Fields marked with an * are required
Parent(s) Information (required)
Child #1 (required)
Child #2 (optional)
Child #3 (optional)
Child #4 (optional)
If needing to register more than 4 children, please submit this form again for the additional children.
First Communion Preparation (optional)
Complete this section if your child is preparing for First Communion.
The well being of those who participate in our programs is our highest priority. We give careful thought to and implement basic rules of safety and conduct, and provide supervision and instruction needed to safely participate in our program. It is impossible for us to eliminate all risks and unforeseen hazards, but reasonable precautions will be taken to protect all participants. I hereby give permission for child(ren), previously named, to participate in all religious education activities. I understand that every effort will be made to contact me and/or my emergency contact but if my child needs emergency medical treatment, I hereby give my permission to do so. I hereby give my permission to the physician selected by the staff to secure proper treatment.