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Home
About Us
Contact Us
Clergy & Staff
St. Rita Mission Statement
St. Rita Prayer
Garden of the Good Shepherd
Who is St. Rita?
Leadership Councils
Employment Opportunities
Gather
Welcome to our Parish
Parish Database and Pledging Portal
Online Giving
Campus Map
Worship
Mass, Confession & Adoration
Funeral Services
Lent
Daily Prayer at St. Rita
Sacred Music
Sacred Art & Symbolism
Serve
Safe Environment
Rooms
Ministries at St. Rita
Internal Use Only
Renew
Chidren's Faith Formation
Adult Faith Formation
Becoming Catholic
What We Believe
Faith Resources
FORMED
Connect
Connections Ministry
Homilies
Bulletins
Flocknotes
Communications
St. Rita Youth Choir Registration
Worship
Mass, Confession & Adoration
Funeral Services
Lent
Daily Prayer at St. Rita
Sacred Music
Join Our Choirs
St. Rita Youth Choir Registration
Music Staff
St. Rita Fine Arts '21-'22 Season
The Bedient Organ
Musical Parts for Sacred Ministers
St. Rita Choral Academy
Sacred Art & Symbolism
Documents
Student & Parent Agreement
The maximum number of form submissions has been reached. This form is currently not available.
Mother's Name
REQUIRED
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Cell Phone (Mother)
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Email (Mother)
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Please enter an email address.
Father's Name
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Cell Phone (Father)
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Maximum 20 characters
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Email (Father)
REQUIRED
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Please enter an email address.
Student's Address
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City
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State
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Zip
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Number of Children Registering
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Student Information 1
First Name
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Last Name
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Please enter valid data.
Birthday
REQUIRED
Please fill out this field.
Please enter a date.
Height for Grades 5-8 (Feet & Inches)
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School Attending Fall 2017
REQUIRED
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Grade
REQUIRED
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Please enter valid data.
Does student have previous choir experience?
REQUIRED
Yes
No
Please fill out this field.
If Yes, where?
Please enter valid data.
Does student play a musical instrument?
REQUIRED
Yes
No
Please fill out this field.
If Yes...How many years and what instrument?
Please enter valid data.
After Rehearsal, Student will be: (Check one)
REQUIRED
Dismissed to St. Rita Extended Day
Picked up
Please fill out this field.
If child is being picked up, please list the names and phone numbers of those allowed to pick up your child.
Please enter valid data.
Allergies (Medicine, Food, etc.)
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Special Needs/Medication:
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(Authorization of Consent to Treat Minor) I am the Parent/ Guardian/Conservator and as such do hereby authorize St. Rita Catholic Community, its leaders, employees, contractors and volunteers as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical, dental or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the laws of the jurisdiction where such diagnosis or treatment may be given, whether such diagnosis or treatment is rendered at the office of said physician, at a hospital, or at any other location. In consideration of acceptance of this authorization, but without any time limitation and without any future right of revocation, I hereby release, defend and hold harmless the Parish and the Diocese of Dallas, their offices, directors, employees, youth ministry leaders, volunteers, and contractors from all claims, liabilities and loss in any way arising out of or in connection with or relating to such treatment and treatment decisions.
Authorization of Consent to Treat Minor
Yes
No
Student Information 2
First Name
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Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birthday
REQUIRED
Please fill out this field.
Please enter a date.
Height for Grades 5-8 (Feet & Inches)
Please enter valid data.
Grade
REQUIRED
Please fill out this field.
Please enter valid data.
Does student have previous choir experience?
REQUIRED
Yes
No
Please fill out this field.
If Yes, where?
Please enter valid data.
Does student play a musical instrument?
REQUIRED
Yes
No
Please fill out this field.
If Yes...How many years and what instrument?
Please enter valid data.
After Rehearsal, Student will be: (Check one)
REQUIRED
Dismissed to St. Rita Extended Day
Picked up
Please fill out this field.
If child is being picked up, please list the names and phone numbers of those allowed to pick up your child.
Please enter valid data.
Allergies (Medicine, Food, etc.)
Please enter valid data.
Special Needs/Medication:
Please enter valid data.
