This form is limited to four (4) participants maximum.
If you select a total quantity greater than four, you will need to submit the information separately for the additional participants.

This form is best completed on a desktop/laptop computer.
Unfortunately, we do not have the resources to troubleshoot errors made on a tablet or mobile device.

St. Monica is a parish where all are welcome. To fulfill the canonical requirements for sacramental record-keeping, we ask you to share your surname as it appears on your birth certificate or baptismal record. This information will not be used for any other purpose nor shared publicly.

I understand that from time to time, the Youth Faith Formation office may wish to publish examples of participant’s projects, photographs of participants, and other work on an Internet-accessible World Wide Web server or in other media. Student projects, photographs, and other work posted on the Internet or in other media will include only the student’s last name’s initial and first name.

Web Site / Internet
I acknowledge that the St. Monica Catholic Community’s website content is not private and can be reviewed, copied, downloaded, and transmitted by anyone with access to the Internet and that the St. Monica Catholic Community has no control over this. I hereby waive, release, and forever discharge any and all claims, demands, or causes of action against St. Monica Catholic Community and its clergy, staff, employees, agents, contractors, and any other person, organization, or entity assisting them in connection with the posting of information on the web site for damages or injuries in any way related to, connected to or arising from the publishing or posting of information on the St. Monica Catholic Community’s Internet web site or the use of that information and expressly assume the risk of any injury or damage resulting from said posting of information on the website.

Other Media
I hereby waive, release, and forever discharge any and all claims, demands, or causes of action against the St Monica Catholic Community and its clergy, staff, employees, agents, contractors, and any other person, organization, or entity assisting them in connection with publishing in other media, for damages or injuries in any way related to, connected to, or arising from the publishing or the use of that information, and expressly assume the risk of any injury or damage resulting from said publishing.

Authorization in Effect
I further understand and agree that this authorization remains in effect until such time as it is withdrawn in writing. I understand that if I change my mind relating to this authorization, I will submit another authorization form to the Youth Faith Formation office.

Consent
My child's first name, voice, work, and photograph can be published in our parish newsletter, which is also on our website. Common examples of usage would be printing a photo in the parish bulletin or on a Youth Faith Formation flyer. We also use a closed Facebook group page from time to time. NOTE: if your child is making their sacraments, photos and livestream are part of the liturgy.

I hereby grant permission for non-prescription medication (such as aspirin, acetaminophen, or ibuprofen) to be given to my child if deemed appropriate. A parent will be contacted prior to administering any non-prescription medication.

Participation

I, the parent (guardian) of the above-named child(ren), hereby give my permission for his/her participation in the activities named above. I agree to direct my child to cooperate and conform to directions and instructions of parish, school, or archdiocesan personnel responsible for youth activities. As a condition of my child(ren) being allowed to do so, through this document, I hereby release and discharge the Archdiocese of Los Angeles and its constituent organizations,  including but not limited to The Roman Catholic Archbishop of Los Angeles, a Corporation Sole, St. Monica's Church, and their officers, employees, and volunteers from any and all claims for personal injuries or property damage that they may suffer as a result of his/her participation in the activity described above, whether or not such injuries or damages are caused by the negligence, (active or passive), of any of the entities, or individuals named or described above.

AUTHORIZATION TO CONSENT TO TREATMENT OF MINOR
In the event of a medical emergency, I hereby give permission to transport my child to a hospital for emergency medical treatment. I give permission to the youth activities supervisory personnel then present to seek medical treatment should it be necessary for my child and to authorize any and all appropriate tests and treatment deemed necessary by the attending physician in the case of a medical emergency. This authority is granted only after a reasonable effort has been made to reach me.

You have reached the maximum number of participants for this form. If you paid for more than four (4) individuals, email the same details in this form to faithformation@stmonica.net

• Baptismal Record is required for all.
• First Eucharist Record is required for
  Bridges of Faith, Middle School Ignite!,
  and both years of Confirmation.

If SUBMIT is unsuccessful, use the navigation tabs at the top to check for errors.