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Name of person who will be picking up your child(ren) other than parents:

In case of emergency, if you are unable to reach me, please contact

Catechism of the Catholic Church #2223 “Parents have the first responsibility for the education of their children.” We could not offer Faith Formation for children without you! Please check if you are able to help. Thank you!

St. Thérèse of Carmel Elementary Faith Formation Student Information

Please Note:

  1. Fees must be paid with this form to confirm registration (checks payable to SToC)
  2. Baptismal Certificates are also required for those new to SToC or receiving Sacraments
  3. If your student is receiving First Reconciliation and First Eucharist this year, a different form is required.

Student #1

Liability Release - By checking the box below, you are "signing" this document.

I grant permission for my child to participate in youth activities at STOC. I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. If I give approval over the phone, I hereby grant permission for the parish, through its officers, to give nonprescription medication (such as aspirin, throat lozenges etc.) to my child, if deemed advisable. If taking medication at present, my child will bring all such medications necessary and release them to the adult representative in charge for distribution to my child. Such medications will be well labeled with names of medications, concise directions for seeing that the child takes such medications, including dosage and frequency of dosage. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. As parent, or legal guardian, I remain legally responsible for any personal actions taken by my child. I agree to hold harmless and defend St. Therese of Carmel, its officers, directors and agents, Diocese of San Diego, and representatives associated with Elementary Faith Formation with respect to any and all actions, claims or demands that may be made or brought against the above named parties associated with the event, arising from or in connection with my child’s attending the event or in connection with any illness, injury or cost of medical treatment in connection therewith. I agree to compensate the parish, its officers, directors and agents, and the Diocese of San Diego, or representatives associated with the event for reasonable attorney’s fees and expenses arising in connection therewith.