(Authorization of Consent to Treat Minor) I am the Parent/ Guardian/Conservator and as such do hereby authorize St. Rita Catholic Community, its leaders, employees, contractors and volunteers as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical, dental or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the laws of the jurisdiction where such diagnosis or treatment may be given, whether such diagnosis or treatment is rendered at the office of said physician, at a hospital, or at any other location. In consideration of acceptance of this authorization, but without any time limitation and without any future right of revocation, I hereby release, defend and hold harmless the Parish and the Diocese of Dallas, their offices, directors, employees, youth ministry leaders, volunteers, and contractors from all claims, liabilities and loss in any way arising out of or in connection with or relating to such treatment and treatment decisions.
Authorization of Consent to Treat Minor
Yes
No
School Attending Fall 2017
REQUIRED
Please fill out this field.
Please enter valid data.
Student Information 3
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birthday
REQUIRED
Please fill out this field.
Please enter a date.
Height for Grades 5-8 (Feet & Inches)
Please enter valid data.
Grade
REQUIRED
Please fill out this field.
Please enter valid data.
Does student have previous choir experience?
REQUIRED
Yes
No
Please fill out this field.
If Yes, where?
Please enter valid data.
Does student play a musical instrument?
REQUIRED
Yes
No
Please fill out this field.
If Yes...How many years and what instrument?
Please enter valid data.
After Rehearsal, Student will be: (Check one)
REQUIRED
Dismissed to St. Rita Extended Day
Picked up
Please fill out this field.
If child is being picked up, please list the names and phone numbers of those allowed to pick up your child.
Please enter valid data.
Allergies (Medicine, Food, etc.)
Please enter valid data.
Special Needs/Medication:
Please enter valid data.
(Authorization of Consent to Treat Minor) I am the Parent/ Guardian/Conservator and as such do hereby authorize St. Rita Catholic Community, its leaders, employees, contractors and volunteers as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical, dental or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the laws of the jurisdiction where such diagnosis or treatment may be given, whether such diagnosis or treatment is rendered at the office of said physician, at a hospital, or at any other location. In consideration of acceptance of this authorization, but without any time limitation and without any future right of revocation, I hereby release, defend and hold harmless the Parish and the Diocese of Dallas, their offices, directors, employees, youth ministry leaders, volunteers, and contractors from all claims, liabilities and loss in any way arising out of or in connection with or relating to such treatment and treatment decisions.
Authorization of Consent to Treat Minor
Yes
No
School Attending Fall 2017
REQUIRED
Please fill out this field.
Please enter valid data.
Student Information 4
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birthday
REQUIRED
Please fill out this field.
Please enter a date.
Height for Grades 5-8 (Feet & Inches)
Please enter valid data.
Grade
REQUIRED
Please fill out this field.
Please enter valid data.
Does student have previous choir experience?
REQUIRED
Yes
No
Please fill out this field.
If Yes, where?
Please enter valid data.
Does student play a musical instrument?
REQUIRED
Yes
No
Please fill out this field.
If Yes...How many years and what instrument?
Please enter valid data.
After Rehearsal, Student will be: (Check one)
REQUIRED
Dismissed to St. Rita Extended Day
Picked up
Please fill out this field.
If child is being picked up, please list the names and phone numbers of those allowed to pick up your child.
Please enter valid data.
Allergies (Medicine, Food, etc.)
Please enter valid data.
Special Needs/Medication:
Please enter valid data.
(Authorization of Consent to Treat Minor) I am the Parent/ Guardian/Conservator and as such do hereby authorize St. Rita Catholic Community, its leaders, employees, contractors and volunteers as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical, dental or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the laws of the jurisdiction where such diagnosis or treatment may be given, whether such diagnosis or treatment is rendered at the office of said physician, at a hospital, or at any other location. In consideration of acceptance of this authorization, but without any time limitation and without any future right of revocation, I hereby release, defend and hold harmless the Parish and the Diocese of Dallas, their offices, directors, employees, youth ministry leaders, volunteers, and contractors from all claims, liabilities and loss in any way arising out of or in connection with or relating to such treatment and treatment decisions.
Authorization of Consent to Treat Minor
Yes
No
School Attending Fall 2017
REQUIRED
Please fill out this field.
Please enter valid data.
Student Information 5
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birthday
REQUIRED
Please fill out this field.
Please enter a date.
