Religious Ed. and Youth Ministry Registration Form 2024-2025 School Year

ST. JOHN THE EVANGELIST CATHOLIC PARISH

5301 Daylight Drive, Evansville, IN 47725

(812) 867-3718 / www.catholicdaylight.org

RELIGIOUS EDUCATION, YOUTH MINISTRY & SACRAMENTAL PREPARATION 2024–2025 REGISTRATION

Mandatory Parent Meeting with Fr. Chris Forler:

Parents must attend Sunday, September 8, from 8:30-9:45 a.m.

Fill out 1 Form per Child and Return to the Parish Office by August 11th, 2024 Pre-K-8th Religious Ed Starts Sunday, September 8, 2024

9th- 12th High School Religious Ed/Confirmation/Youth Group starts August 21, 2024 (8th graders are allowed with permission) 

$20 per child / $60 for 3+ children per family / Checks payable to “St. John Church”

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Email *
First Name:
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Middle Name: *
Last Name: *
Date of Birth: *
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Gender: *
Age: *
Grade: *
School: *
Address: *
If apart of youth ministry Students Cell Number: *
Church and City where Family is Registered as Parishioners: (If not currently registered at any parish, the family will be requested to register as parishioners).  *
Sacraments your Child has received to date: *
Date of Baptism: *
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DD
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Church (City, State) Where youth was Baptized: *
Date f First Communion: *
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Church (City, State) Where youth made First Communion: *

If your child was not baptized at St. John the Evangelist and is preparing to receive Reconciliation, Holy Communion, or Confirmation here, include a copy of your child’s baptismal certificate. You may call the Parish Office where the baptism took place and request that they mail a copy here.

First Reconciliation and Communion Preparation: My child is in 2nd grade or at least 7 years old or older and wishes to receive First Reconciliation and Communion at St. John this school year. I realize that my child must attend a minimum of 75% of Religious Education classes and regularly attend Sunday Mass in order to be considered to receive these sacraments here. I realize that we must be registered parishioners, as well as having been enrolled in Religious Education during the previous school year. 

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Confirmation Preparation: My child is a sophomore or older and wishes to be prepared to receive the sacrament of Confirmation through St. John. I realize that my child must attend a minimum of 75% of Youth Ministry formations, participate in at least one retreat (Source + Summit) and one service activity, and regularly attend Sunday Mass in order to be considered to receive this sacrament here. I realize that we must be registered parishioners, as well as having been enrolled in a faith formation program during the previous school year. If you are not a parishioner please get pastoral permission to receive the sacrament here.

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Fathers Full Name: *
Fathers Religion: *
Father's Cell Number: *
Father's Email: *
Mothers Full Name: *
Mothers Cell Number: *
Mothers Email: *
Are parents living together? *
With whom does the child live? *
Is anyone, by court order or decree, designated as the sole, custodial parent? If so, who? *
List anyone restrained from picking up child: *
Parent/Guardian Phone Number: *
Parent/Guardian Name: *
Emergency Contact Name:(if parent can't be reached) *
Relation: *
Emergency Contact Phone Number: *
Allergies, Medical Conditions, and Medications:  *
Should it become necessary, any instructions for care of the above: *
Family Physician, Insurance Carrier and Policy Number: *
Email: *

Catholic Diocese of Evansville Event Waiver and Release

I/We, the parent(s)/guardian(s) of the above-named youth, hereby give my/our approval for his/her participation in the above event. I/We assume all risks and hazards incidental to the conduct of the activities and transportation to and from the event. I/We do further hereby waive, release, absolve, indemnify, and hold harmless the Bishop of the Catholic Diocese of Evansville, St John the Evangelist Parish, Fr. Chris Forler, Pastor, and any of their respective affiliates, successors, agents, employees, members, and representatives, adult sponsors, and other volunteers involved in the activities and transportation associated with the event from any and all claims, including claims of personal injury to my/our youth or property damage, under any theory of law (including negligence, but not reckless or intentional conduct) in any way resulting from or arising in connection with the activities and/or transportation to and from the event.

It is understood and agreed that neither the Parish, the Catholic Diocese of Evansville, any respective affiliate, successor, agent, employee, member, representative, adult sponsor, nor other volunteer is the insurer of my child’s health and safety while he/she is at youth functions, engaged in supervised activities, including sports, or being transported in association with the event. I/We understand it to be my/our obligation to provide such insurance as I/we may desire to purchase to protect myself/ourselves and my/our child against the costs of sickness or injury.

In case of emergency or serious illness, should the above-named child require medical treatment, and neither a parent nor the designated family physician can be contacted, consent is hereby granted for such medical treatment as may be considered necessary in the opinion of the attending physician. I understand that my signature relieves diocesan and/or parish personnel of any and all liability related to the administration of any prescribed medication listed on this registration form (including over-the-counter drugs).

Further, I/we acknowledge having read, or been made aware of the Diocesan Youth and/or Adult Codes of Conduct, the Diocesan Release for Media Recording, and the Diocesan Off-site Transportation Policy, and I/we agree to be bound by the terms and conditions set forth in those documents (copies available via www.evdio.org/diocesan-forms-for-oyaya.html). I acknowledge and understand that any action on behalf of my/our child/dependent that is inconsistent with the Diocesan Code of Conduct may result in appropriate disciplinary action as outlined in those documents.

I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement.

Parent/Guardian Printed Name: 

I here by give my consent through this electronic signature:

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A copy of your responses will be emailed to the address you provided.
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