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Give
Our Church
Mass & Reconciliation Schedule
Our Lady of Mount Carmel
Our Staff
Gallery
Join Our Family
Online Mass
Ministries
Administrative Ministries
Evangelization & Catechesis Ministries
Liturgical & Worship Ministries
Organizational Ministries
Sacraments
Baptism
Anointing of the Sick
Holy Eucharist
Confirmation
Holy Matrimony
Holy Orders
Reconciliation
Contact
News & Resources
Forms
Bulletins
Mass Intentions
Prayer List
Calendar
School of Religion Form
School of Religion Form
Father's Full Name
*
Father's Cell Phone
*
Mother's Full Name
*
Mother's Cell Phone
*
Home Phone
Family Street Address
*
Mother's Address (if different)
Family Email
*
Emergency Contact Person
*
Phone Number
*
2nd Emergency Contact Person
Phone Number
Father's Religion
*
Mother's Religion
*
Medical Matters: I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsiblity for the health of my child. Emergency Medical Treatment: In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor.
*
select one
Yes
No
Physician's Phone Number
*
Physician's Name
*
Insurance Company
*
Policy Number
*
How many children do you have?
*
select one
One
Two
Three
Four or more
None
Student 1 Info
Student 1 Full Name
Student 1 Nickname
Date of Birth
MM slash DD slash YYYY
Gender
Male
Female
Grade Level
Date of Baptism
Church of Baptism
Student 1 Email Address
Allergies
Medications
Student 2 Info
Student 2 Full Name
Student 2 Nickname
Date of Birth
MM slash DD slash YYYY
Gender
Male
Female
Grade Level
Date of Baptism
Church of Baptism
Student 2 Email Address
Allergies
Medications
Student 3 Info
Student 3 Full Name
Student 3 Nickname
Date of Birth
MM slash DD slash YYYY
Gender
Male
Female
Grade Level
Date of Baptism
Church of Baptism
Student 3 Email Address
Allergies
Medications
Student 4 Info
Student 4 Full Name
Student 4 Nickname
Date of Birth
MM slash DD slash YYYY
Gender
Male
Female
Grade Level
Date of Baptism
Church of Baptism
Student 4 Email Address
Allergies
Medications
Parental Consent
I grant permission to use any photos taken of my child for church-related events and promotions.
*
Yes
No
Consent
*
I grant permission for the above child/children to participate in this parish's school of religion program. Checking this box will serve as my signature.
Date
*
MM slash DD slash YYYY
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