THE REP - WELCOME AND REGISTRATION

- Welcome to the REP
  
  What a year it has been for everyone…2020 is definitely one for the books. With that being said, we need our FAITH now more than ever. Although the REP will look a bit different this year, your child’s religious education and safety remains our top priority.
  
  We are following a hybrid education model, which includes both remote and in person learning. One grade will be meeting in the Church each week. This allows for each grade to meet approximately every four weeks in person with their Catechist. Meeting days will continue to be on Wednesdays from 3:30 – 5:00 PM for Grades 1 - 5 and 7:00 – 8:30 for Grades 6 -8. I have secured wireless capability in the church allowing us to use video and other online resources during the in person lessons.
  
  During in-person meetings in the Church, students will have assigned seating and will be “socially distanced”. Students are required to wear masks as they do in school and temperatures will be taken upon entrance. No books, backpacks, pencils, pens etc. will be allowed in the Church. They will not need anything during those lessons and textbooks will remain at home. By keeping the in-person meetings very small, the risk of COVID transmission is lowered and contacts can be easily traced. The Church will be cleaned prior to and after meeting. REP will follow all CDC, state and local guidelines for COVID-19 prevention.
- The majority of work will be done remotely with assignments. We will use the newest version of Loyola Press and books will remain home. I have personally written a lesson plan for each week that includes videos and additional resources to make this learning model as engaging as possible. The ICC website has class pages for each grade. The schedule for your child’s class will be found there as will links for their assignment’s each week. They will email their assignments to the gmail address assigned for each grade. Some assignments will be written and some may require sending pictures, especially for the younger grades.
  
  Although the hybrid model may put more of a burden on parents, especially for the younger grades. I did my best to write lesson plans to make it easier and more cohesive for both the children and parents. It may even be a good opportunity for parents to brush up on their faith knowledge or learn something new. Older children may be able to help younger ones and this may turn out to be a real resurgence (or test) of FAITH for our families. As parents, we are the primary educators of our children. Everything we do and say is absorbed into their developing minds. I know this firsthand from raising daughters who often remind me of things that I did wrong and sometimes right! WE CAN ONLY DO OUR BEST! This is a great opportunity to be more involved in raising children with a strong Catholic FAITH and good moral compass.
REGISTRATION FOR THE REP
- Please use the form below to enter information for each child you are enrolling. Responses are required for all questions. The REP Office will notify you of your tuition (and fees as applicable) due. An early bird fee is available to any family who has completely paid last year's tuition, by submitting a payment by July 31, 2020. All payments are due within a week of submitting the application.
  
  Please note that submission of this form does not constitute automatic enrollment into the REP. Registration is complete upon receipt of tuition and fees, review of Sacramental documentation, and assessment of prior religious formation.
  
  The link to pay tuition is https://iccirvington.churchgiving.com/ws/opportunities.
- Registration Form
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Is your family registered in the Parish? REQUIRED
  Tuition fees are higher for non-registered families. Responses will be verified.
  Please fill out this field.
  
  Home Address REQUIRED
  Primary Residence of Children to which mail should be sent.
  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.
  
  Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Father's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Father's Email Address REQUIRED Please fill out this field. Please enter an email address.
  
  Father's Work Phone Number (Secondary number for emergency calls) Please enter a phone number.
  
  Mother's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Mobile Phone Number REQUIRED
  In case of no response to first one.
  Please fill out this field. Please enter a phone number.
  
  Mother's Email Address REQUIRED
  In case primary email address does not work.
  Please fill out this field. Please enter an email address.
  
  Mother's Work Phone Number (Secondary number for emergency calls) REQUIRED Please fill out this field. Please enter a phone number.
  
  How many children are you enrolling in the REP? REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Does child live with both parents? REQUIRED Yes No Please fill out this field.
  
  Does child have permission to go home with or be released to either parent? REQUIRED Yes No Please fill out this field.
  
  Did your child attend the ICC REP during the 2018-2019 Academic Year? REQUIRED Please fill out this field.
  
  What primary school does your child attend? REQUIRED Please fill out this field.
  
  What grade of religious education formation do you believe your child is entering?
  
  Please list any learning or other special need for which your child may require accomodation. REQUIRED Please fill out this field.
  
  Please list any allergies your child has. If none, please right "no allergies" REQUIRED Please fill out this field.
  
  Is there any information concerning pick up or dismissal, or any other safety concern, which you believe would be important
  
  Do you grant the ICC REP permission to use a photograph of your child in the bulletin or newsletter? REQUIRED Yes No Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Does child live with both parents? REQUIRED Yes No Please fill out this field.
  
  Does child have permission to go home with or be released to either parent? REQUIRED Yes No Please fill out this field.
  
  Did your child attend the ICC REP during the 2018-2019 Academic Year? REQUIRED Please fill out this field.
  
  What primary school does your child attend? REQUIRED Please fill out this field.
  
  What grade of religious education formation do you believe your child is entering?
  
  Please list any learning or other special need for which your child may require accomodation. REQUIRED Please fill out this field.
  
  Please list any allergies your child has. If none, please right "no allergies" REQUIRED Please fill out this field.
  
