Christ the King

Medford, MN

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2021-2022 Registration

- Faith Formation Program

Welcome to our REP! We are so excited to start a great year with your families!
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- We are so excited to start another great year! We are so grateful to offer all in person grade 1-10 classes!
  
  Classes start September 22nd. Grade 1-Grade 5 will meet Wednesday afternoons from 1:30-2:40 p.m. Students will ride the bus from Medford Public School to the Religious Ed Center.
  
  Grade 6-Grade 10 meet Wednesday evenings from 6:30-8:00 p.m. Cost is $85/student and $45 for each additional student.
  
  After you register, you will receive more information.
  
  ** Note- Online classes are available but limited.
  
  If you have any questions, please email medfordcatholicyouth@gmail.com or call 507-456-5733.
  
  Thanks so much and blessings to you and your family! Enjoy the rest of the summer!
- Parent/Guardian Information
  
  Parent (1) First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent (1) Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Religious Affiliation REQUIRED Please fill out this field.
  
  Name of Parish
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Cell Phone Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parent (2) First Name Please enter valid data.
  
  Parent (2) Last Name Please enter valid data.
  
  Religious Affiliation
  
  Name of Parish
  
  Address (Write Same if Same as Parent 1) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Email Address Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Please enter valid data.
- Your privacy is important to us. Your email address will not be used in any matter not related to the church and RE Program. Email addresses help control program costs by reducing postage and improving communication. By providing your email address you are consenting to receiving program updates, notices, and invitations.
- # of Students REQUIRED Please fill out this field.
  
  Student Name 1
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism (if known) Please enter a date.
  
  Place of Baptism
  
  Grade/ Program REQUIRED Please fill out this field.
  
  Sacraments Received First Reconciliation First Holy Communion
  
  Student Name 2
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism (if known) Please enter a date.
  
  Place of Baptism
  
  Grade/ Program REQUIRED Please fill out this field.
  
  Sacraments Received First Reconciliation First Holy Communion
  
  Student Name 3
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism (if known) Please enter a date.
  
  Place of Baptism
  
  Grade/ Program REQUIRED Please fill out this field.
  
  Sacraments Received First Reconciliation First Holy Communion
  
  Student Name 4
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism (if known) Please enter a date.
  
  Place of Baptism
  
  Grade/ Program REQUIRED Please fill out this field.
  
  Sacraments Received First Reconciliation First Holy Communion
  
  Student Name 5
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism (if known) Please enter a date.
  
  Place of Baptism
  
  Grade/ Program REQUIRED Please fill out this field.
  
  Sacraments Received First Reconciliation First Holy Communion
  
  Student Name 6
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism (if known) Please enter a date.
  
  Place of Baptism
  
  Grade/ Program REQUIRED Please fill out this field.
  
  Sacraments Received First Reconciliation First Holy Communion
- Registration and Payment Agreement:
  
  The financial impact of participating in the RE Program on our families is a primary concern of the Board and Staff. Tuition rates are set after careful analysis to provide the highest quality program for the least cost. This amount is subsidized by contributions from Christ the King and a variety of fundraisers and donations. When you submit the registration, you will recieve an invoice with the total by email.
  
  Tuition rates are $85 for the first child, and $45 for each additional student. Online and book options are $40 each to cover online access fees and materials.
  
  As members of the Catholic community, I/we acknowledge and understand the importance of continuous Faith Formation in the daily life of our family youth. By submitting this registration form, I/we freely choose to enroll our family youth in the REP program and agree to abide by its rules and regulations. I/we agree to support the ongoing goals of the program by making tuition payments according to the schedule selected.
- Payment Schedule REQUIRED I agree to Full Payment- Sent to REP Office (P.O. Box 120 Medford, 55049) I agree to two Installments- Sept. 15 and Jan. 15- Sent to REP I want to be a volunteer/catechist- receive a 50% discount on tuition. Other - Please call office. Please fill out this field.
- Do you need Tuition Assistance?
  Our Program does not intend to deny access to the program because of an inability to meet the tuition obligation.
  Yes, please have a member of REP contact me.
- Any allergies/notes/or additional comments? Please enter valid data.
- Media Release
  
  I consent to have photographs and/or videos of my son/daughter for use by the REP program. I understand that any photo/video would be used solely to publicize the program or to illustrate educational activities. If student's name is used, only their first name will be published.
  
  Media Release REQUIRED Yes No Please fill out this field.
- Elementary Bus Release/Transportation Release
  
  Parents of Grades 1-5:
  
  I consent that my child(ren) will be bussed by the Medford Bus Company from Medford Public School to the Christ the King Religious Ed Center/Christ the King Church.
  
  Bus Release Yes No
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