St Anastasia Catholic Church

Ft. Pierce, FL

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2022 - 2023 CCD Registration

- Registration

We offer Faith Formation Classes for grades kindergarten through eighth grade.

CCD Classes for the 2022-2023 year are scheduled to begin in September.

If your child was not Baptized at St. Anastasia please submit a copy of their Baptismal Certification
to the Parish Office.

Tuition:
$80.00 per student and $50 for each additional students in the same family
Additional $10.00 for children in their 2nd Grade Sacramental year.

Payments can be mailed to the Parish Office at 407 S. 33rd Street, Fort Pierce, FL 34947 or dropped off Monday - Friday from 8am to 4pm. We also offer the option to process credit card payments that will include a fee.
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- Student Information
- Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Sex REQUIRED Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- School Attending REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Did your child attend CCD last year? REQUIRED Please fill out this field.
- Sacraments Already Received REQUIRED None Baptism First Communion Please fill out this field.
- Church of Baptism (If Applicable) Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Date of Baptism (If Applicable) Please enter valid data.
- Church where received First Holy Communion (If Applicable) Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Date of First Holy Communion (If Applicable) Please enter valid data.
- Parent Information
- Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Father's Home 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.
- Father's Email Address REQUIRED Please fill out this field. Please enter valid data.
- Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Mother's Home 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.
- Mother's Email Address REQUIRED Please fill out this field. Please enter valid data.
- Who does the child live with? Dad Mom Both
- 2022-2023 Medical Release & General Consent
- So that we can best serve your child, please list any known conditions that we should be made aware of (i.e. Learning Disabilities, Allergies, Dietary Restrictions, Medications taken, Physical, Emotional, Behavioral, etc.)
- By selecting I agree below we, the parent(s) or legal guardian(s) do hereby give our permission for our child to attend CCD Preparation classes and to be treated for a medical emergency in our absence while participating in the progam. The adult supervisor may act as an agent in our absence.
  
  In case of accident, we do not hold the Diocese of Palm Beach, St. Anastasia Catholic Church, its staff, or the adult/teen catechists/chaperones responsible for accident or injury. We understand that all cost incurred will be our (parent or legal guardian) responsibility. We also understand that if our child breaks any of the program rules, the proper authorities will be contacted and we the parent or legal guardian will be notified of all actions taken and/or to immediately pick up our child from the premises.
  I Agree Please select this field.
- Payments for CCD must be submitted to the Parish Office prior to class beginning in September.
  
  Tuition
  $80.00 per student and $50 for each additional students in
  the same family.
  Additional $10.00 for children in their 2nd Grade Sacramental year.
  
  Payments can be mailed to the Parish Office at 407 S. 33rd St., Ft Pierce, FL 34947 or dropped off Monday - Friday from 8am to 4pm.
  Credit cards payments can also be processed but will incur a fee.
  I Agree Please select this field.
Submit

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