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About
Information
Contact Us
Parish Registration
Staff
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Mass Times
Safeguard the Children
Learn More
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Time, Talent, And Treasure
Our History
Sacraments
Sacraments
Baptism Preparation
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Ministries
Bible Study
Religious Education
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Confirmation Program
STA Religious Education Registration
Adult Faith Formation Program
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Chinese
School
United States Conference of Catholic Bishops
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Religious Education Program Registration
The maximum number of form submissions has been reached. This form is currently not available.
STUDENT INFORMATION
Grade
REQUIRED
Pre-K
Kindergarten
First Grade
Please fill out this field.
Student's First and Last Name
REQUIRED
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Please enter valid data.
Gender
REQUIRED
Male
Female
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Birth Date
REQUIRED
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Please enter valid data.
Age
REQUIRED
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Birth Place
REQUIRED
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Please enter valid data.
School Attending
REQUIRED
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Please enter valid data.
Living Arrangements
REQUIRED
Both Parents
Mother Only
Mother/Stepfather
Father Only
Father/Stepmother
Grandparent(s)
Guardian(s)
Please fill out this field.
Are there any custody issues or a restraining order in place?
REQUIRED
Yes
No
Please fill out this field.
If
yes, submit a copy of the most recent applicable court order(s) to the Office.
Given the nature of the program, does your child 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 to participate?
REQUIRED
Yes
No
Please fill out this field.
If yes, what type of restriction does your child have or what adjustment(s) will be needed?
Please enter valid data.
List any medical condition which restricts physical activity or requires special attention or minor adjustments. Include conditions such as asthma or allergies (e.g. peanuts, bee stings, etc.). If none, please indicate “none”.
REQUIRED
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Please enter valid data.
Does your child take any medication?
REQUIRED
Yes
No
Please fill out this field.
If yes, please provide a list
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PARENT / GUARDIAN INFORMATION
Mother/Stepmother Information
Full Name
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Address
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City
REQUIRED
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Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
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Zip
REQUIRED
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Please enter a zip code.
Cell Phone
REQUIRED
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Please enter valid data.
Work Phone
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Email
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Religion
Please enter valid data.
Father/Stepfather Information
Full Name
Please enter valid data.
Address
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
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Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Cell Phone
REQUIRED
Please fill out this field.
Please enter valid data.
Work Phone
Please enter valid data.
Email
Please enter valid data.
Religion
Please enter valid data.
EMERGENCY CONTACT INFORMATION
(If a parent or guardian can't be reached in an emergency)
Full Name
REQUIRED
Please fill out this field.
Please enter valid data.
Relationship
REQUIRED
Please fill out this field.
Please enter valid data.
Address
Please enter valid data.
Cell Phone
REQUIRED
Please fill out this field.
Please enter valid data.
Is your family registered at St. Thomas Aquinas Church?
REQUIRED
Yes
No
Please fill out this field.
If yes, include Parish Envelope #
Please enter valid data.
EMERGENCY/EARTHQUAKE PARENT CONSENT
List all allergies or allergic reactions to any food, medication, insect bites, existing illness, previous serious illnesses, and injuries.
Please enter valid data.
I hereby attest that I am entitled to legal custody and possession of my child, and accordingly am authorized to respond to this emergency form.
I Agree
Please select this field.
In the event that I cannot be reached
to make arrangements for emergency medical care at the time of illness or accident, I hereby authorize St. Thomas Aquinas Catholic Church and/or its Representative(s) to take my child to the doctor or hospital.
I Agree
Please select this field.
Doctor Information
REQUIRED
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Please enter valid data.
Phone Number
REQUIRED
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Please enter valid data.
Hospital Information
REQUIRED
Please fill out this field.
Please enter valid data.
Member ID Number
REQUIRED
Please fill out this field.
Please enter valid data.
I give permission to the adults working with St. Thomas Aquinas Catholic Church Religious Education Program to give medical care as needed, including permission to the physician selected to render any medical or surgical care deemed necessary to my child if a parent and/or guardian cannot be reached. I understand that in the event that professional medical care is needed, I will be notified as soon as possible at one of the numbers listed under the Contact Information provided.
I Agree
Please select this field.
It is understood that by selecting 'I Agree' on this consent form, the parent/guardian absolves St. Thomas Aquinas Catholic Church and its Religious Education Program, the Staff, and any and all members of its governing Boards from any responsibility for the safety, welfare, health, and well-being of the student, beyond such matters as may be called reasonable care for the student in custody of an adult working with the St. Thomas Aquinas Catholic Church and subject to the adults' clear instructions. Should it be necessary for the student to receive medical attention or to return home due to medical reasons, disciplinary action, or otherwise, I hereby assume all medical and transportation costs.
I Agree
Please select this field.
PUBLICATION OF PHOTOGRAPHY CONSENT
I understand
that from time-to-time St. Thomas Aquinas Catholic Church may wish to publish photographs of Religious Education students in the Sunday Bulletin or in another church related publication. The Sunday Bulletin is posted on the St. Thomas Aquinas website on an Internet accessible World Wide Web server. I understand that St. Thomas Aquinas’ website may also wish to use photographs of Religious Education students. Photographs posted on the internet may include only the last name initial and first name of the Religious Education student.
I acknowledge that the church website content is not private and can be reviewed, copied, downloaded, and transmitted by anyone with access to the internet and that St. Thomas Aquinas Catholic Church has no control over this. I hereby waive, release, and forever discharge any and all claims, demands or causes of actions against St. Thomas Aquinas Catholic Church and its facility, staff, employees, agents, contractors, and any other person, organization or entity assisting them in connection with the posting of information on the website for damages or injuries in any way related to, connected to, or arising from the publishing or posting of information on the church’s internet website or the use of that information and expressly assume the risk of any injury or damage resulting from said posting of information on the website.
I further understand and agree that this authorization will remain in effect until such time as it is withdrawn in writing.
I understand that if I change my mind relating to this authorization, that I will submit another authorization form to St. Thomas Aquinas Catholic Church.
My son(s)/daughter(s) photograph(s) may be published in the Sunday Bulletin or in another church-related publication and posted on the St. Thomas Aquinas Catholic Church website on the internet.
Yes
No
RELIGIOUS EDUCATION PROGRAM COMMITMENT STATEMENT FOR PARENTS
Our Religious Education
Program plays an important role in fostering the spiritual growth of your child. With classes meeting only twice a month, regular attendance is necessary. Your commitment as parents is essential to ensuring that your child learns, understands, and appreciates the significance of their Catholic faith. Setting a positive example, such as bringing your child to Religious Education classes punctually and attending Mass together every Sunday, reinforces the importance of faith in your child's life.
Check all that apply
REQUIRED
I agree and understand that my child's attendance is necessary
I agree and understand that we will attend Mass on a regular basis
Please fill out this field.
Submit
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