Sacraments Program/ FAITH FORMATION REGISTRATION

    FAMILY INFORMATION

    CHILDREN INFORMATION

    ADDITIONAL INFORMATION

      • PARENTAL PERMISSION & HEALTH AUTHORIZATION

    Persons other than parents authorized to be notified and/or to pick up my/our child(ren) in case of emergency:
    I/We, parents/guardians of the above-named child(ren) hereby give our permission for their participation in any and all Faith Formation/Youth Ministry activities. I/We agree to direct child(ren) to cooperate/conform with directions/instructions of Faith Formation/Youth Ministry personnel responsible for Faith Formation/Youth Ministry activities. I/We agree that in the event my/our child(ren) are injured as a result of their participation in Faith Formation/Youth Ministry activities, including transportation to/from these activities, whether or not caused by the negligence of the parish Faith Formation/Youth Ministry program, or any of its agents or employees, recourse for payment of any resulting hospital, medical or related costs and expenses will first be had against any accident, hospital or medical insurance, or any available benefit of mine/ours.

    In the event we cannot be reached in an emergency, I/We give permission for my child(ren)/s teacher/adult leader to authorize by his/her signature whatever medical treatment may be necessary by the attending physician for my/our child(ren).

    SPECIAL NEEDS

    ​VIDEO & PHOTO RELEASE

    Assumption Parish has my permission to use my child’s image, in either photograph or video formation, publicly for information and promotion of Assumption Parish. I understand that the images and/or video may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.