2024-25 FFF Registration Form

OLMC Online Family Faith Formation Registration Form

2024-25 Ministry Year, Kindergarten-9th Grade
Family's Last Name *
Mother's Full Name

First NameLast Name
Father's Full Name

First NameLast Name
Parent's Primary Email*
example@example.com
Parent's Second Email (optional)
example@example.com
Parent's Primary Phone Number*
Please enter a valid phone number.
Parent's Second Phone Number (optional)
Please enter a valid phone number.

Adult / Parent Sunday's Faith Formation Registration
Would you like to register yourself (and maybe a spouse) to Sunday's Adult Faith Formation Sessions? 9:00-10:20am while children are with their catechists.*

YesNo
Number of Adults Registering to Sunday's Adult / Parent Faith Formation Sessions?
Name(s) of Adult(s) Registering to Sunday's Adult Faith Formation Sessions

4th Child/Youth Information
4th Child/Youth's Name

First NameLast Name
4th Child's/Youth Place of Birth
4th Child's/Youth Date of Birth

MonthDayYear
Date
4th child's/youth grade in school by September 2024
Type of encounter for 4th child/youth:

K-6th Grade, Sundays from 9:00-10:20amEdge Ministry, 6-8th Grade, Mondays from 6:45-8:00pmConfirmation Year 1, 9th Grade. Twice a month. Tuesdays from 6:45-8:00pm
Sacraments 4th child has received? Select all that apply.

BaptismFirst CommunionConfirmationNone
Does 4th child/youth have any allergies?

NoYes
If yes, please define allergies for 4th child/youth.

Emergency Contact
Mother's Cell Phone
Please enter a valid phone number.
Mother's Work Phone
Please enter a valid phone number.
Father's Cell Phone
Please enter a valid phone number.
Father's Work Phone
Please enter a valid phone number.

Emergency Contact Information (apart from parents)
Emergency Contact Name (apart from parents)*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship to Child/Youth*

Medical Release Form
RELEASE: I REQUEST THAT Our Lady of Mount Carmel (OLMC) OF THE ROMAN CATHOLIC DIOCESE OF San Francisco PERMIT MY CHILD(REN) TO PARTICIPATE IN THE FAITH FORMATION, YOUTH MINISTRY, SACRAMENTAL PREPARATION PROGRAMS AND /OR YOUTH RETREATS TO BE HELD AT Our Lady of Mount Carmel. I UNDERSTAND THAT REASONABLE PRECAUTIONS WILL BE TAKEN TO SAFEGUARD THE HEALTH AND WELL-BEING OF MY CHILD(REN) INCLUDING PRECAUTIONS FOR COVID-19, AND THAT I WILL BE NOTIFIED AS SOON AS POSSIBLE IN THE EVENT OF AN EMERGENCY. IN CASE OF SICKNESS OR ACCIDENT, I AUTHORIZE AND CONSENT TO ANY X-RAY EXAM, ANESTHETIC, MEDICAL, OR DENTAL TREATMENT AND HOSPITAL CARE TO BE RENDERED TO MY CHILD(REN) UNDER THE GENERAL CARE AND ADVICE OF ANY PHYSICIAN, DENTIST OR SURGEON LICENSED TO PRACTICE IN ANY STATE. I FURTHER UNDERSTAND AND AGREE TO BE RESPONSIBLE FOR ANY SUCH MEDICAL, DENTAL AND/OR HOSPITAL EXPENSES INCURRED AND I AGREE TO INDEMNIFY AND HOLD THE DIOCESE HARMLESS FOR ANY INJURY OR DAMAGE MY CHILD(REN) MAY SUSTAIN IN PARTICIPATION.
YESNO

Photo Permission
I hereby (select below: "Grant Permission" or "Do Not Grant Permission") to Our Lady of Mount Carmel (OLMC) to videotape/ photograph my child and without limitation, to use such photos, videos and/or stories in connection with any of the work of St. Joseph of Cupertino Church without consideration of any kind, and I do hereby release the parish, the Pastor, the parish employees and volunteers from any and all claims whatsoever which may arise in said regard.

Our Lady of Mount Carmel agrees that only the student's picture, art, voice, verbal statements, portraits (video or still) shall only be used for public relations, public information, parish promotion, publicity, and instruction. St. Joseph of Cupertino Catholic Parish further agrees that children under the age of 18 years who appear in a photograph or video will not be identified by any personal details such as name, address (e-mail or postal), telephone or fax numbers, or classroom assignment.

Our Lady of Mount Carmel will immediately comply with any request by a parent or legal guardian for the removal of specific photographs featuring their child or references to their child’s name. Keep in mind that St. Joseph of Cupertino Catholic Parish has no control over media/pictures/statements which are taken by anyone other than our parish employees and volunteers.

Student and Parent/Guardian understand and agree that photos, videos and/or student statements may be used in subsequent years.

If the Student and/or Parent/Guardian wish to rescind this agreement they may do so at any time with written notice.
Grant PermissionDo Not Grant Permission

Tuition Fee Information
Family Faith Formation Ministry Year Tuition, PreK-9th Grade

$150.00 - One child
$250.00 - Two children
$300.00 - Three or more children

Sacramental Preparation Tuition:

$50.00 (is in addition to Family Faith Formation tuition) - First Communion, 2nd Grade
$50.00 (is in addition to Family Faith Formation tuition) - Confirmation, Year 1, 9th Grade*

You may pay by cash or check. Checks may be written out to: "Our Lady of Mount Carmel". In the memo please write "Religious Education"

__________________________________

*"Confirmation, Year 1" are youth who are in the 9th grade and have received 1st Communion but have not received the Sacrament of Confirmation.

For more information you may contact Daniel Gutierrez, Director of Faith Formation, by email: ff.olmcmv@gmail.com or by cell phone: 541-704-8573 (call or text ok)

God Bless!
Should be Empty:

OLMC Online Family Faith Formation Registration Form

Adult / Parent Sunday's Faith Formation Registration

1st Child/Youth Information

2nd Child/Youth Information

3rd Child/Youth Information

4th Child/Youth Information

Emergency Contact

Emergency Contact Information (apart from parents)

Medical Release Form

Photo Permission

Tuition Fee Information