Height for Grades 5-8 (Feet & Inches)
Please enter valid data.
Grade
REQUIRED
Please fill out this field.
Please enter valid data.
Does student have previous choir experience?
REQUIRED
Yes
No
Please fill out this field.
If Yes, where?
Please enter valid data.
Does student play a musical instrument?
REQUIRED
Yes
No
Please fill out this field.
If Yes...How many years and what instrument?
Please enter valid data.
After Rehearsal, Student will be: (Check one)
REQUIRED
Dismissed to St. Rita Extended Day
Picked up
Please fill out this field.
If child is being picked up, please list the names and phone numbers of those allowed to pick up your child.
Please enter valid data.
Allergies (Medicine, Food, etc.)
Please enter valid data.
Special Needs/Medication:
Please enter valid data.
(Authorization of Consent to Treat Minor) I am the Parent/ Guardian/Conservator and as such do hereby authorize St. Rita Catholic Community, its leaders, employees, contractors and volunteers as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical, dental or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the laws of the jurisdiction where such diagnosis or treatment may be given, whether such diagnosis or treatment is rendered at the office of said physician, at a hospital, or at any other location. In consideration of acceptance of this authorization, but without any time limitation and without any future right of revocation, I hereby release, defend and hold harmless the Parish and the Diocese of Dallas, their offices, directors, employees, youth ministry leaders, volunteers, and contractors from all claims, liabilities and loss in any way arising out of or in connection with or relating to such treatment and treatment decisions.
Authorization of Consent to Treat Minor
Yes
No
School Attending Fall 2017
REQUIRED
Please fill out this field.
Please enter valid data.
Student Information 6
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birthday
REQUIRED
Please fill out this field.
Please enter a date.
Height for Grades 5-8 (Feet & Inches)
Please enter valid data.
Grade
REQUIRED
Please fill out this field.
Please enter valid data.
Does student have previous choir experience?
REQUIRED
Yes
No
Please fill out this field.
If Yes, where?
Please enter valid data.
Does student play a musical instrument?
REQUIRED
Yes
No
Please fill out this field.
If Yes...How many years and what instrument?
Please enter valid data.
After Rehearsal, Student will be: (Check one)
REQUIRED
Dismissed to St. Rita Extended Day
Picked up
Please fill out this field.
If child is being picked up, please list the names and phone numbers of those allowed to pick up your child.
Please enter valid data.
Allergies (Medicine, Food, etc.)
Please enter valid data.
Special Needs/Medication:
Please enter valid data.
(Authorization of Consent to Treat Minor) I am the Parent/ Guardian/Conservator and as such do hereby authorize St. Rita Catholic Community, its leaders, employees, contractors and volunteers as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical, dental or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the laws of the jurisdiction where such diagnosis or treatment may be given, whether such diagnosis or treatment is rendered at the office of said physician, at a hospital, or at any other location. In consideration of acceptance of this authorization, but without any time limitation and without any future right of revocation, I hereby release, defend and hold harmless the Parish and the Diocese of Dallas, their offices, directors, employees, youth ministry leaders, volunteers, and contractors from all claims, liabilities and loss in any way arising out of or in connection with or relating to such treatment and treatment decisions.
Authorization of Consent to Treat Minor
Yes
No
School Attending Fall 2017
REQUIRED
Please fill out this field.
Please enter valid data.
Doctors's Name
REQUIRED
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Please enter valid data.
Doctor's Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Health Insurance Company
REQUIRED
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Please enter valid data.
Policy Number
REQUIRED
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Please enter valid data.
Insurance Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Media Consent: I hereby grant permission to St. Rita Catholic Community to allow my above-named children to be photographed and/or interviewed.It is my understanding that these photographs and/or interviews or portions thereof will be used for public view. I agree to participate in this project without financial remuneration, and I understand that this releases St. Rita Catholic Community and the Diocese of Dallas from any future claims as well as from any liability arising from the use of said photographs and/or interviews.
Media Consent
REQUIRED
Yes, I give my consent
No, I do NOT give my consent
Please fill out this field.
We agree to read and sign the Student Parent Agreement. Please bring the Student/Parent Agreement form to the first day of rehearsal. You can download the agreement on the right side of this webpage.
REQUIRED
Agree
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