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Youth Ministry Grades 1st-8th

- Faith Formation
  - Youth Ministry
  - Order of Christian Initiation
Director of Religious Ed

Mrs. Richelle Marceaux
[email protected]
337-643-6472

Youth Coordinator

Mrs. Gabrielle M. McCleary
[email protected]
337-643-6472

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- Our Lady of the Most Holy Rosary Parish 2026-27 Religious Education for CCD Grades 1st-7th and Confirmation Prep for Grade 8th and above.
  
  Prices include all catechetical and prep classes, materials, supplies, and retreats. Installment plans are available, but must be paid by cash or check at the parish office.
  
  Please contact Richelle at the parish office for more information: 337-643-6472.
  
  All classes will be held on Mondays from 5:45PM-7:00PM at the CCD Building on the Maltrait Memorial Catholic School campus.
- Student Information
- Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Grade for Fall 2026 REQUIRED Please fill out this field.
- School Attending for Fall 2026 REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Registering for... REQUIRED Please fill out this field.
- Student Home Address (adding city & zip if not in Kaplan) REQUIRED Please fill out this field. Please enter valid data.
- Student Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Allergies? List here, ESPECIALLY food allergies: Please enter valid data.
- Are there any medical conditions we should be aware of? (physical limitations, learning/mental impairments, restrictions, etc.)
- Is there anything you'd like us to know about the student and/or their home life situation?
  All information is held in confidence and only shared with necessary parties.
- Parent/Guardian Information
- First and Last Name of Person Completing this Form REQUIRED Please fill out this field. Please enter valid data.
- Mother's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Title REQUIRED Please fill out this field.
- Mother's Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
- Mother's Email REQUIRED Please fill out this field. Please enter an email address.
- Father's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Title REQUIRED Please fill out this field.
- Father's Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
- Father's Email REQUIRED Please fill out this field. Please enter an email address.
- With whom does the student live? REQUIRED Please fill out this field.
- Emergency COntact
- Parents will always be first contact. Below, please give information for someone OTHER THAN A PARENT/GUARDIAN.
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
- Relationship to Student REQUIRED Please fill out this field. Please enter valid data.
- Sacramental Information
- Select all Sacraments the student has received: REQUIRED Baptism First Reconciliation First Communion Please fill out this field.
- Church of Baptism (if outside of our parish, please include city and state with church name) Please enter valid data.
- Church of First Reconciliation (if outside of our parish, please include city and state with church name) Please enter valid data.
- Church of First Communion (if outside of our parish, please include city and state with church name) Please enter valid data.
- Legal Waivers
- Please read and agree to all the legal information required by the Diocese of Lafayette for participation in any of our catechesis programs and activities. Please be prepared to provide medical insurance information at the end.
- Safe Environment Program
  In the pastoral effort to respond to a heightened need for the protection of our children, the Diocese of Lafayette has developed “A Safe Environment for the Protection of Children and Young People” program. As part of this program, all children in grades K through 12 in our Religious Education (CCD) Programs will be participating in an education session relating to child abuse and prevention. By registering your child in our religion program parents are automatically giving consent for their child to take part in this safe environment session.
  I have read and agree to Safe Environment. Please select this field.
- Photograph/Video/Audio/Media Consent & Release Form for a Minor
  I hereby consent to and authorize the Roman Catholic Diocese of Lafayette, Louisiana, (the Diocese) and all entities, representatives, employees, and agents operating under its authority to record, use, edit, reproduce, and/or publish photographs, video, audio, and/or other media that may portray and/or relate to the aforementioned minor child, his/her image, likeness and/or voice, without compensation. I understand that these materials may be used in various print and electronic media, including but not limited to the Diocesan website and the Diocesan publication, Acadiana Catholic, and/or for other endeavors related to Diocesan interests. I understand that the Diocese may use and/or publish materials relating to the aforementioned minor child and/or use his/her photograph, voice, video images, and other media relating to said minor child in any manner that the Diocese deems appropriate in order to promote and/or publicize its programs, or for any other lawful purpose. This authorization shall not expire and will remain effective indefinitely until rescinded in writing.
  I have read and agree to the photo/video consent and release. Please select this field.
- Parent/Guardian Consent and Liability Waiver
  I grant permission for my child to participate in any of the youth program classes, retreats, activities and/or fundraisers associated with Our Lady of the Most Holy Rosary Church Parish.
  
  I agree on behalf of myself, and my child’s other parent/guardian, that my child herein named, or our heirs, successors, and assigns, to hold harmless and defend the organizers of Our Lady of the Most Holy Rosary Roman Catholic Church Parish, its Bishop and their successors, chaperones, or representatives associated with the Diocese of Lafayette with respect to any and all actions, claims, or demands that may be made or brought against them, arising from or in connection with any injury or illness arising from attendance at or traveling to or from the event.
  
  I (we) authorize Our Lady of the Most Holy Rosary Roman Catholic Church Parish, person or adult in whose care the minor has been entrusted, to consent to any X-Ray examination, anesthetic, surgical or dental diagnosis or treatment and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician, or at said hospital.
  
  I agree to be liable and agree(s) to pay all costs expenses incurred in connection with such medical and dental services rendered to the aforementioned child.
  
  Should it be necessary for our (my) child to return home due to medical reasons or disciplinary actions or otherwise, the undersigned shall assume all transportation responsibilities.
  I have read and agree to the Parent/Guardian Consent and Liability Waiver. Please select this field.
- Insurance Information
- Medical/Hospital/Insurance Carrier Name Please enter valid data.
- Policy Holder Name Please enter valid data.
- Policy Number Please enter valid data.
- Group Number Please enter valid data.
- Registration Fee REQUIRED
  As a reminder, multi-student discounts and installment plans are available through the parish office.
  Please fill out this field.
- As a reminder, installment plans are available through the parish office.
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Youth Ministry Grades 1st-8th

Director of Religious Ed

Youth Coordinator

Student Information

Parent/Guardian Information

Emergency COntact

Sacramental Information

Legal Waivers

Insurance Information