Nursery & KidZone Registration

Nursery 6mo -3 and KidZone 4 & 5 years

 

For the Kids

Nursery - 6mo - 3 year olds
KidZone - 4 & 5 year olds before Kindergarten

 

Fees

$20.00 per family per Church fiscal year
Payments are made via credit card, echeck & Invoice

Ministry Assistance

We are always in need of assistance if you would like to share your talents.

**All adults over 18 must comply with the Diocesan policy for Protecting God's Children. (Background Screening, Code of Conduct and Virtus Training prior to the first class)

  • KidZone Leader
  • KidZone Assistant
  • KidZone Substitute
  • Nursery Assistant
  • Nursery Substitute

Additional Information:

Families registereing for the Nursery or KidZone must be registered familes of St. Peter.

If you have any questions, concerns or special circumstances please contact Becky, Director of Religious Education, in the Parish Office at 561-575-0837 x 202 or EMAIL.

Registration Location
Where are you completing this registration form?
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Contact Information
Last Name
Address
Father's Name
Mother's Name
Primary Phone --
Secondary Phone --
Email
Emergency Contact Name
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Emergency Contact Relationship
Emergency Phone Number --
Child 1
Child's Name
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Birth Date //
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Gender
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Age
Class Preference
Child 2
Child's Name
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Birth Date //
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Gender
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Age
Class Preference
Child 3
Child's Name
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Birth Date //
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Gender
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Age
Class Preference
Child 4
Child's Name
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Birth Date //
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Gender
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Age
Class Preference
Additional Details
Special Needs/Medication
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Please list child's name & needs. Send procedure plan to parish office if needed.
Drop Off & Pick Up Procedure A photocopy of the parent’s or guardian’s Driver’s License must be submitted. This driver’s license must be able to be shown when the child is signed in and picked up. Children will not be released to siblings or anyone other than a parent or guardian. Please drop off at least 5 minutes before the beginning of Mass and pick-up within 5 minutes of the end of Mass. Only adults who have completed the screening process for safe environment with the Diocese are permitted to remain in the Parish Hall / Church Nursery while the program is underway. Children in Preschool KidZone program must be potty-trained.
Illness Policy We cannot accept children with active symptoms of illness or who have experienced illness in the past 24 hours: Fever (even low grade) , ,Vomiting, Diarrhea, Cold/Flu, Sore throat, Ear infection, Red watery eyes Body rash (other than diaper or eczema), Contagious disease (i.e. chicken pox, measles, etc.) Since it is often difficult to determine when a child is genuinely ill or just suffering with allergies, or even teething, please follow the “beyond a shadow of a doubt” rule. The consideration of others is key.  
Permission & Medical Treatment Waiver
I do hereby give my permission for my child(ren) to attend St. Peter Catholic church Nursry or KidZone to be treated for a medical emergency in my absence. The Director of Religious Education or Adult supervisor may act as an agent in my absence. In case of accident, I do not hold the Diocese of Palm Beach, the parish, its staff, or the adult chaperones responsible.
Message In case of an emergency, we will text your cellphone. Please keep your phone on silent/vibrate during Mass.
I give my permission
Comments:
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Photograph and / or Videotape Consent & Release
I hereby grant to St. Peter Catholic Church the right to photograph and/or videotape me and further to use my name, face, likeness, voice, and appearance in connection with exhibitions, publicity, advertising, and promotional materials without any reservation, limitation, or consideration. This waiver specifically releases any common law causes of action or claims under Fla. Stat. 540.08 and expressly constitutes written consent for publication of my name, face, likeness, voice and appearance. I certify that I am the parent or legal guardian of the above participant(s), and that I have read the foregoing release and examined the information in the description. I hereby join in each and every part of this Photograph and/or Videotape Consent and Release (including such part as may subject me to personal financial responsibility) and hereby relinquish any claims that I may have against Sponsor as set forth above, both in my own behalf and in my capacity as legal representative (as applicable) of the participant, including without limitations any claims arising as a result of the participant=s leaving the supervision of Sponsor. I agree that if any portion of this document is found to be void or unenforceable, the remaining portions shall remain in full force and effect.
I have read, understand and agree with the Consent & Release Above
Comments:
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Flocknote
Flocknote is an email and text messaging tool we will be using to keep you informed. Please text spreled to 84576 to sign up. Please add your numbers below so we can easily confirm your account.
Parent Cell Phone --
Parent Cell Phone-Optional --
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Parent Signature
Once you submit this form, the confirmation page will have information to help you calculate your tuition and make an online payment.
Payment
Shopping Cart  
Selection Extended

$20.00 per Family | $20.00

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Discount Code Once you complete the payment section...please click "submit" only once to avoid a duplicate submission. You will receive an email Thank You to confirm we have received your registration.

Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type


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