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HOME
Mass Times
Holy Days
Confession Times
OUR PARISH
Clergy
Father Timothy Goodly - Pastor
Finance Council
Pastoral Council
Trustees
Parish History
Forms
News
RELIGIOUS/FAITH EDUCATION
ADULT FAITH FORMATION
1st Corinthians: Living as Christians
2 Corinthians: Power in Weakness
Pillar I: The Creed
VBS PAYMENT or VBS DONATION
PREP/CCD - PARISH RELIGIOUS EDUCATION PROGRAM
RITE OF CHRISTIAN INITIATION (RCIA)
YOUTH EVENTS
SACRAMENTS
Sacraments of Initiation
Baptism
Holy Eucharist/First Communion
Confirmation
Sacraments of Healing
Rite of Christian Initiation (RCIA)
ONLINE GIVING
Contact Us
Staff
Directions--Join us for Mass!
Infant Baptisms
Marriage Preparation
Annulments
Calendar
RELIGIOUS/FAITH EDUCATION
ADULT FAITH FORMATION
1st Corinthians: Living as Christians
2 Corinthians: Power in Weakness
Pillar I: The Creed
VBS PAYMENT or VBS DONATION
PREP/CCD - PARISH RELIGIOUS EDUCATION PROGRAM
PREP Registration-Page 1 and 2
PREP Payment ONLY Online
PREP Volunteer Form
Safe Environment Brochure
RITE OF CHRISTIAN INITIATION (RCIA)
YOUTH EVENTS
Prep Registration Form 2023-2024
I. Parent/Guardian/Adult Information
The maximum number of form submissions has been reached. This form is currently not available.
1. PRIMARY PARENT/GUARDIAN INFORMATION
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
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Relationship to Student (Select all that apply.)
REQUIRED
Mother
Father
Stepmother
Stepfather
Grandparent
Guardian
Family Member (not listed above)
Other
Please fill out this field.
Home Phone Number
Maximum 20 characters
Please enter a phone number.
Cell Phone Number (used for notifications)
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Email (used for notifications.)
REQUIRED
Please fill out this field.
Please enter an email address.
Name of CHURCH parish where you are registered.
REQUIRED
Registered at Immaculate Conception Catholic Church Sulphur.
Registered at another Catholic Church.
Not registered at a Catholic Church at this time.
Please fill out this field.
EMERGENCY CONTACT DURING PREP
REQUIRED
Emergency contact information (during PREP hours) is listed previously in #1. Primary Parent/Guardian Information.
Emergency contact information (during PREP hours) is provided next in #2. Other Parent/Guardian/Emergency Contact Information.
Please fill out this field.
WILL YOU VOLUNTEER? (Check all that you are interested in.) (All volunteers MUST pass a background check and take the Diocese of Lake Charles Safe Environment course prior to volunteering.)
REQUIRED
All volunteers must be a practicing Catholic fully able to participate in the Sacraments of the Catholic Church.
Catechist/Teacher
Catechist/Teacher Assistant
Substitute (need at least 2 for every session.)
Office Assistant (need at least 2 for every session)
Arrival/Dismissal ( student drop off/pick up)
Not at this time.
Please fill out this field.
2. OTHER PARENT/GUARDIAN/EMERGENCY CONTACT INFORMATION (if different than above)
First Name
Please enter valid data.
Last Name
Please enter valid data.
Address
Please enter valid data.
City
Please enter valid data.
State
None
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip
Please enter a zip code.
Home Phone Number
Maximum 20 characters
Please enter a phone number.
Cell Phone Number
Maximum 20 characters
Please enter a phone number.
Email
Please enter an email address.
Relationship to Student (Select all that apply.)
Mother
Father
Stepmother
Stepfather
Grandparent
Guardian
Family Member (not listed above)
Emergency Contact (during PREP hours)
Other
II. STUDENT INFORMATION
{
You must fill in the number of students that you will register in the blank below (1,2, 3,) before the form will provide you with blanks to give student name, age, grade, etc.}
How many students are you registering?
REQUIRED
Please fill out this field.
STUDENT NAME 1
Student's First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student's Middle Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student's Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth (xx-xx-xxxx)
REQUIRED
Please fill out this field.
