RELIGIOUS EDUCATION GRADES K-HS
REGISTRATION

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The registration form is in sections. Each section must be completed for each child.

The first section "Sacramental Questionnaire" is required for each child registering. Complete the form and select "Submit."

Sacramental Questionnaire

Student First and Last Name

Grade (as of Fall 2025)

Sacramental History:

A copy of your child's Birth Certificate and Baptism Certificate is required unless the child was baptized at Saint Francis of Assisi, or if a copy has already been submitted to the parish office. If necessary, you can upload your Baptism and/or Birth Certificate using the buttons below.

Upload your Child's Baptism Certificate

Upload your Chld's Birth Certificate

Baptism

First Communion: Does your child need to prepare for the sacrament of First Holy Communion?

If "NO", where did your child receive First Holy Communion (Name and Address of Church and Date)

Did your child attend religious education last year?

If "YES", where did your child attend Religious Education? (Church Name and Address)

Additional comments regarding any faith formation requirements and/or needs:

Phone

The second section, "2025-2026 Religious Education Registration," is required for each child registering. Complete the form and select "Submit."

2025-2026 Religious Education Registration

Parish Registration is REQUIRED for participation in the Saint Francis of Assisi Religious Education Program. Parish Registration Form can be completed online at New Parishioner Registration Form or by stopping at the Parish Office.

Please complete one per child.

STUDENT INFORMATION

Student Last Name

Student First and Middle Name

Male / Female

Multi-line address

Country/Region

Address

City

Zip / Postal code

Student Email Address

Student Phone

Birthday

Month

Day

Year

Grade in Religious Education last year:

Parish:

Baptism

If yes, name of Church

First Penance

First Communion

FAMILY INFORMATION

FATHER'S INFORMATION

Father's Last Name

Father's First Name

Father's Address (Street Address, City, State and Zip)

Father's Email

Father's Cell Phone

Father's Home or Work Phone

Father's Religion

MOTHER'S INFORMATION

Mother's Last Name

Mother's First Name

Mother's Address (Street Address, City, State and Zip)

Mother's Email

Mother's Cell Phone

Mother's Home or Work Phone

Mother's Religion

GUARDIAN INFORMATION (if applies)

Guardian First and Last Name

Relationship

Comments / Special Needs or Disabilities

The third section is the payment section. Our Religious Education program asks that you make a one-time payment of $35 per child or $50 per family.

The fourth section is the Medical Authorization of Minor form. This form is required by our Diocese and has to be signed. Use your finger to sign the document.

2025-2026 Medical Authorization of Minor

DIOCESAN ENTITY: Saint Francis of Assisi Church, Inc. in Grove City, FL

EVENT: Religious Education and/or Youth Ministry Sessions (August 1 to July 31, 2025)

Name of Minor

Birthday

Month

Day

Year

PARISH/SCHOOL: Saint Francis of Assisi Church, Inc. in Grove City, FL

Parents/Guardians

Phone Number(s): (Cell) (Home) (Work)

Emergency Contact and Phone Number

MEDICAL INFORMATION: Please list all pertinent medical information (for example, allergies, medications, physical impairments, or any other information necessary in an emergency situation).

Explain Fully:

In case of illness or injury of the above student, reasonable effort will be made to contact the parent(s)/legal guardian(s)/emergency contact. In case of a medical emergency, 911 will be called. In the event that the parents/legal guardian(s)/emergency contact cannot be notified or are not available, I (we) authorize parish, school, or other pertinent diocesan officials to consent to any x-ray examination, anesthetic, medical or surgical treatment, and/or hospital care, as determined to be necessary and appropriate by a licensed physician in the State of Florida. This authorization is valid for a period of 1 year from the date of execution.

Signature (you can use your finger to sign)

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The fifth section is the Authorization for Release of Use of Image in Photo, Video, or Other Media form. This form is required by our Diocese and has to be signed. Use your finger to sign the document.

