2022-23 New Student Registration Form

I / We as the parent(s)/ legal guardian(s) of the child(ren) listed on this registration form give my permission for him/her to attend to Saint Andrew’s Religious Education Program year 2022-2023.

In the event of an emergency, I (We), hereby give permission to transport my child to a hospital for emergency medical, dental, anesthetic or surgical treatment.

I (We) wish to be advised prior to any non-emergency treatment by the hospital or doctor.

I (We) agree to pay for any expenses incurred for such treatment.

I (We), individually and in my(our) capacities as parent(s)/legal guardian(s) release, indemnify, and hold harmless the Archbishop of Miami, the Archdiocese of Miami or any parish thereof, its employees, agents, representatives, affiliates, and volunteers from any and all demands, claims, and liability arising out of my child's
participation in the program.

I (We) hereby waive my claim to a lawsuit against the Archdiocese of Miami or any such persons for any liability arising out of my child's participation in this program.

I/we are aware and accept that in order to receive any of the sacraments of Initiation; I need to submit to the Parish of Saint Andrew a copy of the Baptismal Certificate, First Communion, and/or Confirmation Certificate(s) if applicable by the deadline date announced by the Coordinator. I understand that the failure to this may result in delaying the reception of the Sacraments. If the child was baptized at St. Andrew Catholic Church, the parent or legal guardian must request a copy to the parish office directly.

I/We are the parent(s) or legal guardian(s) of the student(s) named herein and have legal authority to execute the above permissions and to affix my/our signature(s) below.