  Is there any information concerning pick up or dismissal, or any other safety concern, which you believe would be important
  
  Do you grant the ICC REP permission to use a photograph of your child in the bulletin or newsletter? REQUIRED Yes No Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Does child live with both parents? REQUIRED Yes No Please fill out this field.
  
  Does child have permission to go home with or be released to either parent? REQUIRED Yes No Please fill out this field.
  
  Did your child attend the ICC REP during the 2018-2019 Academic Year? REQUIRED Please fill out this field.
  
  What primary school does your child attend? REQUIRED Please fill out this field.
  
  What grade of religious education formation do you believe your child is entering?
  
  Please list any learning or other special need for which your child may require accomodation. REQUIRED Please fill out this field.
  
  Please list any allergies your child has. If none, please right "no allergies" REQUIRED Please fill out this field.
  
  Is there any information concerning pick up or dismissal, or any other safety concern, which you believe would be important
  
  Do you grant the ICC REP permission to use a photograph of your child in the bulletin or newsletter? REQUIRED Yes No Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Does child live with both parents? REQUIRED Yes No Please fill out this field.
  
  Does child have permission to go home with or be released to either parent? REQUIRED Yes No Please fill out this field.
  
  Did your child attend the ICC REP during the 2018-2019 Academic Year? REQUIRED Please fill out this field.
  
  What primary school does your child attend? REQUIRED Please fill out this field.
  
  What grade of religious education formation do you believe your child is entering?
  
  Please list any learning or other special need for which your child may require accomodation. REQUIRED Please fill out this field.
  
  Please list any allergies your child has. If none, please right "no allergies" REQUIRED Please fill out this field.
  
  Is there any information concerning pick up or dismissal, or any other safety concern, which you believe would be important
  
  Do you grant the ICC REP permission to use a photograph of your child in the bulletin or newsletter? REQUIRED Yes No Please fill out this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Does child live with both parents? REQUIRED Yes No Please fill out this field.
  
  Does child have permission to go home with or be released to either parent? REQUIRED Yes No Please fill out this field.
  
  Did your child attend the ICC REP during the 2018-2019 Academic Year? REQUIRED Please fill out this field.
  
  What primary school does your child attend? REQUIRED Please fill out this field.
  
  What grade of religious education formation do you believe your child is entering?
  
  Please list any learning or other special need for which your child may require accomodation. REQUIRED Please fill out this field.
  
  Please list any allergies your child has. If none, please right "no allergies" REQUIRED Please fill out this field.
  
  Is there any information concerning pick up or dismissal, or any other safety concern, which you believe would be important
  
  Do you grant the ICC REP permission to use a photograph of your child in the bulletin or newsletter? REQUIRED Yes No Please fill out this field.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Does child live with both parents? REQUIRED Yes No Please fill out this field.
  
  Does child have permission to go home with or be released to either parent? REQUIRED Yes No Please fill out this field.
  
  Did your child attend the ICC REP during the 2018-2019 Academic Year? REQUIRED Please fill out this field.
  
  What primary school does your child attend? REQUIRED Please fill out this field.
  
  What grade of religious education formation do you believe your child is entering?
  
  Please list any learning or other special need for which your child may require accomodation. REQUIRED Please fill out this field.
  
  Please list any allergies your child has. If none, please right "no allergies" REQUIRED Please fill out this field.
  
  Is there any information concerning pick up or dismissal, or any other safety concern, which you believe would be important
  
  Do you grant the ICC REP permission to use a photograph of your child in the bulletin or newsletter? REQUIRED Yes No Please fill out this field.
  
  EMERGENCY CONTACT SECTION: Please indicate how many emergency contacts you have (min. of 2) REQUIRED Please fill out this field.
  
  Emergency Contact 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number 1 REQUIRED Please fill out this field. Please enter a phone number.
  
  Phone Number 2 Please enter a phone number.
  
  Emergency Contact 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number 1 REQUIRED Please fill out this field. Please enter a phone number.
  
  Phone Number 2 Please enter a phone number.
  
  Emergency Contact 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number 1 REQUIRED Please fill out this field. Please enter a phone number.
  
  Phone Number 2 Please enter a phone number.
  
  Emergency Contact 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number 1 REQUIRED Please fill out this field. Please enter a phone number.
  
  Phone Number 2 Please enter a phone number.
  
  Primary Care Physician in Case of Emergency
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address 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 Please fill out this field. Please enter a phone number.
  
  Main Email For All REP Communications REQUIRED Please fill out this field. Please enter an email address.
  
  In case of accident or illness, I request that the representative of the Parish Religious Education Program contact me. If I am unable to be reached, I hereby authorize this representative to call the physician indicated and to follow the physician's instructions. If it is not possible to contact this physician, the Director of Religious Education may make whatever arrangements seem necessary. I agree to assume the financial responsibility for any diagnosis, treatment and/or medication deemed necessary.
  
  To the best of my knowledge, all information given is accurate and complete. I hereby consent to, and authorize, the necessary procedures that have been stated on this form.
  I Agree Please select this field.
  
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- 2020-2021 Tuition, Fees, and Hybrid Model Explained
- REP Onsite Calendar
- Archdiocesan Covid Plan

Immaculate Conception

Irvington, NY

THE REP - WELCOME AND REGISTRATION

Welcome to the REP

REGISTRATION FOR THE REP

Registration Form