Please enter a date.
Age
REQUIRED
Please fill out this field.
Please enter an integer (number).
Gender
REQUIRED
Female
Male
Please fill out this field.
PREP Formation Grade for Upcoming Year (2023-2024)
REQUIRED
1st Grade
2nd Grade-must provide Baptismal certificate.
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade-must provide Baptismal certificate.
12th Grade
Please fill out this field.
Class is Every Wednesday/Every Week (Select session your student will attend)
REQUIRED
Students are placed in classes on a first-come first-serve basis. Classes are every other week for students in Grades 1-10.
Grades 1 - 5 4:30PM-5:30PM (Class meets every Wednesday.)
Grades 6 - 8 6:30PM-7:45PM (Class meets every Wednesday.)
Grades 9 - 12 6:30PM-7:45PM (Class meets every Wednesday.)
Please fill out this field.
Sacraments Received (check all that apply)
REQUIRED
Baptism
First Penance/Reconciliation
First Communion/Eucharist
Confirmation
Please fill out this field.
Name of CHURCH where STUDENT baptized
REQUIRED
Please fill out this field.
Please enter valid data.
Name of CITY of CHURCH of Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
YEAR of Student Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
Additional Information about your child (physical, educational, medical information or needs, etc.)
Please enter valid data.
STUDENT NAME 2
Student's First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student's Middle Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student's Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth (xx-xx-xxxx)
REQUIRED
Please fill out this field.
Please enter a date.
Age
REQUIRED
Please fill out this field.
Please enter an integer (number).
Gender
REQUIRED
Female
Male
Please fill out this field.
PREP Formation Grade for Upcoming Year (2023-2024)
REQUIRED
1st Grade
2nd Grade-must provide Baptismal certificate.
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade-must provide Baptismal certificate.
12th Grade
Please fill out this field.
Class is Every Wednesday/Every Week (Select session your student will attend)
REQUIRED
Students are placed in classes on a first-come first-serve basis. Classes are every other week for students in Grades 1-10.
Grades 1 - 5 4:30PM-5:30PM (Class meets every Wednesday.)
Grades 6 - 8 6:30PM-7:45PM (Class meets every Wednesday.)
Grades 9 - 12 6:30PM-7:45PM (Class meets every Wednesday.)
Please fill out this field.
Sacraments Received (check all that apply)
REQUIRED
Baptism
First Penance/Reconciliation
First Communion/Eucharist
Confirmation
Please fill out this field.
Name of CHURCH where STUDENT baptized
REQUIRED
Please fill out this field.
Please enter valid data.
Name of CITY of CHURCH of Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
YEAR of Student Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
Additional Information about your child (physical, educational, medical information or needs, etc.)
Please enter valid data.
STUDENT NAME 3
Student's First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student's Middle Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student's Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth (xx-xx-xxxx)
REQUIRED
Please fill out this field.
Please enter a date.
Age
REQUIRED
Please fill out this field.
Please enter an integer (number).
Gender
REQUIRED
Female
Male
Please fill out this field.
PREP Formation Grade for Upcoming Year (2023-2024)
REQUIRED
1st Grade
2nd Grade-must provide Baptismal certificate.
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade-must provide Baptismal certificate.
12th Grade
Please fill out this field.
Class is Every Wednesday/Every Week (Select session your student will attend)
REQUIRED
Students are placed in classes on a first-come first-serve basis. Classes are every other week for students in Grades 1-10.
Grades 1 - 5 4:30PM-5:30PM (Class meets every Wednesday.)
Grades 6 - 8 6:30PM-7:45PM (Class meets every Wednesday.)
Grades 9 - 12 6:30PM-7:45PM (Class meets every Wednesday.)
Please fill out this field.
Sacraments Received (check all that apply)
REQUIRED
Baptism
First Penance/Reconciliation
First Communion/Eucharist
Confirmation
Please fill out this field.
Name of CHURCH where STUDENT baptized
REQUIRED
Please fill out this field.
Please enter valid data.
Name of CITY of CHURCH of Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
YEAR of Student Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
Additional Information about your child (physical, educational, medical information or needs, etc.)
Please enter valid data.