2025-2026 Authorization for Release of Use of Image in Photo,

Video, or Other Media

DIOCESAN ENTITY: Saint Francis of Assisi Church, Inc. in Grove City, FL

EVENT: Religious Education and/or Youth Ministry Sessions (August 1 to July 31, 2025)

Name of Minor

I, the undersigned adult participant or parent/legal guardian of the above-named minor participant, hereby grant to the above-named School/Parish/Diocesan Entity the following irrevocable rights:

1. To use the name, photograph, picture, portrait, voice, appearance, likeness, performance (hereinafter collectively known as “image”) of the above-named participant in connection with its educational, promotional, fund-raising activities, or for any other legitimate purpose;

2. The right to use, reproduce, publish, exhibit, distribute, and transmit the image of the above named participant individually or in conjunction with other images or printed matter in the production of brochures, slides, motion pictures, broadcasts (radio and television), audio or video files, recordings, still photography, CD-Rom and any other manner of media now known or later developed;

3. The right to use, reproduce, publish, exhibit, distribute, and transmit the image of the above-named participant individually or in conjunction with other images or printed matter on the School/Parish/Diocesan’s entity Internet web site. No personal information such as home address or phone numbers will be published;

4. The right to record, reproduce, amplify, edit, and simulate the above-named participant’s image and all sound effects produced; and

5. The right to copyright, in its own name, works that contain the image of the above-named participant; and

6. The right to assign the above-mentioned rights to third parties.

I understand that the video files, still photos, or other media incorporating the image of the above-named participant will become the property of the School/Parish/Diocesan Entity. I hereby waive the right to inspect or approve the image or any finished materials that incorporate said image.

I understand and agree that no compensation will be provided, now or in the future, in connection with the use of the above-named participant’s image, and nothing herein will create any obligation on the part of School/Parish/Diocesan Entity to make use of the rights or materials set forth herein.

I hereby release and forever discharge Frank J. Dewane, as Bishop of the Diocese of Venice, his successors in office, a corporation sole, Saint Francis Catholic Church, Inc. in Grove City, Florida Catholic School/Parish/Diocesan Entity, their agents, employees and assigns from any and all claims demand, rights, and causes of action of whatever kind that may arise from the use of above named participant’s image, including all claims for libel and invasion of privacy.

I hereby certify that I am the above-named participant or the parent/legal guardian of the above-referenced minor, and I give my consent, without reservation, to the above agreement on behalf of myself or said minor. This agreement shall be valid for a period of four years from the date hereof, unless revoked in writing.

Printed Name of Parent or Legal Guardian

Signature

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Address

Phone

The sixth section is the Parent/Guardian Consent to Release Minor to Third Party and Release of Liability/Agreement to Indemnify form. This form is required by our Diocese and has to be signed. Use your finger to sign the document.

2025-2026 Parent/Guardian Consent to Release Minor to Third Party and Release of Liability/Agreement to Indemnify

DIOCESAN ENTITY: Saint Francis of Assisi Church, Inc. in Grove City, FL

EVENT: Religious Education and/or Youth Ministry Sessions (August 1 to July 31, 2025)

I, the undersigned parent/guardian of the minor,

Name of Minor Child

hereby give permission for my minor to be released to the following adult(s):

List adult(s) with your permission.

upon the provision of picture identification on the following date(s):

List dates (from and to)

at such time or under such circumstances as are identified herein:

I understand that the parish/school may or may not know this third party and makes no representation regarding the individual's character, criminal history, driving record, insurance, or fitness to supervise children. Upon the release of my minor to the above identified third party, the parish/school has no further responsibility for my minor's care or well being whatsoever.

I hereby release school/parish/program, the Bishop, individually and as a corporation sole, and all agents, employees and volunteers of said parish/school/program (hereinafter collectively known as "church") from any and all liability, including that arising from the negligence of the Church that may arise from acting in accord with the terms of this Consent. I hereby agree to hold harmless and indemnify Church from any claim that may be made against it arising from this Consent.

Signature of Parent or Legal Guardian (you can use your finger to sign)

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The seventh section is the Consent, Release of Liability and Indemnification Form for Trips, Programs and Events. This form is required by our Diocese and has to be signed. Use your finger to sign the document.

