Religious Education Registration

Please fill out the following form. When you submit the form, you will be redirected to a secure payment site.

Please note: Elementary RE registration is now closed for Grade 2.
Registration for classes for Grades 1, 3, 4, and 5 is still open until Oct. 7th.

: HOLY ANGELS PARISH RELIGIOUS EDUCATION REGISTRATION
: ELEMENTARY GRADES 1-5 | $100 per student
First Name, Middle Initial, Last Name
Cellphone number
Date of Birth
Age
Name of School where enrolled
City
Grade as of Sept 2020
Has your child/youth been baptized in the Catholic church?
Has your child/youth received First Communion?
What is the last year of Religious Education your child has attended?
Living Arrangements
Are there any custody issues or a restraining order in place?
: If “yes”, enclose a copy of the most recent applicable court order(s).
Given the nature of the program, does your child or youth have any physical, mental, emotional, cognitive, or other limitations or restrictions that would require the parish to make a minor adjustment to enable your child or youth to participate
If “yes”, what type of restriction does your child or youth have or what adjustment(s) will be needed?

: PARENT OR GUARDIAN INFORMATION
Father or Guardian First and Last Name
Email
Address, City, Zip Code
Home Phone #
Work Phone #
Cellphone #
Mother or Guardian First and Last Name
Address, City, Zip Code (If different)
Work Phone #
Home Phone #
Cellphone #
: PARENT OR GUARDIAN SIGNATURE
: By signing this document, I give permission for my child/children/youth to participate in this faith formation program, whether conducted onsite or online.
Signature (Type your full name to sign this form)
Date
: EMERGENCY CONTACT INFORMATION (CONTACTS MUST BE INDIVIDUALS OTHER THAN PARENTS)
NAME
RELATIONSHIP
HOME PHONE
CELL PHONE
: PERSONS AUTHORIZED TO PICK UP CHILD/YOUTH OTHER THAN PARENTS:
NAME
RELATIONSHIP
: PHOTO RELEASE: Parent Authorization, Consent and Release.
CELL PHONE

: PLEASE NOTE: This page has TWO separate signature lines. Please read and complete each area.
The undersigned parent hereby authorizes and consents that Holy Angels Religious Education Staff be permitted to use and publish for publicity purposes, the name and likeness of my child or for any other lawful purpose whatsoever, including electronic media.. Please enter the name of your child:
: The undersigned parent hereby release Holy Angels Parish and staff from any liability in connection with such use.
The parent acknowledges having read this release, having the opportunity to consider and understand its terms and does hereby execute it voluntarily with knowledge of its significance.
Parent / Guardian Signature: (Please type your name to sign give the photo release consent).
Date
: PROTECTING OUR CHILDREN:
: We at Holy Angels are committed to your child’s safety and well-being. The Empowering God’s Children and Young People© Safety Program is provided by the Archdiocese of Los Angeles as an ongoing effort to educate children and young people through classroom lessons and activities on ways to maintain their own personal safety. It is based on catechetical principals to help them know they are loved by God and that He wants them to be healthy and safe.
The Empowering God’s Children and Young People© Safety Program will be presented to our students during the month of April. The topics for this year’s lesson include The Five Body Safety Rules, Safe and Unsafe Adults, and Internet Safety. Each lesson includes video presentations, classroom discussion, individual and group activities, as well as, a “Take Home Activity” for students to complete with a parent/guardian. A Summer Safety Lesson will also be presented at the end of each year. We encourage all parents to read the “Working Together to Prevent Child Sexual Abuse” brochure which will be distributed at the beginning of the year.
Please complete the form below for your child to participate in the 2020/2021 program.
: I understand that for my child to participate in the Empowering God’s Children and Young People© Safety Program, I need to fill out this Parent Permission Form. I am specifically giving permission for the Empowering God Children and Young People© Safety Program to be presented to my child.
Child’s Name (printed):
Parent/Guardian Signature: (Please type full name to sign your consent to the above "Protecting Our Children."
Date

Holy Angels Church

Religious Education Registration

HOLY ANGELS PARISH RELIGIOUS EDUCATION REGISTRATION

ELEMENTARY GRADES 1-5 | $100 per student

PARENT OR GUARDIAN INFORMATION

PARENT OR GUARDIAN SIGNATURE

EMERGENCY CONTACT INFORMATION (CONTACTS MUST BE INDIVIDUALS OTHER THAN PARENTS)

PERSONS AUTHORIZED TO PICK UP CHILD/YOUTH OTHER THAN PARENTS:

PHOTO RELEASE: Parent Authorization, Consent and Release.

PROTECTING OUR CHILDREN:

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