Date/ Fecha - Co-Cathedral of St. Joseph

Co-Cathedral of St. Joseph
856 Pacific Street
Brooklyn, NY 11238
718-638-1071
Faith Formation Program
Registration Form for New Participants
2015- 2016
Date/ Fecha: _____________________
Child’s Name/ Nombre del niño(a) ____________________________________________________
Age (Edad)
_____
Grade (Grado) _____
Asthma __________
Date of Birth (Fecha de Nacimiento) ______________________
School (Escuela) ______________________________________
Allergies (Alergias) _________________________________________
Medications _______________________________________________________________________
Place of Birth (Lugar de Nacimiento) _________________________________________
Address (Dirección): _____________________________________________________apt #_______
City (Cuidad)___________________
State (Estado) _______
Zip Code ______________
Home # (# de Casa): _______________________Cell # (# de celular): _________________________
Email Address (Correo Electrónico): ____________________________________________________
Fill out all the sacraments that your child has completed.
Attach a copy of the birth and baptismal certificates to this form.
Llene todos los sacramentos que su hijo/a ha completado.
Aplique una copia de certificado de nacimiento y bautizo con esta aplicacion.
Baptism (Bautismo)
Communion (Comunión)
Confirmation (Confirmación)
Yes (Si) ____
No ____
Yes (Si) ____
No ____
Yes (Si) ____
Church (Iglesia)
Church (Iglesia)
Church (Iglesia)
Address (Dirección)
Address (Dirección)
Address (Dirección)
Date (Fecha)
Date (Fecha)
Date (Fecha)
Parent Information (Información de Padres)
Name of Mother
( Nombre de la Madre):
Baptism (Bautismo)
Yes (Si) ____
No ____
Date of Birth
Fecha de Nacimiento:
Communion (Comunión)
Yes (Si) ____
No ____
Confirmation (Confirmación)
Yes (Si) ____
Church (Iglesia)
Church (Iglesia)
Church (Iglesia)
Address (Dirección)
Address (Dirección)
Address (Dirección)
Date (Fecha)
Date (Fecha)
Date (Fecha)
Name of Father
No ____
Date of Birth
No ____
( Nombre del padre ):
Baptism (Bautismo)
Yes (Si) ____
No ____
Communion (Comunión)
Yes (Si) ____
No ____
Fecha de Nacimiento:
Confirmation (Confirmación)
Yes (Si) ____
Church (Iglesia)
Church (Iglesia)
Church (Iglesia)
Address (Dirección)
Address (Dirección)
Address (Dirección)
Date (Fecha)
Date (Fecha)
Date (Fecha)
No ____
Directions for Dismissal/ Permiso de Despedida
Please check one of the following (Favor de marca uno de los siguientes):
(
) I understand that religion class ends at 11:45am. Afterwards, my child will be
escorted by the teacher to the mass. My child will sit in a designated area with the rest of
the class. When the mass is finished, I give my child permission to walk home by
him/herself. Yo entiendo que las clases de catecismo terminan a las 11:45am. Mi hijo/a
será acompañado por el maestro a misa donde se sentara en una lugar especifico con los
demás alumnos. Al terminar la misa, le doy permiso a mi hijo/a para caminar solo a su
casa.
(
) I understand that religion class ends at 11:45am. Afterwards, my child will be
escorted by the teacher to the mass. My child will sit in a designated area with the rest of
the class. When the mass is finished, a parent or guardian adult will pick up my child at the
designated area. Yo entiendo que las clases de catecismo terminan a las 11:45am. Mi hijo/a
será acompañado por el maestro a misa donde se sentara en un lugar especifico con los
demás alumnos. Al terminar la misa, un adulto recogera a mi hijo/a en el lugar especifico.
Parent Signature/ Firma del Padre: ________________________________
Date/ Fecha ______________
Co-Cathedral of St. Joseph
856 Pacific Street
Brooklyn, NY 11238
718-638-1071
Photo/ Video Release Form
2015-2016
Dear Families,
The children of St. Joseph participate in many special events throughout the catechetical
year where we often have many great photo and video opportunities to share in our
church’s website. We would like your permission to use photographs and/or videos taken
during class time, field trips, special events or celebrations posted internally inside St.
Joseph’s Church and on its website.
St. Joseph Church would like your permission to use photographs/ videos of children for
publicity purposes. We promote our catechetical program by mainly using our church’s
website, but it can also include brochures and other types of promotional materials.
Please sign the permission slip below to indicate your preference for photographs and
videos. Return the bottom portion of this slip to your child’s catechetical teacher.
Thank you.
-----------------------------------------------------------------------------------------------------------Please choose one/ Porfavor escoja uno
I _____________________________ GIVE permission for photographs/ videos of my
child to be used internally at St. Joseph’s website, in brochures or other means of publicity
for St. Joseph Co- Cathedral.
I _____________________________ DO NOT GIVE permission for photographs/ videos
of my child to be used internally at St. Joseph’s website, in brochures or other means of
publicity for St. Joseph’s Co- Cathedral.
Child’s Name / Nombre del nino__________________________________
Grade/ Grado ______
Parent Signature/ Firma del Padre ________________________________
Date/ Fecha _______
856 Pacific Street
Brooklyn, NY 11217
(718) 638-1071
Child Lures Prevention Training
Dear Parents,
All of us are aware of the dangers that children are exposed to these days. Since
December 2004, the Child Lures Prevention Program was mandated by Bishop Nicholas
DiMarzio to be presented to all children who attend Catholic Elementary school or a Faith
Formation program in the Diocese of Brooklyn and Queens.
Bishop Nicholas Di Marzio expects every parish to present the Child Lures
Prevention program every year to every child enrolled in a Faith Formation program. Any
parish that refuses to present the prevention video is of course liable for the United States
Catholic Conference of Bishops audit, but our most important concern is the safety of our
children.
Please sign and return the below compliance sheet to the director of religious
education at the Co-Cathedral of St. Joseph.
Child Lures Prevention: Every Child. Every Year.
___________________________________________________
Print your child’s name (Nombre de nino)
___________________________________________________
Parent’s signature (Firma de Padres)
___________________________________________________
Date (Fecha)