300 MB.
Please upload a scan or picture of your child's baptismal certificate.
I would like Baptism for my child*
Has your child received First Reconciliation & First Communion?*
Please provide date, church, city and state of First Reconciliation & First Communion.
I would like First Reconciliation & First Communion for my child*
Has your child been Confirmed?*
Please provide date, church, city and state of Confirmation.
I would like Confirmation for my child*

Student #3 Information

Student Name*
Gender
MM slash DD slash YYYY
Grade*
Grade*
Grade*
Is your child baptized?*
Please provide date, church, city and state of Baptism.
Max. file size: 300 MB.
Please upload a scan or picture of your child's baptismal certificate.
I would like Baptism for my child*
Has your child received First Reconciliation & First Communion?*
Please provide date, church, city and state of First Reconciliation & First Communion.
I would like First Reconciliation & First Communion for my child*
Has your child been Confirmed?*
Please provide date, church, city and state of Confirmation.
I would like Confirmation for my child*

Student #4 Information

Student Name*
Gender
MM slash DD slash YYYY
Grade*
Grade*
Grade*
Is your child baptized?*
Please provide date, church, city and state of Baptism.
Max. file size: 300 MB.
Please upload a scan or picture of your child's baptismal certificate.
I would like Baptism for my child*
Has your child received First Reconciliation & First Communion?*
Please provide date, church, city and state of First Reconciliation & First Communion.
I would like First Reconciliation & First Communion for my child*
Has your child been Confirmed?*
Please provide date, church, city and state of Confirmation.
I would like Confirmation for my child*

Student #5 Information

Student Name*
Gender
MM slash DD slash YYYY
Grade*
Grade*
Grade*
Is your child baptized?*
Please provide date, church, city and state of Baptism.
Max. file size: 300 MB.
Please upload a scan or picture of your child's baptismal certificate.
I would like Baptism for my child*
Has your child received First Reconciliation & First Communion?*
Please provide date, church, city and state of First Reconciliation & First Communion.
I would like First Reconciliation & First Communion for my child*
Has your child been Confirmed?*
Please provide date, church, city and state of Confirmation.
I would like Confirmation for my child*

Student #6 Information

Student Name*
Gender
MM slash DD slash YYYY
Grade*
Grade*
Grade*
Is your child baptized?*
Please provide date, church, city and state of Baptism.
Max. file size: 300 MB.
Please upload a scan or picture of your child's baptismal certificate.
I would like Baptism for my child*
Has your child received First Reconciliation & First Communion?*
Please provide date, church, city and state of First Reconciliation & First Communion.
I would like First Reconciliation & First Communion for my child*
Has your child been Confirmed?*
Please provide date, church, city and state of Confirmation.
I would like Confirmation for my child*

Emergency Contact

Name
Photography Waiver
I grant permission to use my child’s (children's)/youth name, likeness and/or photographic image in the production of brochures, newsletters, websites, newspapers, etc.
Novel Coronavirus Acknowledgement & Waiver*
I agree, represent and warrant that neither the undersigned, nor any registered participant child(ren) shall visit or participate in the activities of the Diocese of Cheyenne at any parish within 14 days after (1) returning from outside the United States, (2) exposure to any person returning from outside the United States, or (3) exposure to any person who has a suspected or confirmed case of COVID-19; OR if he or she (1) experiences symptoms of COVID-19, including without limitation, fever, cough or shortness of breath, or (2) has a suspected or diagnosed/confirmed case of COVID-19. The undersigned agrees to notify the Program Administrator (or their immediate assistant) immediately if any of the foregoing access/use restrictions may apply.

The Diocese of Cheyenne and the participating diocesan parishes have or may put in place preventative measures to reduce the spread of COVID-19 before and during all faith formation, religious education, catechetical activities and events, youth ministry, and young adult ministry (“faith formation”). I agree to comply with measures that may be required to best protect against the introduction of viruses at the parishes, including, but not limited to hygiene practices and temperature screening, completion of a daily screening form, social distancing, and the use of personal protective equipment such as masks and/or gloves. However, the Diocese of Cheyenne or its participating parishes cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending faith formation may or may not increase your risk and your child(ren)’s risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I could possibly be exposed to or infected by COVID-19, by participating in faith formation, and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at faith formation at parishes may result from the actions, omissions, or negligence of myself and others, including but not limited to, employees and volunteers of the Diocese of Cheyenne or participating parishes, in addition to other program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself, including but not limited to, personal injury, disability, death, illness, damage, loss, claim, liability or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at faith formation. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge and hold harmless Bishop Steven Biegler, the Diocese of Cheyenne, all participating Catholic diocesan parishes and their employees, volunteers, agents, and representatives of and from any and all claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of any of the foregoing persons or entities, its employees, volunteers, agents, and representatives, whether a COVID-19 infection occurs before, during or after participation in any faith formation activity.

I have read and will adhere to the Corona Virus Acknowledgement and Waiver*
Classroom Volunteer Opportunities
Please Note: Background Check and Safe Environment Training Needed

Total Cost

This year's religious education cost (Pre-K - 8th) is $15.00 per child. There is no cost for Youth Ministry (high school). A link to pay will appear on the next page after you submit your registration form. Once you submit your form, there will be a link to make your payment.
This field is for validation purposes and should be left unchanged.
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St. Patrick's Catholic Church

A Catholic Community in Casper, WY

Helpful Links
  • Bulletins
  • Homilies
  • Mass Times
Contact Us

Mailing address:

400 Country Club Rd. 

Casper, Wyoming 82609

Phone: (307) 235-5535

Fax: (307) 237-7244

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