K-8 Student and Parent Registration Form

Student and Parent Registration Form

Please fill out the details for household registration, guardians, emergency contacts, children, and sacraments.
Is your household registered at OLPH?
Guardian 1 Information
Full Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Guardian 2 Information
Full Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact
Full Name

First NameLast Name
Relationship to Child
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact 2
Full Name

First NameLast Name
Relation to Child
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Child Information
First Name
Middle Name
Last Name
Date of Birth

MonthDayYear
Date
Grade for 2026-2027 School Year
School
For homeschool please list "homeschool"
Age
Is this the child's first or second year?
If second year, did the child's first year of faith formation take place at OLPH or at another parish?
Name of parish where the first year of faith formation was received
Sacraments received
Baptism
Where Baptism was received
First Communion
Where First Communion was received
Other comments on your Child's Sacraments:
Liability Waiver and Photo Release

Please review and complete the liability waiver and photo release below.
Liability Waiver and Photo Release
I grant permission for my child(ren) to participate in the OLPH Faith Formation Program. As a parent and legal guardian, I remain legally responsible for any personal actions taken by the minors listed above. I agree on behalf of myself, my child(ren) named herein, or our heirs, successors, and assigns, to hold harmless and defend Our Lady of Perpetual Help Parish and the Roman Catholic Bishop of San Diego, and their respective clergy, its officers, directors, employees, and agents, chaperones, representatives or volunteers associated with the activities, from any claim arising from or in connection with my minors) attending the activities or in connection with any illness or injury including death or cost of medical treatment in connection therewith, and I agree to compensate Our Lady of Perpetual Help Parish, its officers, directors, and agents, and the Roman Catholic Bishop of San Diego, and their respective clergy, its employees and agents and chaperones, or representatives associated with the activities for reasonable attorney's fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of Our Lady of Perpetual Help Parish or the Roman Catholic Bishop of San Diego. I grant permission for Our Lady of Perpetual Help Parish, their respective employees, representatives, or volunteers, to photograph or record on audio and video (tape or digital) my child(ren) to further the mission of Our Lady of Perpetual Help Parish. Photos, audio, or video may only be used in printed materials and any other visual display or media sponsored by Our Lady of Perpetual Help Parish. I understand that such photos and video recordings will be used for Our Lady of Perpetual Help Parish-related purposes only and will not be used for any commercial purpose whatsoever. Therefore, I waive any kind and all rights I may have for remuneration that could otherwise accrue for using such photos and audio or video recordings.
I agree to the Liability Waiver and Photo Release
I do NOT consent to the photo release
Parent/Guardian Signature for Liability Waiver and Photo Release
Printed Name of Parent/Guardian
Signature Date

MonthDayYear
Date
Registration Fee

Registration Fee: $100 per child

Please read before paying:

Complete one registration form for each child. Do not register multiple children on the same form.
The registration fee is $100 per child.
If your child is enrolled in Sacramental Preparation and Middle School Youth Group, you only pay one $100 fee.
If your child is enrolled only in Middle School Youth Group, the fee is still $100.
No child should be charged more than $100.

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Faith Formation

$100.00 Quantity

Total

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Afterpay

Should be Empty:

Student and Parent Registration Form

Guardian 1 Information

Guardian 2 Information

Emergency Contact

Emergency Contact 2

Child Information

Sacraments received

Liability Waiver and Photo Release

My Products*

Payment Methods

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