St. John the Baptist Faith Formation Registration 2025-2026

St. John the Baptist Faith Formation Registration 2025-2026
We're so glad your child will be joining us for Faith Formation this year. To help us prepare, please complete the following forms thoroughly and accurately.

You'll be completing two separate forms:

Form 1 is the Faith Formation Registration Form. This form will begin by asking questions about the child's parents/guardians, emergency contact information, church attendance, and demographic information.

Form 2 is the Medical Information & Release Form. This form will ask for information we may need to provide care to your child in case of an emergency.

Let's start with some basic information about the adult who is completing this form.

Form 1 - Faith Formation Registration

Parish School of Religion 2025-2026
Parent or Legal Guardian Information (Adult #1)

The individual completing this form must be someone who is legally authorized to make decisions on behalf of the child.
Name of Parent/Legal Guardian (Adult #1)*

First NameLast Name
Adult #1 Relationship to Child*
Adult #1 Cell Phone Number
Please enter a valid phone number.
Adult #1 Email Address
example@example.com
Adult #1 Address*

Street Address or PO Box Information

Street Address Line 2

CityState

Zip Code
Does this child have a second parent or legal guardian?*

YesNo

Parent or Legal Guardian Information (Adult #2)
Name of Parent/Legal Guardian (Adult #2)

First NameLast Name
Adult #2 Relationship to Child
Adult #2 Cell Phone Number
Please enter a valid phone number.
Adult #2 Email Address
example@example.com
Adult 2 lives at same address as Adult 1

True (you can skip the next question)False (please provide address below)
Adult #2 Address

Street Address or PO Box Information

Street Address Line 2

CityState

Zip Code

Additional Emergency Contact

Please provide an additional emergency contact other than the parent/legal guardian(s) listed in the previous sections.
Additional Emergency Contact Name*

First NameLast Name
Is this additional emergency contact a legal guardian?

YesNo
Emergency Contact - Cell Phone Number
Please enter a valid phone number.
Emergency Contact - Address

Street Address

Street Address Line 2

CityState

Zip Code

Family Information
Is your family Catholic?

YesNo
Are you a registered member of St. John the Baptist Catholic Church?

YesNo
Mass time you normally attend:

Saturday 4pm (St. John)Sunday 8am (St. Terence)Sunday 10am (St. John)
If you are not Catholic, please list your religion/denomination and church you attend:

Release / Indemnification Information

This release / indemnification is valid from September 2025 - May 2026.
By signing below, I certify that I am the parent or legal guardian / conservator of the child named within this document, and I grant my permission for said child to participate with the various programs and activities of the Diocese of Shreveport and/or St. John the Baptist Parish. These various programs and activities will take place under the guidance and direction of employees and/or volunteers from the Diocese of Shreveport and/or St. John the Baptist Parish.

I agree that as parent / guardian / conservator, I remain legally responsible for any personal actions taken by the child named within this document.

I agree on behalf of myself and the child named within this document, to hold harmless, the Diocese of Shreveport, the Bishop and his successors, employees, agents, volunteers, St. John the Baptist Parish, its employees and volunteers from any and all claims (unless due to gross negligence of the Diocese and/or Parish) for illness, injury, death and the cost of medical treatment therewith, arising from or in any way connected with said child who attends the various diocesan or church programs and activities during the dates named above.

In the event any legal action is taken by either party against the other party to enforce any of the terms and conditions of this agreement, it is agreed that each party is responsible for its own legal fees, court costs and expenses.

I also consent in perpetuity to the use by the Diocese of Shreveport and St. John the Baptist Catholic Church, of any video recordings, photographs, audio recordings, or any other visual or audio reproduction in which the child named within this document may appear. I understand that these materials, including websites and social media sites, are being used for promotion of the children and youth ministries of the Diocese of Shreveport and/or St. John the Baptist Catholic Church which may include recruitment and fundraising efforts. I understand that I will receive no compensation should any of these materials be used.

I understand that this permission, liability waiver and acknowledgement will be kept on file and will accompany the child named within this document on any and all programs and activities of the Diocese of Shreveport and St. John the Baptist Catholic Church.

I certify that all the information I provided above is true, and I understand, acknowledge and agree to, all the terms, conditions and agreements stated above with respect to all of the children named within this document.
Signature*

Clear

Form 2: Medical Information Release
Participant's Name*

First NameLast Name
Participant's Age: *
Participant's Date of Birth: *

MonthDayYear
Date
Is this participant medically insured?*

YesNo
Specific Medical Information
You should be aware of these special medical conditions and / or needs: (e.g. physical, developmental, behavioral, cognitive, or other diseases, disabilities, disorders or limitations):
Allergic reactions (medications, foods, plants, insects, latex, etc.):
Other Specific Medical Information
In case of an Emergency and for permission for treatment of the participant beyond emergency procedures, please contact:
Medical Emergency Contact Name*

First NameLast Name
Medical Emergency Contact Relationship to participant: *
Medical Emergency Contact Cell Phone Number*
Please enter a valid phone number.

Form 2: Medical Information & Release Signature
By signing below, I confirm that, to the best of my knowledge, the above named child is in good health and I take full responsibility for the above named child's health. I confirm that the Diocese of Shreveport and/or St. John the Baptist Catholic Church has my full and complete permission to seek and obtain medical attention for the above named child in the event of any accident or illness which may occur, including the authorization to consent to emergency medical care, if required during any diocesan or church events.
I acknowledge and agree that it is my responsibility to inform the Diocese of Shreveport and/or St. John the Baptist Catholic Church if at any time of the above information needs to be changed, amended, or updated prior to the expiration date of this Medical Consent. I also confirm that to the best of my ability, I have not omitted any pertinent information, everything I have stated herein is true and accurately reflects my wishes.
Timeframe of this Medical Consent *
Adult Parent/Guardian Signature:*
Adult Parent/Guardian Phone Number*
Please enter a valid phone number.
Should be Empty:

St. John the Baptist Faith Formation Registration 2025-2026

Form 1 - Faith Formation Registration

Parent or Legal Guardian Information (Adult #1)

Parent or Legal Guardian Information (Adult #2)

Additional Emergency Contact

Family Information

Child Participant Information

Release / Indemnification Information

Form 2: Medical Information Release

Specific Medical Information

In case of an Emergency and for permission for treatment of the participant beyond emergency procedures, please contact:

Form 2: Medical Information & Release Signature