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Children’s Religious Education - Grades 1-8
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Child Information
High School-Adolescent Catechesis
RCIA (Rite of Christian Initiation for Adults)
Adult Bible Study
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St. Joseph Catholic Church
Lillian, AL
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Home
About us
Staff
Our History
Mass Times
Join Our Parish
Events & News
Calendar
News
Bulletins
Photo Albums
Parish Life
Ministries
Liturgical Ministries
Sacramental Life
Contact Us
Cemetery
Religious Education
Children’s Religious Education - Grades 1-8
High School-Adolescent Catechesis
RCIA (Rite of Christian Initiation for Adults)
Adult Bible Study
Child Information
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First Name
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Last Name
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Gender
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Child lives with:
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Mom
Dad
Guardian
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Child's Date of Birth
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Name of School:
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Grade:
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Child Baptized?
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If yes, Date / Church name / City & State of Church
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First Communion?
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Confirmation?
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List any chronic health conditions, allergies, recent serious illness or injury:
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PARENT / GUARDIAN AGREEMENT:
I understand that I, as parent or legal guardian of the child listed above, am required to read the Parent Handbook provided by the Religious Education program at
St. Joseph Catholic Church
. I understand and agree to abide by the guidelines, rules and regulations set forth in this handbook. I understand that my child(ren) need(s) to observe the basic rules of conduct and adhere to the rules stated in the handbook. I understand that failure to comply with the family handbook could bring about disciplinary actions including, in extreme cases, dismissal of my child from the catechetical program.
I understand that I am responsible for sharing the rules, regulations, and other important information in this handbook with my child.
Signature: (typing your name serves as your signature)
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Relationship to Child:
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PICK UP AUTHORIZATION:
We encourage all parents to come into the classroom when dropping off or picking up your children. If your child is the 4
th
grade or lower, it is mandatory that someone come into the classroom to pick up your child. If a sibling will pick up your child, they must be in the 5
th
grade or higher. Please list all who have permission to pick up your child:
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Name of Authorized Pick-up person:
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MEDICAL RELEASE:
As a parent and/or guardian, I do herewith authorize the treatment of my child by a qualified and licensed medical doctor of the following minor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his/her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted only after reasonable effort has been made to reach me first or the emergency contact person listed below.
Child's Name: (First & Last)
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First Emergency Contact Name:
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Contact Number:
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Second Emergency Contact Name:
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Contact Number:
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Parent Signature (typing your name serves as your signature)
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Date: (MM/DD/YY)
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