First Holy Communion Class of 2020 - REGISTRATION
Dear Parent,

The information provided below will be used for conducting and administering the First Communion preparation and sacrament here at St Joseph's and related activities. This information will not be shared outside our parish administration.

If you wish, please go to the parish website (www.stjosephs.org.uk) to register your family for all other ongoing parish communications as your details are not automatically added to the parish database without your explicit consent in line with data protection policy.

NB: If your child was not baptised in St Joseph's Parish, then you must provide a copy of their Baptismal Certificate to enrol in this programme.

Thank you for taking the time to complete this form and if you have any questions please do not hesitate to contact me.

Celia Tobin
First Communion Catechist
St Joseph's Parish
Instructions
Outlined below are the parts of this form to be completed. Also listed is the information you will need to complete this form. You can't save progress on this, so please make sure you fill it in completely before leaving the page.

There are 4 sections to this form:
1. Child's Details
2. Parent Contact Information
3. Medical Details and Consent
4. Photo Consent

You will need to have the following to complete this form in full:
- Date of baptism of your child.
- Name and contact information for your GP.
1. Child's Details
If you have more than one child in the First Communion class, please complete a form for each child. Thank you.
First Communicant's First Name *
Your answer
First Communicant's Surname *
Your answer
Date of Birth *
please overwrite the year to the correct one!
MM
/
DD
/
YYYY
Date of BAPTISM *
please overwrite the year to the correct one!
MM
/
DD
/
YYYY
Church of Baptism *
Your answer
Current School *
Your answer
Full Home Address (including postcode) *
Please put postcode in CAPITAL letters.
Your answer
2. Parent Contact Information
Parent/Guardian who is completing this form *
Full Name
Your answer
Relationship to Communicant *
Parent, guardian, grandparent, etc.
Your answer
Home Phone Number *
Your answer
Mobile Phone Number *
Your answer
Email Address *
Your answer
3. Medical Details and Consent
Group Leader's Name: Celia Tobin
Please note that the medical consent signed for below will only be exercised in emergency circumstances when the parent and additional contact are unreachable.
Does your child have any medical condition? *
If yes, please provide details here.
Your answer
List all regular medication or treatment. *
Name/ dosage/ purpose/ self-administered? Write NONE if none.
Your answer
Are there any activities in which your child cannot participate? *
Please write 'no restrictions' if applicable.
Your answer
Does your child have any specific dietary requirements? *
Please note them here or state 'None'.
Your answer
Name and contact details of your child's GP *
Please include doctor's name, medical practice and contact telephone number.
Your answer
I give permission for my son/daughter to take part in the activity mentioned above. I confirm that he/she is in a healthy condition to participate in the activity mentioned above. I understand that I will be contacted in the event of my son/daughter being taken ill or injured during the period of the above event, and that my consent will be requested for any treatment deemed necessary by the appropriate medical authorities. *
In the event that I am not able to be contacted and to the extent that a surgical operation or injection becomes necessary, I authorise the above mentioned group leader to sign on my behalf any forms of consent requested by the medical authorities, provided the delay required to obtain my own signature might be considered likely to endanger his/her health or safety. I authorise the group leader to administer first aid in an emergency that requires an epi-pen or other deposited medicines that I have listed above as regular medication or treatment.
4. Photo Consent
I give permission for my child to be photographed within a group at church events to be used for St Joseph’s Parish e.g. parish website, slideshow, noticeboard within the parish. I understand that no names will be listed with the photos to protect my child. *
THANK YOU
Thank you for taking the time to complete this registration form. I will be in touch. Please contact the Parish Office if you have any questions on 01753 886581.
Celia Tobin

After you press the SUBMIT button below you will get a thank you for submitting your form message. Should you have any problems, please print your completed form and return it to the Parish Office.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service