Unbaptized Children
  • *CELL PHONE NUMBER OF PRIMARY CONTACT TO RECEIVE PROGRAM COMMUNICATIONS
  • RELATIONSHIP TO CHILD
  • *Family Name
    • Address1
    • City
    • Postal Code
    • State
    • *
      Mobile Phone
    • *
      Email Address
  • Father's Full Name
  • Work or Cell Phone Number
  • Father's Religion
  • Mother's Full Name
  • Work or Cell Phone Number
  • Mother's Religion
  • *Child Full Name
  • Sex
  • Date of Birth
  • Current Age of Child
  • Grade Level
  • Name of Regular School
  • *Does your child have a disability, learning or otherwise that we need to be aware of?
  • Additional Information
  • Does the child have an individualized education plan (IEP) or special accommodation in their regular academic setting that we need to be aware of or make modifications for?
  • Comments/Additional Information
  • Name and Address of Parish Where Family is Registered
  • *In my absence, I give permission for my child to receive emergency medical attention, should it be required, while participating in the Religious Education Program Activities at the Cathedral Basilica of Saints Peter and Paul Parish.
  • Emergency Contact

    • *
      First Name
    • *
      Last Name
    • *
      Mobile Phone
    • Email Address
  • *Relationship of Emergency Contact to Child
  • Is the child taking any regular prescription medications that we need to be made aware of or that would need to be administered while they are attending sessions? (please provide additional information regarding any existing medical condition, such as diabetes, allergy or seizure condition).
  • Parent/Guardian Names
  • THESE ACKNOWLEDGEMENTS AND PERMISSIONS APPLY TO [ENTER CHILD FULL NAME]
  • *Are there any custody or legal issues with the children?
  • *I agree to provide a copy of the most recent court order for legal custody
  • *Is there someone other than a Parent/Guardian responsible for the child's Religious Education?
  • Person Responsible for Religious Education other than Parent/Guardian
  • Relationship of Person to the Family
  • The following additional person(s) are authorized to transport my child and sign them out from Religious Education Sessions
  • Transportation and Sign Out Permission is granted to the above person(s)
  • *I agree to the policies established by the Archdiocese of Philadelphia for Religious Education programs for children and the procedures established by the Cathedral Parish of Saints Peter and Paul Religious Education Program in order to comply.
  • *I give permission for my child's picture to appear on the parish or ministry website or in the Parish Bulletin in relation to events that happen in the Parish Religious Education Program. No personally identifying information would be published.
  • Signature of Parent or Guardian
  • Date of Registration

That's all, folks!

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