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Home
Contact Parish
Emergency & Need to Speak to Your Priest
About
Our Pope
Our Parish Priest
St Therese of the Little Flower
St James the Apostle
Our Lady of Refuge
Liturgy
Adoration & Benediction
Mass Times
Confession Times
Faith
Devotions
Rite of Christian Initiation
Sacrament of Confirmation
Edge Middle School
LifeTeen
CCD Religious Education
Ministries
ROSARY MINISTRY
Events & News
Calendar
News
Bulletins
St. James, Our Lady of Refuge, and St. Therese CCD Registration
Faith
Devotions
Rite of Christian Initiation
Sacrament of Confirmation
Edge Middle School
LifeTeen
CCD Religious Education
St. James, Our Lady of Refuge, and St. Therese CCD Registration
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Parish Name:
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St. James the Apostle
Our Lady of Refuge
St. Therese of the Little Flower
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Family Last Name
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Father's Name:
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Student 1
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Sacrament Details (please check all that apply)
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Sacrament Details (please check all that apply)
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Student 3
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Sacrament Details (please check all that apply)
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Student 4
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Sacrament Details (please check all that apply)
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Student 6
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Sacrament Details (please check all that apply)
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Student 7
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Sacrament Details (please check all that apply)
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Student 8
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Sacrament Details (please check all that apply)
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Baptism
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Student 9
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Catholic?
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Gender:
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Birthdate
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Grade Level
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Sacrament Details (please check all that apply)
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Baptism
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Confirmation
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Does this student have special needs (medical, learning disabilities, physical disabilities)?
Student 10
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Birthdate
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Grade Level
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Sacrament Details (please check all that apply)
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Baptism
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Confirmation
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Does this student have special needs (medical, learning disabilities, physical disabilities)?
PARENT/GUARDIAN PERMISSION & LIABILITY WAIVER
As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”). I would like my CHILD to participate in the above-named ACTIVITY. In exchange, and for said consideration, as parent or legal guardian, I agree to defend and fully indemnify the above-named PARISH/SCHOOL and Diocese against any claim which results from the intentional or negligent actions taken of my CHILD during the above-namedACTIVITY. I further agree to fully indemnify and hold harmless the PARISH/SCHOOLand Diocese against any claim or cause of action whatsoever brought by my CHILD or his/her parent/legal guardian against the PARISH/SCHOOL which arose out of the above identified ACTIVITY, regardless of whether such claim results from the negligence of the PARISH/SCHOOL, its employees or volunteers or the negligence of individuals or companies not a party to this agreement.Further, for said consideration, I hereby release and discharge the Diocese, its agents, servants, and employees, including the PARISH/SCHOOL, their employee(s), agents and representatives (parties being released) of and from all claims, demands, causes of action, and expenses arising out of or in any way connected with the employee of the PARISH/School.I certify that I understand this agreement and the risks and hazards associated with the ACTIVITY described above that my CHILD will be participating in. I further understand that I had the opportunity to fully discuss this agreement with a representative of the PARISH/SCHOOL to clarify any concerns or questions about the activity or this agreement that I may have had.PHOTO/VIDEO CONSENT: As a parent/guardian, I understand that photos/video of my child may betaken during this activity. I give permission for the taking of my child’s photo or video and for use of the resulting images and video for promotional purposes of the Diocese. This may include the right to use them in print, online, in social media, and in press releases.
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