CCF 2024-25 Registration

Required

Parent/Guardian #1 Information

Are you registered at Our Lady of Good Counsel parish?required
Marital Statusrequired

Parent/Guardian/Emergency Contact #2 Information

Marital Statusrequired

Home Address

Child #1 Information

Please type NMN if no middle name.​
Must contain a date in M/D/YYYY format
Has this child attended CCF at OLGC before?required
What grade(s) has your child been enrolled in FORMAL Catholic faith formation/religious education (i.e., in a Catholic parish or Catholic school)? Please check all that apply.required
Has (s)he been baptized? A copy of your child's baptismal certificate must be submitted to the CCF Office.required
Has (s)he received 1st Reconciliation?required
Has (s)he celebrated 1st Eucharist? A copy of your child's 1st Eucharist certificate must be submitted to the CCF Office.required
Has (s)he received Confirmation? A copy of your child's Confirmation certificate must be submitted to the CCF Office.required
Special Needs/Medical Concerns?required
Please note that this information will be kept confidential with OLGC Staff and CCF catechists.
Do you have another child to register for CCF?required

Child #2 Information

Please type NMN if no middle name.​
Must contain a date in M/D/YYYY format
Has this child attended CCF at OLGC before?required
What grades has your child been enrolled in FORMAL Catholic faith formation/religious education (i.e., in a Catholic parish or Catholic school)? Please check all that apply.required
Has (s)he been baptized? A copy of your child's baptismal certificate must be submitted to the CCF Office.required
Please provide a copy of your child's baptismal certificate to the CCF Office.
Has (s)he received 1st Reconciliation?required
Has (s)he celebrated 1st Eucharist? A copy of your child's 1st Eucharist certificate must be submitted to the CCF Office.required
Has (s)he celebrated Confirmation? A copy of your child's Confirmation certificate must be submitted to the CCF Office.required
Special Needs/Medical Concerns?required
Please note that this information will be kept confidential with OLGC Staff and CCF Catechists.
Do you have another child to register for CCF?required

Child #3 Information

Please type NMN if no middle name.​​​
Must contain a date in M/D/YYYY format
Has this child attended CCF at OLGC before?required
What grades has your child been enrolled in FORMAL Catholic faith formation/religious education (i.e., in a Catholic parish or Catholic school)? Please check all that apply.required
Has (s)he been baptized? A copy of your child's baptismal certificate must be submitted to the CCF Office.required
Has (s)he received 1st Reconciliation?required
Has (s)he celebrated 1st Eucharist? A copy of your child's 1st Eucharist certificate must be submitted to the CCF Office.required
Has (s)he received Confirmation? A copy of your child's Confirmation certificate must be submitted to the CCF Office.required
Special Needs/Medical Concerns?required
Please note that this information will be kept confidential with OLGC Staff and CCF catechists.

Volunteers Needed

Would you be willing and able to volunteer with any of the following?required

Physician and Medical Insurance Info

Parental Permissions

Parental Permission and Liability Release: As parent/legal guardian of the participant names above, I give my permission for my children listed above to participate fully in Faith Formation activities at Our Lady of Good Counsel and for my contact information to be shared with their catechists between September 1, 2024 and May 31, 2025. I agree to indemnify and hereby release the Most Reverend Michael F. Burbidge Bishop of the Catholic Diocese of Arlington and his successors in office, as well as the Catholic Diocese of Arlington and all Diocesan clergy, employees, volunteers, and participating parishes and schools from any and all liability, claims, demands for personal injury, sickness and death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned of the participant resulting from said participant’s involvement in the above mentioned event (including transportation to and from the event). Furthermore, I on behalf of the participant hereby assume all risk of personal injury, sickness, death, damage, and expenses resulting from said participant’s involvement in the above described event.

Consent for Online Educational Platforms: In the event that CCF needs to move to online learning to continue Faith Formation at home, I hereby give consent for my child(ren) to participate in online educational platforms such as; Zoom (Meeting) and Google Classroom/for Education (including Meet, Hangout, and GSuite) used by the Diocese of Arlington at Our Lady of Good Counsel for the 2024-2025 school year.

  • I will be responsible for setting up my child for the class on a specific platform. My child will be expected to participate fully with their the camera and microphone features on these platforms turned on.
  • I understand online educational meetings may be recorded per diocesan policy.
  • I further understand that there is a potential of third-party interference (hacking), and therefore, I will be monitoring each session. I have spoken to my child about what to do should this occur.
  • Should I choose to opt-out of online educational platforms, I must arrange with my parish faith formation leader to homeschool my child(ren).

Informed Consent to Medical Treatment: I request that in my absence the above-named minor be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff, duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the above minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named minor. I assume full responsibility for all costs of such treatment. Further, should it be necessary for the participant to return home due to medical, disciplinary, or other reasons, I do hereby assume responsibility for the participant’s transportation home and any costs related thereto.

Photo, Press, Audio, and Electronic Media Release: I authorize the Catholic Diocese of Arlington, its parishes, its schools and/or the Arlington Catholic Herald to use and publish my child’s photograph, video and/or audio recording along with their name identifying them for educational, news stories, illustration and/or marketing purposes.

I understand and hereby agree to the terms and conditions of the participant’s involvement in the above described event and I freely execute this Acknowledgement with full knowledge of its content.

Please indicate below your consent for:

Photo, Press, Audio, and Electronic Media Release Consentrequired

The electronic signature below is treated by Our Lady of Good Counsel Parish as a physical, handwritten signature on a paper document.

Registration Feesrequired
Registration Feesrequired

After you submit your registration form, you will be directed to a new webpage that has the Faith Direct link, where you can pay your balance online under the CCF Education Fund.

If you have special circumstances regarding CCF tuition or any questions or concerns regarding CCF registration, please email Jackie Madden at jmadden@olgcva.org. Thank you!

Payment Information

Please complete captcha below to proceed to payment selection.

Please select a payment typerequired
<p><em>Thank you for registering your child(ren) for CCF.&nbsp; This is an acknowledgment of your registration.&nbsp;</em></p> <p><strong data-redactor-tag="strong">Registration is NOT complete until payment is made through&nbsp;<a href="https://forms.ministryforms.net/viewForm.aspx?formId=75c39ce1-0952-43d8-b63e-2f2b9b426424" target="_blank"><b>Faith Direct</b></a>. You can copy and paste the amount without the dollar sign $.&nbsp;</strong></p> <p><em data-redactor-tag="em" data-verified="redactor">If you have questions about the registration, contact <a href="mailto:jmadden@olgcva.org" target="_blank">Jackie Madden</a>.</em></p>