2025-2026 Consent, Release of Liability & Indemnification Form

for Trips, Programs, Events

DIOCESAN ENTITY: Saint Francis of Assisi Church, Inc. in Grove City, FL

EVENT: Religious Education and/or Youth Ministry Sessions (August 1 to July 31, 2025)

Name of Participant(s)

Birthday

Month

Day

Year

Address

Phone

PARISH/SCHOOL: Saint Francis of Assisi Church, Inc. in Grove City, FL

NAME OF TRIP, EVENT, OR PROGRAM: Saint Francis of Assisi Parish Religious Education Program

I, the undersigned adult participant or parent/legal guardian of the above named minor participant (for myself and any named minor, our heirs, personal representatives, assigns and next of kin), request permission to participate in this particular event and/or the various field trips and other on and off site activities of the above school/parish/diocesan entity programs throughout the year. I understand that I will receive notice of scheduled field trips and events via an Event Notification Form, if applicable, and my signature consenting to my or my minor’s participation shall also indicate the inclusion of the terms of this Consent, Release of Liability and Indemnification Agreement to each trip or event. In consideration for the agreement by the school/parish/diocesan entity to permit my/minor’s participation, and intending to be legally bound, I, individually and on behalf of my youth, do hereby:

I. Release, discharge and covenant not to sue the Diocese of Venice in Florida and the Most Rev. Frank J. Dewane, Bishop of the Diocese of Venice, individually and as a corporation sole, the above Parish/School/Diocesan Entity; and their employees, clergy, agents and volunteers (hereinafter Releasees), from any claim, demand, action, or liability whatsoever on account of injury or loss to the person or property of minor child or adult in conjunction with said event, including travel to and from, whether caused by the negligence of the Releasees or otherwise, excluding acts of gross negligence or intentional misconduct;

2. Indemnify and hold harmless the Releasees and each of them from any loss, liability, damage or cost they may incur incident to adult or minor’s participation in the above event, whether caused in whole or part by the negligence of Releasees or otherwise;

3. I do further agree that school/parish/Diocesan entity/Diocese of Venice officials, agents, and/or employees have the right to terminate the participation of the above named for reasonable cause, as determined within the discretion of the event/trip leader. In such event, only the funds not actually used will be refunded. I will be responsible for any and all travel costs incurred to return the above named early from the event/trip.

4. I understand that throughout the year I/my minor may be informed via an Event and Trip Notification Form of activities apart from those on-site activities which are school/parish sponsored. If I do not give permission and sign the Event and Trip Notification Form, I am responsible for myself or the supervision of my minor at such event should I choose to attend independently of the program, although agents, employees and volunteers of the school/parish youth program/Diocesan entity/Diocese of Venice may also plan to be present at such events.

5. I understand that the school/parish/Diocesan entity youth programs may include sports (football, swimming, wrestling, etc.) and/or other risky activities (rafting, etc.). These sports activities involve certain risks including, but not limited to, travel to and from the site of the activity, severe physical contact, and the possible reckless conduct of other participants. These risks also include, but are not limited to, serious injury, potential for permanent paralysis, or death. The sporting activities may be conducted at sites that are at some distance from available medical assistance, and any equipment provided for protection may be inadequate in preventing serious injury.

6. I understand and assume the risks inherent with any extended event, which may involve certain risks beyond the reasonable control of the Parish/school/Diocesan entity and the Diocese of Venice, and their respective representatives, volunteers and agents. Such risks may include but not be limited to accidents, emergencies, exposure to nature and the elements, and/or negligence of the staff of the independent entity at the location of the event (not Parish or School staff). The Parish/school/Diocese or Diocesan entity disclaim any and all responsibility for any such risks by such independent vendors.

7. I am also aware that all reasonable care and supervision will be exercised by the Adult Chaperones to provide for the general well-being of my youth. However, I understand that there will be times when my youth is not directly supervised and it is impossible for the Adult Chaperones to supervise my youth every minute of every day while attending this program/event. I acknowledge placing my trust in my youth to adhere to proper standards of conduct and to follow the rules of the Group Leaders and Adult Chaperones, especially when not being directly supervised. I understand and assume the risks described above and those inherent with such a program/event.

8. I further represent that the above-named is covered by accident and health insurance, and I agree to maintain coverage in full force and effect for the duration of the year. I have completed a Medical Authorization which is on file with the sponsoring school/parish/Diocesan entity in the event emergency medical care is required. I understand that the school/parish/Diocesan entity/Diocese of Venice provides no insurance which will cover my child in conjunction with future trips. I agree to full financial responsibility for any medical treatment provided to him/her.

Parent/Guardian of Minor Signature (you can use your finger to sign)

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Additional family members participating:

The eighth and last section is the Parental Release Forms Checklist. This checklist is required by our Diocese to be completed by parent/guardian.

