Faith Formation Online Registration

PLEASE NOTE: Online registration is open for PK4-6th grade ONLY. If you have questions about our 2020-2021 program, please contact the Faith Formation Office (PK4 – 6th grade) at 972-423-5600, ext. 223 or 226 or the Youth Ministry Office (7th grade through high school) at 972-423-5600, ext. 239 or 233.

Si tiene preguntas acerca de nuestro programa del 2020-2021, por favor comuníquese con la oficina de Formación de Fe (PK4 – 6° grado) al teléfono 972-423-5600 ext. 226 o con la oficina de ministerio juvenil (7° grado – secundaria) 972-423-5600 ext. 239 o 233.

Parent Information / Parentesco

Student Information (Child 1)/ Información del estudiante (Niño 1)

Student Information (Child 2)/ Información del estudiante (Niño 2)

Student Information (Child 3)/ Información del estudiante (Niño 3)

Student Information (Child 4)/ Información del estudiante (Niño 4)

Consent to Participate and Liability Release

I / We, the parent(s)/guardian(s)/conservator(s) listed on this form for the child(ren) listed on this form grant permission for my son(s)/daughter(s) to participate in St Mark the Evangelist 2020-2021 Faith Formation and Early Childhood Programs. I understand that as parent(s)/ guardian(s)/conservator(s), I remain legally responsible for any personal actions taken by my son(s)/daughter(s). We recognize the inherent risk associated with the various activities that my son(s)/daughter(s) will be participating in.

I / We agree on behalf of myself, my son(s)/daughter(s) named herein, our heirs, successors, and assigns to indemnify, defend, and hold harmless St Mark the Evangelist – Plano, TX and the Roman Catholic Diocese of Dallas, their employees and/or volunteers from any and all claims (unless due to the Sole or Gross NEGLIGENCE of the Parish) for illness, injury, death, and the cost of medical treatment therewith, arising from or in any way connected with my son(s)/daughter(s) participating and/or attending the various Faith Formation and Early Childhood programs during the 2020-2021 school year. In the event any legal action is taken by either party against the other party to enforce any of the terms and conditions of this release, it is agreed that the unsuccessful party to such action shall pay to the prevailing party therein all reasonable court costs, reasonable attorneys’ fees and expenses incurred by the prevailing party.

Civil Authority Acknowledgement
I confirm I am a legal parent/guardian/conservator and have the civil authority to arrange sacramental preparation and spiritual formation for the minor(s) named on this form.

Reconocimiento Ante la Autoridad Civil
Confirmo que soy un padre/tutor/custodio legal y tengo la autoridad civil para acordar la reparación sacramental y la formación espiritual del menor (los menores) mencionado(s) en este formulario.

Media Release- Audio Visual Recording and Photography / Medios de comunicación – Publicidad de Grabación Audio Visual y Fotografía

On occasion, video recordings, audio recordings, photographic slides, and photographs are taken of children and youth during church and diocesan sponsored activities. These are utilized in newsletters, websites, event promotion, advertisements and other printed media. As the State of Texas does not prevent audio or video recording or the photographing of children/youth (with the exception of Senate Bill 1, Section 26.009, which deals specifically with school districts), it does encourage parental consent. Additionally, current video recordings and photographs assist law enforcement agencies dealing with the Missing Children’s Program. I / We consent to the use of such materials in which my child may appear. I release the staff and volunteers of St Mark the Evangelist – Plano, TX and the Roman Catholic Diocese of Dallas from any liability connected with the use of my child’s picture or audio/video recording as part of any of the above or similar activities.

Medical Release Form

I/We, the parent(s) or guardians of the child(ren) listed on this form, a minor, and as such do hereby authorize St Mark the Evangelist Catholic Community – Plano, TX, its ministry leaders, employees, contractors and volunteers as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the laws of the jurisdiction where such diagnosis or treatment may be given, whether such diagnosis or treatment is rendered at the office of said physician, at a hospital, or at any other location. It is understood that this authorization is given in advance of any specific treatment or diagnosis, but is given to provide authority and power of treatment, or hospital care which the aforementioned physician in the exercise of best judgment may deem advisable. This authorization is given pursuant to the provisions of Chapter 32 of the Texas Family Code. This authorization shall remain effective for up to one year from the date of completion of this form, unless sooner revoked in writing delivered to said agent(s). In consideration of acceptance of this authorization, but without any time limitation and without any future right of revocation, I/we hereby release, defend and hold harmless the Parish and Roman Catholic Diocese of Dallas (Diocese), their officers, directors, agents, employees, volunteers, Faith Formation or Early Childhood leaders, and contractors from all claims, liabilities and loss in any way arising out of or in connection with or relating to such treatment and treatment decisions.

Health History and Special Needs / Historial de salud familiar y Necesidades Especiales