STUDENT NAME 4
Student's First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student's Middle Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student's Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth (xx-xx-xxxx)
REQUIRED
Please fill out this field.
Please enter a date.
Age
REQUIRED
Please fill out this field.
Please enter an integer (number).
Gender
REQUIRED
Female
Male
Please fill out this field.
PREP Formation Grade for Upcoming Year (2023-2024)
REQUIRED
1st Grade
2nd Grade-must provide Baptismal certificate.
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade-must provide Baptismal certificate.
12th Grade
Please fill out this field.
Class is Every Wednesday/Every Week (Select session your student will attend)
REQUIRED
Students are placed in classes on a first-come first-serve basis. Classes are every other week for students in Grades 1-10.
Grades 1 - 5 4:30PM-5:30PM (Class meets every Wednesday.)
Grades 6 - 8 6:30PM-7:45PM (Class meets every Wednesday.)
Grades 9 - 12 6:30PM-7:45PM (Class meets every Wednesday.)
Please fill out this field.
Sacraments Received (check all that apply)
REQUIRED
Baptism
First Penance/Reconciliation
First Communion/Eucharist
Confirmation
Please fill out this field.
Name of CHURCH where STUDENT baptized
REQUIRED
Please fill out this field.
Please enter valid data.
Name of CITY of CHURCH of Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
YEAR of Student Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
Additional Information about your child (physical, educational, medical information or needs, etc.)
Please enter valid data.
STUDENT NAME 5
Student's First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student's Middle Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student's Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth (xx-xx-xxxx)
REQUIRED
Please fill out this field.
Please enter a date.
Age
REQUIRED
Please fill out this field.
Please enter an integer (number).
Gender
REQUIRED
Female
Male
Please fill out this field.
PREP Formation Grade for Upcoming Year (2023-2024)
REQUIRED
1st Grade
2nd Grade-must provide Baptismal certificate.
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade-must provide Baptismal certificate.
12th Grade
Please fill out this field.
Class is Every Wednesday/Every Week (Select session your student will attend)
REQUIRED
Students are placed in classes on a first-come first-serve basis. Classes are every other week for students in Grades 1-10.
Grades 1 - 5 4:30PM-5:30PM (Class meets every Wednesday.)
Grades 6 - 8 6:30PM-7:45PM (Class meets every Wednesday.)
Grades 9 - 12 6:30PM-7:45PM (Class meets every Wednesday.)
Please fill out this field.
Sacraments Received (check all that apply)
REQUIRED
Baptism
First Penance/Reconciliation
First Communion/Eucharist
Confirmation
Please fill out this field.
Name of CHURCH where STUDENT baptized
REQUIRED
Please fill out this field.
Please enter valid data.
Name of CITY of CHURCH of Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
YEAR of Student Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
Additional Information about your child (physical, educational, medical information or needs, etc.)
Please enter valid data.
STUDENT NAME 6
Student's First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student's Middle Name
REQUIRED
Please fill out this field.
Please enter valid data.
Student's Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth (xx-xx-xxxx)
REQUIRED
Please fill out this field.
Please enter a date.
Age
REQUIRED
Please fill out this field.
Please enter an integer (number).
Gender
REQUIRED
Female
Male
Please fill out this field.
PREP Formation Grade for Upcoming Year (2023-2024)
REQUIRED
1st Grade
2nd Grade-must provide Baptismal certificate.
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade-must provide Baptismal certificate.
12th Grade
Please fill out this field.
Class is Every Wednesday/Every Week (Select session your student will attend)
REQUIRED
Students are placed in classes on a first-come first-serve basis. Classes are every other week for students in Grades 1-10.
Grades 1 - 5 4:30PM-5:30PM (Class meets every Wednesday.)
Grades 6 - 8 6:30PM-7:45PM (Class meets every Wednesday.)
Grades 9 - 12 6:30PM-7:45PM (Class meets every Wednesday.)
Please fill out this field.
Sacraments Received (check all that apply)
REQUIRED
Baptism
First Penance/Reconciliation
First Communion/Eucharist
Confirmation
Please fill out this field.
Name of CHURCH where STUDENT baptized
REQUIRED
Please fill out this field.
Please enter valid data.
Name of CITY of CHURCH of Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
YEAR of Student Baptism
REQUIRED
Please fill out this field.
