Faith Formation Parental Consent Form

    CONTACT INFORMATION

    Parent Name (required)

    Your Email (required)

    Student(s) Name(s) (required)

    Please review all policies and procedures in the Faith Formation Handbook located online on the parish website. You may also download a copy now by clicking HERE. In the handbook you will find the severe weather policy and other important information.
    I acknowledge that it is my responsibility to read and understand the policies stated in the Faith Formation Handbook.

    Do you need prior notification of fire drills?
    Does your child have a medical condition that the strobe light could trigger?
    Does your child have sensitivity to loud noises?
    If yes, please list the name of which child(ren):

    MEDIA RELATIONS/PROMOTIONS RELEASE POLICY

    I/we give my/our permission to the Roman Catholic Diocese of Grand Rapids, Michigan, (the Diocese) and all entities, representatives, employees, and agents operating under its authority to use, without prior notice, my name or my minor child’s name, city and state, and/or audio, video(s), photo(s), and/or any other likeness and to use statements made by or attributed to me or my child relating to the Diocese, without compensation, for web, social media, publicity or similar promotions for the Diocese. I waive my right to inspect or approve such publications, including any written copy that may be created in connection therewith. I/we agree that my/our signature(s) below releases any and all claims against the Roman Catholic Diocese of Grand Rapids, or its associated entities related to or arising out of the Diocese’s use of the stated items as media relations/promotional material(s).

    Parent and/or Guardian Signature
    By selecting YES or NO below and typing your name in the space provided, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.

    AUTHORIZATION FOR ELECTRONIC INTERACTION WITH MINOR

    With the continuing evolution of new media and next generation communications tools, the way in which our parish, school, and families can communicate internally and externally continues to develop at a rapid pace. Electronic communication by personnel of our parish and school with your children is not taken lightly. Our parish employees and volunteers consistently adhere to Catholic values and transparency with respect to such communications. At Our Lady of Consolation our preferred method of electronic communication with a minor is limited to parish email and text remind.

    As the parent/guardian, I understand that I will receive communication regarding my child’s participation in programs and activities.

    I grant permission to the parish, its staff and authorized volunteers to communicate with my child, for the purpose of relaying program and event invitations, course-related academics and activities through electronic mediums.

    MEDICAL TREATMENT RELEASE FORM

    As a parent/guardian, I do hereby authorize the treatment by a qualified and licensed physician of any condition, which, in the opinion of the physician, is deemed necessary and appropriate. This authority is granted only after a reasonable effort has been made to reach me.

    I further authorize the person who presents the minor to sign the Acknowledgement of Receipt of Notice Privacy Rights that may be presented by the physician or health care facility.

    This authorization is completed and signed of my own free will with the sole purpose of authorizing medical treatment deemed necessary and appropriate by the treating physician.

    Family Physician Data (required)

    Name:

    Address:

    ,

    Phone:

    Health Insurance Data (required)

    Please enter NONE in all spaces that don't apply to your insurance. If you do not have insurance, please enter NONE in all places.




    Parent and/or Guardian Signature
    By selecting the "I Accept" button and typing your name in the space provided, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.

    PARENTAL COVENANT

    The parish faith formation program exists to support you in your role as primary educators in the work of forming your family in faith. It is a privilege to partner with you in the faith development of your family. Thank you for your support!

    As we pledge to be faithful to our commitment to assist you in teaching and forming your child(ren) in the Catholic faith, we ask you to pledge to be faithful to each of the following: Please select if you agree with the following:

    Regular church attendance
    Attendance at Sacrament Meetings
    Volunteer hours (at least 10—20 hours per family/year)
    Demonstration of a Christian attitude by parents and children

    Parent and/or Guardian Signature

    If you are able to commit to these aspects of spiritually preparing your child(ren) for the sacraments and the Christian life, please sign your name(s) below:

    By selecting the "I Accept" button and typing your name in the space provided, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.
    I Accept