• Family Catechesis Registration 2026-27

    Our Lady of Lourdes Catholic Church
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Parent Agreement

  • I, the parent/gaurdian, acknowledge that I am the PRIMARY EDUCATOR of my child and agree to fulfill my obligation to this program by:

    • Being my child's primary Religious Education Teacher and incorporating the lessons into our daily home life.
    • Providing transportation to and from FAMILY CATECHESIS (FC) each meeting.
    • Actively participating in all programs/events pertaining to my child's Faith Formation or Sacramental process.
    • Being aware of my child's lessons/prayers and reviewing them with him/her each week.
    • ENSURING WEEKLY ATTENDANCE AT SATURDAY EVENING OR SUNDAY MASS
  • Date
     - -
  • PHOTO OPT OUT

  • Throughout the year, Our Lady of Lourdes Family Catechesiswould like to use images/videos taken of the students for the website and/or other publications sponsored by the parish, such as social media sites and the parish bulletin, etc.

  • I DO NOT wish for my child's images/video to be used. Please initial. If not, it will be assumed that permission is granted.

  • I DO NOT wish for my child's name to be used, but pictures/videos are okay. Please Initial. If not, it will be assumed that permission is granted.

  • Student (1) Information

  • Date of Birth
     - -
  • Gender
  • Prior Religious Education Grades Completes (Select all that apply)
  • Has your child been BAPTIZED?
  • Has you child received FIRST COMMUNION?
  • MEDICAL CONSENT FORM

  • To whom it may concern:

    The undersigned does hereby request permission for our child to attend and participate in activites sponsored by Our Lady of Lourdes Catholic Parish.


    We authorize any designated adult, in whose care the minor has been entrusted, to consent to any x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment, and hospital care to be rendered to the minor under general or special supervision and on the advice of any physician or dentist licensed under the provision of the Medical Practice Act on the medical staff of a Licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.

    The undersigned shall be liable and agree to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.


    Should it be necessary for your child to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs.


    Medical consent forms will be used only as needed. Every effort will be made to first notify the parent, guardian or emergency contact prior to the use of the medical consent form.

  • HOSPITAL INSURANCE:
  • Format: (000) 000-0000.
  • Date
     - -
  • Date
     - -
  • Date
     - -
  • PLEASE SUPPLY A COPY OF YOUR CHILD'S BAPTISM CERTIFICATE EVEN IF THEY WERE BAPTIZED AT OUR LADY OF LOURDES

  • Student (2) Information

    IF NOT APPLICABLE, PLEASE SKIP TO END OF REGISTRATION FORM AND SUBMIT.
  • Date of Birth
     - -
  • Gender
  • Prior Religious Education Grades Completes (Select all that apply)
  • Has your child been BAPTIZED?
  • Has you child received FIRST COMMUNION?
  • MEDICAL CONSENT FORM

  • To whom it may concern:

    The undersigned does hereby request permission for our child to attend and participate in activites sponsored by Our Lady of Lourdes Catholic Parish.


    We authorize any designated adult, in whose care the minor has been entrusted, to consent to any x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment, and hospital care to be rendered to the minor under general or special supervision and on the advice of any physician or dentist licensed under the provision of the Medical Practice Act on the medical staff of a Licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.

    The undersigned shall be liable and agree to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.


    Should it be necessary for your child to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs.


    Medical consent forms will be used only as needed. Every effort will be made to first notify the parent, guardian or emergency contact prior to the use of the medical consent form.

  • HOSPITAL INSURANCE:
  • Format: (000) 000-0000.
  • Date
     - -
  • Date
     - -
  • Date
     - -
  • Student (3) Information

    IF NOT APPLICABLE, PLEASE SKIP TO END OF REGISTRATION FORM AND SUBMIT.
  • Date of Birth
     - -
  • Gender
  • Prior Religious Education Grades Completes (Select all that apply)
  • Has your child been BAPTIZED?
  • Has you child received FIRST COMMUNION?
  • MEDICAL CONSENT FORM

  • To whom it may concern:

    The undersigned does hereby request permission for our child to attend and participate in activites sponsored by Our Lady of Lourdes Catholic Parish.


    We authorize any designated adult, in whose care the minor has been entrusted, to consent to any x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment, and hospital care to be rendered to the minor under general or special supervision and on the advice of any physician or dentist licensed under the provision of the Medical Practice Act on the medical staff of a Licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.

    The undersigned shall be liable and agree to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.


    Should it be necessary for your child to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs.


    Medical consent forms will be used only as needed. Every effort will be made to first notify the parent, guardian or emergency contact prior to the use of the medical consent form.

  • HOSPITAL INSURANCE:
  • Format: (000) 000-0000.
  • Date
     - -
  • Date
     - -
  • Date
     - -
  • Should be Empty: