2024-2025 2nd Grade Sacrament Prep Registration (School)

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General Family Information

Preferred Email Address for all Communication

Father's First Name

Father's Last Name

Father's Preferred Phone #

Father's Email Address

Father's Address

City/Town

State/Province

ZIP/Postal Code

Mother's First Name

Mother's Last Name

Mother's Preferred Phone #

Mother's Email Address

Mother's Address (if different than father's address above)

City/Town

State/Province

ZIP/Postal Code

Child(ren) live with

Both Parents

Father

Mother

Other…

Are you Registered Parishioners at Prince of Peace?

Yes

If no, what parish do you belong to?

Emergency Contact Name (other than parent/guardian)

Relationship to Child

Emergency Contact Phone #

Media Release

I hereby consent to my child/children being interviewed, photographed, and/or videotaped by representatives of Prince of Peace Catholic Church, its agents, and independent contractors. Any information or images obtained from those activities may be reproduced by the parish and/or the public media for use in advertising, publicity or educational activities, including, but not limited to, parish publications and/or videos, print and television news and parish websites. I hereby waive any claims I may have and release Prince of Peace Catholic Church and its employees from any liability or claims arising out of such activities.

Do you agree with the Media Release statement above?

Yes

Contact me first

Religious Education Program Overview

For a complete list of Sacramental Requirements, Calendar, and Program Specifics. please click on:
SACRAMENTAL PREP

Typing your name below serves as an electronic signature and acknowledgement that you (1) have read this information pertaining to the program(s) your child(ren) are registering for. It is understood that all teaching will comply with the Catholic Church’s teachings and beliefs. --- (2) You and your child will participate and attend all programming. If you have a conflict, you will reach out to the program coordinator to get a make-up. -- (3) You will send a copy of your child’s baptism certificate to Liz Diaz (ldiaz@popolathe.org) by October 1, 2024.

Parent/Guardian Signature

Optional adult volunteer interest: Are you interested in volunteering with one of our programs? Please indicate which program and which parent so that we can reach out.

Elementary Sacramental Prep (1st Reconciliation & Communion)

Mother

Father

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