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PREP Registration 2021-2022

- Faith Formation

Our Lady of Prompt Succor
Parish Religious Education Program
1st - 10th Grade

When: Each Wednesday from 6 - 7:15 PM
Where:  Our Lady's School


* Mail payments to OLPS PREP, 1109 Cypress St., Sulphur, LA 70663. (Make checks payable to OLPS PREP.)
* If you are registering a 2nd or 10th grader, please
     provide a copy of the Baptismal Certificate by mail or at PREP office.
       (OLPS PREP, 1109 Cypress St., Sulphur, LA 70663)

Text 81010 to @ehc7hdf or email ehc7hdf@mail.remind.com to receive important information and reminders about OLPS PREP classes.
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- Student Information
- How many students are you registering? (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.) REQUIRED
  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.
  Please fill out this field.
  
  Student 1
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student 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 valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  PREP Grade for 2022-2023 REQUIRED 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th Please fill out this field.
  
  Sacraments Received REQUIRED Baptism 1st Penance/Reconciliation/Confession 1st Communion/Eucharist None Please fill out this field.
  
  Name of CHURCH where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Name of CITY where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  YEAR when STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Additional Information about your child (physical, educational, medical information or needs, etc.)
  
  Student 2
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student 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 valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  PREP Grade for 2022-2023 REQUIRED 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th Please fill out this field.
  
  Sacraments Received REQUIRED Baptism 1st Penance/Reconciliation/Confession 1st Communion/Eucharist None Please fill out this field.
  
  Name of CHURCH where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Name of CITY where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  YEAR when STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Additional Information about your child (physical, educational, medical information or needs, etc.)
  
  Student 3
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student 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 valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  PREP Grade for 2022-2023 REQUIRED 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th Please fill out this field.
  
  Sacraments Received REQUIRED Baptism 1st Penance/Reconciliation/Confession 1st Communion/Eucharist None Please fill out this field.
  
  Name of CHURCH where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Name of CITY where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  YEAR when STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Additional Information about your child (physical, educational, medical information or needs, etc.)
  
  Student 4
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student 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 valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  PREP Grade for 2022-2023 REQUIRED 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th Please fill out this field.
  
  Sacraments Received REQUIRED Baptism 1st Penance/Reconciliation/Confession 1st Communion/Eucharist None Please fill out this field.
  
  Name of CHURCH where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Name of CITY where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  YEAR when STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Additional Information about your child (physical, educational, medical information or needs, etc.)
  
  Student 5
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student 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 valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  PREP Grade for 2022-2023 REQUIRED 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th Please fill out this field.
  
  Sacraments Received REQUIRED Baptism 1st Penance/Reconciliation/Confession 1st Communion/Eucharist None Please fill out this field.
  
  Name of CHURCH where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Name of CITY where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  YEAR when STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Additional Information about your child (physical, educational, medical information or needs, etc.)
  
  Student 6
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student 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 valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  PREP Grade for 2022-2023 REQUIRED 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th Please fill out this field.
  
  Sacraments Received REQUIRED Baptism 1st Penance/Reconciliation/Confession 1st Communion/Eucharist None Please fill out this field.
  
  Name of CHURCH where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Name of CITY where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  YEAR when STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Additional Information about your child (physical, educational, medical information or needs, etc.)
  
  Student 7
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student 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 valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  PREP Grade for 2022-2023 REQUIRED 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th Please fill out this field.
  
  Sacraments Received REQUIRED Baptism 1st Penance/Reconciliation/Confession 1st Communion/Eucharist None Please fill out this field.
  
  Name of CHURCH where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Name of CITY where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  YEAR when STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Additional Information about your child (physical, educational, medical information or needs, etc.)
  
  Student 8
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student 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 valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  PREP Grade for 2022-2023 REQUIRED 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th Please fill out this field.
  
  Sacraments Received REQUIRED Baptism 1st Penance/Reconciliation/Confession 1st Communion/Eucharist None Please fill out this field.
  
  Name of CHURCH where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Name of CITY where STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  YEAR when STUDENT was baptized: REQUIRED
  Put NA if Not Applicable
  Please fill out this field. Please enter valid data.
  
  Additional Information about your child (physical, educational, medical information or needs, etc.)
- Parent/Guardian/Adult Information
- Primary Parent/Guardian
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Student REQUIRED
  Select all that apply.
  Mother Father Stepmother Stepfather Grandparent Guardian Other Please fill out this field.
  
  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.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number (Used for Notifications) Maximum 20 characters Please enter a phone number.
  
  Email (Used for Notifications) REQUIRED Please fill out this field. Please enter an email address.
- Additional Parent/Guardian
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to Student
  Select all that apply.
  Mother Father Stepmother Stepfather Grandparent Guardian Other
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number (Used for Notifications) Maximum 20 characters Please enter a phone number.
  
  Email (Used for Notifications) Please enter an email address.
- Emergency Contact
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Student REQUIRED
  Select all that apply.
  Mother Father Stepmother Stepfather Grandparent Guardian Other Please fill out this field.
  
  Emergency Contact Number during PREP Hours REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- PREP Guidelines and Discipline Policy
  
  All students must show respect in their behavior, care of the facility and manner of dress. We visit the Church frequently, please ensure your student(s) dress appropriately.
  
  Cell phones may be confiscated until the end of class if they become a distraction.
  
  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.
- PREP Guidelines REQUIRED I agree with the PREP Guidelines and Discipline Policy I disagree with the PREP Guidelines and Discipline Policy Please fill out this field.
- Internet Video and 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 OLPS, 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.
- Internet Video and Photograph Policy REQUIRED I agree and I give permission to OLPS to follow the Internet Video and Photograph Policy for my student (s). I disagree and I don't give permission to OLPS to follow the Internet Video and Photograph Policy for my student (s). Please fill out this field.
- Diocese of Lake Charles Safe and Sacred Policy
  
  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 Policy REQUIRED I agree and I give permission to OLPS to follow and teach the Diocese of Lake Charles Safe Environment Safe and Sacred Lesson to my student(s). I disagree and I do not give permission to OLPS 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. Please fill out this field.
- Please mail payment to: 1109 Cypress St. Sulphur, LA 70663
  **Please put Child's name in the memo**
  PAYABLE TO: OLPS PREP
  (or drop off at the PREP Office Monday-Thursday 9-2 at
  1029 LaSalette Ave. Sulphur, LA)
Submit

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PREP Registration 2021-2022

Student Information

Parent/Guardian/Adult Information

PREP Guidelines and Discipline Policy

Internet Video and Photograph Policy

Diocese of Lake Charles Safe and Sacred Policy