RELIGIOUS EDUACATION REGISTRATION
2020-2021

(PLEASE PRINT CLEARLY - FAVOR DE USAR LETRA DE MOLDE)


Apellido de Familia
Home Address - Domicilio
City - Ciudad
Zip - Código
Phone - Teléfono
Correo Electrónico
Celular

**REGULAR MASS ATTENDANCE / OR VIRTUAL IS CENTRAL TO PREPARING CHILDREN FOR FIRST COMMUNION .


WHAT MASS DO YOU USUALLY ATTEND?
SACRAMENT REC’D:
Baptism Date /Fecha de Bautismo
Church/Iglesia


*If Child is over the age of 7 and has not been Baptized, he/she would be required to enroll RCIA for Children and provide a copy of Birth Certificate. Parents must schedule an appointment with Religious Ed Coordinator.

PLEASE COMPLETE MEDICAL/EMERGENCY INFORMATION
POR FAVOR COMPLETE INFORMACIÓN MÉDICA Y DE EMERGENCIA


FAMILY MEDICAL/EMERGENCY INFORMATION


NOMBRE DE LOS PADRES

EMERGENCY RELEASE INFORMATION (Contactos de emergencia): (Adults only - solamente adultos) *** Student will only be released to those listed below. *** Any changes MUST be in writing.


MEDICAL CONDITIONS WE SHOULD KNOW ABOUT: (MUST COMPLETE FOR EACH STUDENT)

CONDICIONES MEDICAS QUE DEBERÍAMOS DE SABER: (DEBE COMPLETAR PARA CADA ESTUDIANTE)



I hereby authorize St. Rose of Lima Religious Education staff to seek and obtain medical care in the event of an emergency for all of the registered students in our family. Parents are responsible for any medical costs incurred, including ambulance costs. I also verify that medical insurance information given above covers all students from my family registered.

Por la presente autorizo al personal de Educación Religiosa de Sta. Rosa de Lima a buscar y obtener atención médica en caso de una emergencia para todos los estudiantes registrados en nuestra familia. Los padres son responsables de cualquier costo médico incurrido, incluyendo los costos de ambulancia. También verifico que la información del seguro médico dada arriba cubre a todos los estudiantes de mi familia registrados.

PLEASE PROVIDE A COPY OF YOUR CHILD’S BAPTISM AND FIRST COMMUNION CERTIFICATES WITH YOUR REGISTRATION.

FAVOR DE PROVEER UNA COPIA DE LOS CERTIFICADOS DE BAUTISMO DE SU HIJO(A) CON SU REGISTRO. Gracias.


Scroll to Top