Catechesis of the Good Shepherd

For homeschool families using the atrium twice a month

Child's Name(Required)

First Last

Child Gender(Required)

Male

Female

Child's Age(Required)

Date of Birth(Required)

School Grade for 2025-2026 School Year(Required)

Kindergarten

1st Grade

2nd Grade

Other

Name of Parent/Guardian Registering Your Child(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Home Phone(Required)

Cell Phone(Required)

Email(Required)

Primary Church You Attend

Please list allergies, medical conditions, or special needs

Emergency Contact Name(Required)

Emergency Contact Phone(Required)

Emergency Contact Relationship To Child(Required)

Signature

This field is for validation purposes and should be left unchanged.