Faith Formation Program Registration Form 2022 - 2023

EMERGENCY CONTACT

Person(s) authorized to pick up my child at Religious Ed classes, in the event that I can't be there at dismissal time.
All Children must be signed in and signed out by their Parents or Authorized Persons in the grade appropriate sign-in book in the classrooms. If your child is eligible to receive Sacraments this year, you must complete a "REGISTRATION FOR SACRAMENTAL PREPARATION" form, in addition to this Registration Form. Sacramental Preparation is separate from Religious Education. Please have a copy of all Sacramental Certificates with the Church Seal.

CHILD(REN) INFORMATION

CHILD 1 INFORMATION
Sacramental Preparation Registration for First Reconciliation & First Holy Eucharist
2022 - 2023
St. Faustina Catholic Parish
I ...

for valuable consideration received, and for being allowed access to Diocesan property, activities, or events, expressly assign to St. Faustina Catholic Church, Clermont, FL and the Diocese of Orlando, and to all of their current, former, and future agents and related entities (collectively, “the Diocese”), all rights, title and interest in, and to, the use of my and my child/ward’s image or likeness, including, but not limited to all videotape recordings, photographs, or audio recordings of, or made by, me and/or my child/ward on Diocesan property, during a Diocesan-sponsored event, or for any other Diocesan purpose (“the Property”). The Diocese shall have, without my consent, the right to assign its rights in the Property, in whole or in part, to any entity, parish, or school within the Diocese of Orlando.


I hereby irrevocably grant the Diocese perpetually and exclusively, the right to use and incorporate (alone or together with other materials), in whole or in part, the Property, in any Diocesan publication, news release, or for any other purpose. Further, I hereby authorize the reproduction, sale, lease, copyright, exhibition, broadcast and/or distribution of the Property without limitation for any purpose whatsoever, and I further waive all rights to any compensation for my and/or my child/ward’s appearance or participation in the Property. I understand and have been advised that photographs or videotape of participants may be used in publications, websites or other materials produced from time to time by the Office of Youth and Young Adult Ministry and/or the Diocese. Participants’ names would not be identified, however, without specific written consent. I further understand that the Diocese has no control over the use of photographs or film taken by media that may be covering the event in which my child(ren) participate(s).


I hereby waive any claims against and release the Diocese, its current, former, and future religious, employees, volunteers, agents, and successors and assigns from and against any and all claims, demands, actions, causes of actions, suits, costs, expenses, liabilities, and damages whatsoever that I and/or my child/ward may have against the Diocese in connection with the Property or the use of the Property.


This release shall not obligate the Diocese to use the Property or to use any of the rights granted hereunder, or to exhibit, distribute, or exploit the Property. I acknowledge that the Diocese cannot control all photographic access to its properties, and that my child/ward’s name may be printed with photos/images in various publications, including non-Diocesan publications.


I represent that I am eighteen years of age or older, and that I have read and understand the terms of this Assignment, Waiver, and Release.

Faith Formation Program Returning Students Registration Form 2022 - 2023
Tuition and Book Fees due at Registration: One child: $60.00; Two or more children: $10 additional for each.
Update any changes from last year:

St. Faustina Catholic Parish
Emergency Medical Form

MEDICAL INFORMATION

In the event a participant becomes ill or injured, I authorize St. Faustina Catholic Parish’s Parochial Administrator, Rev. Ramon Bolatete, or the Director of Faith Formation, Marylu Mariniello or representatives to obtain medical attention at a physician’s office, hospital or by an EMT or other emergency medical services. I understand that every effort will be made to reach me before medical permission is given to treat my child. The participant is covered by the following medical insurance:

EMERGENCY CONTACT PERSON

WHEN PARENT/GUARDIAN CANNOT BE REACHED
In the case of an emergency, the parents / guardians will always be the first persons we try to contact. However, in the case that we are unable to contact the parents / guardians, we need to have some other adult that we can call. Please include the information below of the contact person you choose in the case that we are unable to reach you.