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Edge Registration Form

EDGE meets on Mondays at 6:00pm-7:00pm

Tuition

  • $130* per student for sustaining parishioner (contributes $520+ per year)
  • $260* per student for non sustaining parishioner (contribute less than $520 per year)

If you are unsure if you are a sustaining parishioner, please contact the office before registering.

* see below for discounts for additional  
Youth Information
First
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Middle
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Last
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Preferred/Nickname:
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Date of Birth //
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School
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Grade this Fall
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Youth E-mail
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Youth Cell Phone --
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Youth Lives with
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Other: please specify
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Address
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Has Youth Received
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Family Information
Mother's Name
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Mother's Email
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Receive regular email updates
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Mother's Best contact number --
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Mother's Religion
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Father's Name
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Father's E-mail
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Receive regular email updates
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Father's best contact number --
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Father Religion
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Other Children enrolled in the Edge, Religious Education or Confirmation
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Liability Release
As parent and/or legal guardian, I remain legally responsible for any personal actions taken by child/ren listed below . I the undersigned agree on behalf of myself, my child’s other parent if known or living, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend Ascension Catholic Church, it officers, directors and agents, and the Diocese of San Diego, chaperones, or representatives associated with the event with respect to any and all actions, claims or demands that may be made or brought against the parish, its officers, directors and agents, and the Diocese of San Diego, chaperons, or representatives associated with the event, arising from or in connection with my child’s attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the parish, its officers, directors and agents, and the Diocese of San Diego, chaperons, or representative associated with the event for reasonable attorney’s fees and expenses arising in connection therewith.
Child Name
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Parent Name
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Parent Signature
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Photo Release
I grant to Ascension Catholic Church, the right to take photographs of me and my family in connection with Church activities. I authorize Ascension Catholic Church, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Ascension Catholic Church may use such photographs of me and my family with or without their name and for any lawful purpose, including for example such purposes of publicity, illustration, advertising, and Web/social media content.
Parent Signature
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Edge Rules Agreement
As a member of the Edge, I agree to:
* Behave appropriately and respectfully * Listen and pay attention when someone is speaking - I'll wait my turn. * Not bring or do anything dangerous, illegal, or inappropriate. * Use up-building and kind speech, not make fun of anyone, gossip about them or act unkindly * Not swear or use profanities/inappropriate speech. * Arrive on time * Not use cell phones during the Edge (put phones in basket at front door or leave them at home). * Dress modestly and appropriately: All undergarments must be covered, no skin-tight clothing, exposed midriffs, no low=cut tops, spaghetti strap tops, strapless or backless tops. No sagging, skintight pants, short shorts, or short skirts.
Behavior Policy 1st incident - If a child is behaving in a way that is disruptive, they will be given a warning. 2nd incident - Parent is called. Child will be asked to skip next week's class and upon returning the following week must be accompanied by 1 parent for the entire class. 3rd incident - Parent is called. Child will be asked to leave the Edge for the remainder of the year. Parents are welcome to attend class at any time. I understand that failure to abide these rules may result in a call or note home, or early pick-up.
Edge Rules & Behavior Policy Agreement
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 By checking these boxes you are acknowledging you have read and are agreeing to abide by the above rules and policy.
Medical Release Form
Medical Matters: I hereby warrant that to the bet of my knowledge, my child is in good health, and I assume responsibility for his/her health. * Of the following statements pertaining to medical matters, sign only those in accordance with your wishes. EMERGENCY MEDICAL TREATMENT: In the event of an emergency, I hereby grant permission to transport my child to a hospital for emergency medical surgical treatment. I wish to be advised prior to any further treatment administrated by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the number above, please contact.
Emergency Contact Name
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Relationship to child
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Emergency Contact Phone number --
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Family Doctor
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Doctor's Phone --
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Family Health Plan Carrier
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Policy Number
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Special Needs/Medication
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 Please list child's name & needs. Send procedure plan to parish office if needed.
Parent Signature
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 Only check this box if you agree to the actions noted in the Medical Release Form
MEDICATIONS My child is taking medication at present. My child will bring all medication/s necessary, and such medication/s will be well labelled. Names of medications and concise instructions for seeing that the child takes such medication/s, including dosage and frequency of dosage is a follows:
Medication information:
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Additional Medical Information
Allergic reactions (medication, foods, plants, insects etc
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 Please note N/A if not applicable
Immunizations: Date of last tetanus/diphtheria immunization:
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 Please note N/A if not applicable
Does child have medically prescribed diet? Provide details if applicable
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Does child have any physical limitations? Provide details if applicable
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Has child recently been exposed to contagious disease or condition?
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 such as: mumps, measles, chickenpox, H1N1, COVID-19, etc? If so, date and disease or condition.
Does child have any learning disabilities?
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Does child have any behavioral issues we should be aware of?
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Other special conditions?
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Edge Fees
Sustaining Parishioner, contributes $520+ per year to the Parish. Non Sustaining parishioner - contribute less than $520 per year to the Parish. If you need assistance, please contact the office before registering.
Registration Fees For information on financial assistance please contact John Sperrazzo - john@ascension-sd.org  
Quantity Extended

1 Student -Sustaining | $100.00

1 Student - Non-Sustaining | $200.00

2 students - Sustaining | $180.00

2 students - Non-Sustaining | $360.00

3 Students - Sustaining | $230.00

3 Students - Non-Sustaining | $460.00

4 students - Sustaining | $300.00

4 students - Non-Sustaining | $600.00

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Registration Fee payment
Once your form is submitted payment needs to be made to complete registration. There are 2 options for payment. 1) Write a check to Ascension Catholic Church for the amount due. Please note Edge fees in the memo on the check 2) Make an online payment for the total fees due via the Ascension website. www.sdascension.org, via the donate tab. Please make sure amount is entered in the EDGE payment field. Please email copy of payment receipt to john@ascension-sd.org.
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Parent Signature
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