Please enter valid data.
Additional Information about your child (physical, educational, medical information or needs, etc.)
Please enter valid data.
III. IMMACULATE CONCEPTION PREP POLICIES
A. Immaculate Conception Catholic Church PREP Parent Permission
B. Immaculate Conception PREP Discipline Policy
All students must show respect in their behavior, care of the facility and manner of dress.
Cell phones must be turned off at all times, or they will be confiscated until the end of class. Use of any other electronic devices while on our campus is also prohibited.
Students must not disrupt the teaching process for the Catechist (Teacher), or the learning process for fellow students through disruptive or non-cooperative behavior.
Students must exhibit Christian concern for others by avoiding ostracizing behavior such as bullying or gossiping.
If a student commits an infraction of these policies, he or she will be sent to the PREP Office to meet with the Parish Catechetical Leader (PCL) and depending on the event, may or may not be sent back to class that evening.
For repeated offenses, the Parent will be asked to meet with PREP STAFF to discuss appropriate interventions, which could include having the Parent attend class with the student until the behavior is resolved.
It is important that we have your support in this Discipline Policy.
* Immaculate Conception PREP Discipline Permissions (Choose one.)
REQUIRED
I agree to the Immaculate Conception PREP Discipline Policy for my student.
I disagree with the Immaculate Conception PREP Discipline Policy and will contact the PREP office to discuss further.
Please fill out this field.
C. Immaculate Conception Internet Video & Photograph Policy
To help our students express their faith to the community, and to help the community understand the options for faith formation for young people at Immaculate Conception, the PREP office may publish pictures or videos of our students in PREP or VBS activities to our website, social media (ex: Facebook) or other forum such as church bulletins. It is important that we have your permission to do so prior to publication.
* Immaculate Conception Video & Internet Photograph Permissions (Choose one)
REQUIRED
I agree and I give permission to Immaculate Conception to follow the Video & Internet Policy.
I disagree and I do not give permission to Immaculate Conception to follow the Video & Internet Policy for my student (s).
Please fill out this field.
D. Diocese of Lake Charles Safe Environment and Safe and Sacred Lessons
The Diocese mandates that we conduct Safe Environment Education for Catechists, Volunteers, Parents, and Students. This education promotes a deeper understanding of the human person as graced and loved by God. Students are taught each year, in an age-appropriate way, the basic vocabulary and understanding of what it means to guard one's own well-being and also the well-being of those around them. They are taught to recognize abuse in all its forms, and how to address it if it is seen. While Safe and Sacred is not intended to intrude on personal modesty boundaries, sometimes the subject matter brings forth sincere questions from the students. The Catechist either responds accurately to the questions, or if appropriate, refers the question to the Parent. It is important that we have your permission for Safe and Sacred lessons to be taught to your child.
* Diocese of Lake Charles Safe and Sacred Safe Environment Permissions (Choose one.)
I agree and I give permission to Immaculate Conception to follow and teach the Diocese of Lake Charles Safe Environment Safe and Sacred Lesson.
I disagree and I do not give permission to Immaculate Conception to follow and teach the Diocese of Lake Charles Safe Environment Safe and Sacred Lesson to my student(s). I will contact the PREP office to discuss in further detail.
IV. SELECT PAYMENT OPTION BELOW:
REQUIRED
Payment will be submitted online. (You will be given the opportunity to pay online when you click the SUBMIT option at the end of the form.)
Payment by check or cash will be forwarded to the Church. (Make checks payable to Immaculate Conception PREP)
Payment will be made at a later date.
Please fill out this field.
PAY ONLINE INSTRUCTIONS
AFTER
you select the
Submit
button below, you will have the option to
Pay Online
.
THEN
,
please follow the instructions below:
1
- Select the payment amount. (ex: 1 student 25.00)
2-Then select
Pay Now.
3- You will be redirected to a Paypal login screen. You do not have to have a paypal account.
4- If you do NOT want to pay with Paypal or if you Do NOT have a Paypal Account do NOT LOGIN.
5- Scroll down the screen and select
pay with debit or credit card.
6- You will then have the OPTION to checkout as a Paypal Guest and
can use a credit card or debit card.
Submit
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