Thank you for completing these forms online. This allows us to utilize your electronic data in the Religious Education Module in our Church Management database, ParishSoft. We appreciate your help.

Saint Francis of Assisi Catholic Church
Grove City, Florida

RELIGIOUS EDUCATION GRADES K-HS
REGISTRATION

Please review ... you can use the "download and print" button if you would like to keep a copy for yourself.

The registration form is in sections. Each section must be completed for each child.

The first section "Sacramental Questionnaire" is required for each child registering. Complete the form and select "Submit."

Sacramental Questionnaire

The second section, "2025-2026 Religious Education Registration," is required for each child registering. Complete the form and select "Submit."

2025-2026 Religious Education Registration

The third section is the payment section. Our Religious Education program asks that you make a one-time payment of $35 per child or $50 per family.

The fourth section is the Medical Authorization of Minor form. This form is required by our Diocese and has to be signed. Use your finger to sign the document.

2025-2026 Medical Authorization of Minor

The fifth section is the Authorization for Release of Use of Image in Photo, Video, or Other Media form. This form is required by our Diocese and has to be signed. Use your finger to sign the document.

2025-2026 Authorization for Release of Use of Image in Photo,

Video, or Other Media

The sixth section is the Parent/Guardian Consent to Release Minor to Third Party and Release of Liability/Agreement to Indemnify form. This form is required by our Diocese and has to be signed. Use your finger to sign the document.

2025-2026 Parent/Guardian Consent to Release Minor to Third Party and Release of Liability/Agreement to Indemnify

The seventh section is the Consent, Release of Liability and Indemnification Form for Trips, Programs and Events. This form is required by our Diocese and has to be signed. Use your finger to sign the document.

2025-2026 Consent, Release of Liability & Indemnification Form

for Trips, Programs, Events

The eighth and last section is the Parental Release Forms Checklist. This checklist is required by our Diocese to be completed by parent/guardian.

2025-2026 Parental Release Forms Checklist

Thank you for completing these forms online. This allows us to utilize your electronic data in the Religious Education Module in our Church Management database, ParishSoft. We appreciate your help.

RELIGIOUS EDUCATION GRADES K-HS REGISTRATION

Please review ... you can use the "download and print" button if you would like to keep a copy for yourself.

The registration form is in sections. Each section must be completed for each child. The first section "Sacramental Questionnaire" is required for each child registering. Complete the form and select "Submit."

Sacramental Questionnaire

The second section, "2025-2026 Religious Education Registration," is required for each child registering. Complete the form and select "Submit."

2025-2026 Religious Education Registration

The third section is the payment section. Our Religious Education program asks that you make a one-time payment of $35 per child or $50 per family.

The fourth section is the Medical Authorization of Minor form. This form is required by our Diocese and has to be signed. Use your finger to sign the document.

2025-2026 Medical Authorization of Minor

The fifth section is the Authorization for Release of Use of Image in Photo, Video, or Other Media form. This form is required by our Diocese and has to be signed. Use your finger to sign the document.

2025-2026 Authorization for Release of Use of Image in Photo,

Video, or Other Media

The sixth section is the Parent/Guardian Consent to Release Minor to Third Party and Release of Liability/Agreement to Indemnify form. This form is required by our Diocese and has to be signed. Use your finger to sign the document.

2025-2026 Parent/Guardian Consent to Release Minor to Third Party and Release of Liability/Agreement to Indemnify

The seventh section is the Consent, Release of Liability and Indemnification Form for Trips, Programs and Events. This form is required by our Diocese and has to be signed. Use your finger to sign the document.

2025-2026 Consent, Release of Liability & Indemnification Form

for Trips, Programs, Events

The eighth and last section is the Parental Release Forms Checklist. This checklist is required by our Diocese to be completed by parent/guardian.

2025-2026 Parental Release Forms Checklist

Thank you for completing these forms online. This allows us to utilize your electronic data in the Religious Education Module in our Church Management database, ParishSoft. We appreciate your help.

RELIGIOUS EDUCATION GRADES K-HS
REGISTRATION

The registration form is in sections. Each section must be completed for each child.

The first section "Sacramental Questionnaire" is required for each child registering. Complete the form and select "Submit."