PAYMENT INFO: One child is $150. Any additional children in a family - $50 each. If there is a financial issue, please email us and include your name and phone number, and we will call to work out a solution for your family.
PLEASE FILL OUT EVERYTHING ON THE FORM & PLEASE NOTIFY US AT ONCE IF THERE ARE ANY CHANGES TO YOUR CONTACT OR EMERGENCY INFO DURING THE YEAR.
Fields marked with an * are required.
If no, please register for Virtus at www.virtus.org. We are in the Brooklyn Diocese. (It's a ONE TIME 2 1/2 hour class)
Has this child received the following sacraments:
Activity: Zoom Online Religious Education Meetings when offered.
I hereby agree and consent to my above named Child(ren) participating in online video conferencing during the duration of the meeting by way of Zoom. I acknowledge that, despite careful and proper preparation, there is still a risk of injury when participating in any activity. I release and hold harmless the Diocese of Brooklyn, Sacred Heart of Jesus Church, Glendale, NY and community, parish staff, catechist, as well as any and all other participating organizations, their officers, agents, representatives, employees, and volunteers from any and all responsibility and liability for any injury, claim, costs, or any other damages whatsoever which may result from my Child's participating in the above-named ·Activity". I further agree to assume full responsibility for the actions of my Child as well as for the payment of any and all debts incurred by my Child during his/her visit and participation in the above-named "Activity.
To create the safest online community, the following guidelines will be put in place during the online gathering.
Code of Conduct for Youth Participants:
We will automatically send the meeting link to Parent/Guardians.
Promotional Photographs
By signing this Consent to Participate, Waiver and Release, I hereby acknowledge that I have read and fully understand all of the provisions contained above, and I knowingly consent to my Child participating in the above-named "Activity" and agree to be bound by the terms and provisions of this Consent to Participate, Waiver and Release. Furthermore, I certify that I am the Parent or Legal Guardian of the student named above and that all information provided is true and correct to the best of my knowledge.
Registration fees: $X
By clicking submit, you agree to pay the entire amount in full via PayPal. Failure to do so will result in you having to fill out this form again.
Theresia Stalzer, Director 718-386-5616 | 718-456-9217
Fax: 718-456-0286 Email: [email protected]
Sacred Heart Parish Website www.sacredheartrccglendale.org