Family
*
Family Last Name
*
Child Last Name (if different)
*
Family Address
*
City, State and Zip
*
How many children are you registering?
*
Church Membership:
*
Father Religion
Father Email
*
Father Cell Phone
*
(###)
###
####
Mother (or legal guardian)
*
Mother Religion
Mother Email
*
Mother Cell Phone
*
(###)
###
####
Preferred Means of Contact
*
Emergency Contact Name
*
Emergency Contact Relationship
*
Emergency Contact Phone
*
(Best phone number to reach on Sundays)
(###)
###
####
Who has primary custody of these children?
*
Electronic Media Release Permission
*
“I hereby give my permission to St. Brigid Parish to use sound, video, and photographic images of my child(ren) named above for news releases, brochures and other Church or SRE related productions. Additionally, I give permission for my child(ren)’s image, work and first name to be used on the Parish website. I understand that no last names will be used on the website.”
Safe Environment Training Permission
*
“I give my permission for my child(ren) to participate in the Archdiocesan Safe Environment Training Program, ‘Called to Protect.’” This program is broken into age-appropriate sessions and is presented to the child by the catechist in the late winter/early spring. Should you have any questions or concerns about the program, please call the Parish Office and ask to speak to the Pastor.
Child 1 First Name
*
Child 1 Middle Name
*
Child 1 Last Name
*
Child 1 Gender
*
Child 1 Age
*
Child 1 Birth Date
*
MM
DD
YYYY
Child 1 School
*
Child 1 Grade (fall 2025)
*
Child 1 Special Considerations
*
It is important that we know of any special circumstances, special education requirements or medical conditions (including allergies) that we should be aware of. If your child has an IEP, please give us a copy so that we can best serve his/her needs.
Child 1 SRE grades already attended
*
Child 1 Sacraments Received
*
Child 2 First Name
Child 2 Middle Name
Child 2 Last Name
Child 2 Gender
Child 2 Age
Child 2 Birth Date
MM
DD
YYYY
Child 2 School
Child 2 Grade (fall 2025)
Child 2 Special Considerations
It is important that we know of any special circumstances, special education requirements or medical conditions (including allergies) that we should be aware of. If your child has an IEP, please give us a copy so that we can best serve his/her needs.
Child 2 SRE grades already attended
Child 2 Sacraments Received
Child 3 First Name
Child 3 Middle Name
Child 3 Last Name
Child 3 Gender
Child 3 Age
Child 3 Birth Date
MM
DD
YYYY
Child 3 School
Child 3 Grade (fall 2025)
Child 3 Special Considerations
It is important that we know of any special circumstances, special education requirements or medical conditions (including allergies) that we should be aware of. If your child has an IEP, please give us a copy so that we can best serve his/her needs.
Child 3 SRE grades already attended
Child 3 Sacraments Received
Child 4 First Name
Child 4 Middle Name
Child 4 Last Name
Child 4 Gender
Child 4 Age
Child 4 Birth Date
MM
DD
YYYY
Child 4 School
Child 4 Grade (fall 2025)
Child 4 SRE grades already attended
Child 4 Sacraments Received
"I have read and understand the SRE Policies for 2025-2026 and understand that they are subject to change"
*
