Please enable JavaScript in your browser to complete this form. Catholic Faith Formation 2023-24 Registration & Parental Consent Church of Divine Mercy, Lucan South Parish Email: catechismlucansouth@gmail.com 1. EnrolmentI/We wish to enroll my/our child in Catholic Faith Formation classes with Lucan South Parish, which will be held from 4:45- 5:45pm every Saturday commencing from 9th September 2023 – May 2024. 2. Parent(s) InformationParent 1 *FirstLastParent 1 phone number *Parent 1 email *EmailConfirm EmailParent 2 *FirstLastParent 2 phone number (Optional)Parent 2 email (Optional)EmailConfirm EmailHome address *Eircode *3. Child / Young person detailsHow many children / young people would you like to register? *1234Child 1 Child 1: Name *FirstLastLayoutChild 1: Date of birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 1: Gender *MaleFemaleChild 1: Sacraments ALREADY received (Tick all that apply)BaptismFirst Penance / ConfessionFirst Holy CommunionConfirmationChild 1 SchoolChild 1: School attending (2023-2024) *Divine Mercy Junior SchoolDivine Mercy Senior SchoolLucan CNSLucan East ETNSGriffeen Valley ETNSStewarts SchoolOtherChild 1: Class starting in Sept 2023 *Primary – 1st ClassPrimary – 2nd ClassPrimary – 3rd ClassPrimary – 4th ClassPrimary – 5th ClassPrimary – 6th ClassSecondary – 1st YearSecondary – 2nd YearSecondary – 3rd Year / Junior CertSecondary – 4th Year / TransitionSecondary – 5th YearSecondary – 6th Year / Leaving CertChild 1: Any health issues or additional needs the parish team should be aware of:Child 2 Child 2: Name *FirstLastLayoutChild 2: Date of birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 2: Gender *MaleFemaleChild 2: Sacraments ALREADY received (Tick all that apply)BaptismFirst Penance / ConfessionFirst Holy CommunionConfirmationLayoutChild 2: School attending (2023-2024) *Divine Mercy Junior SchoolDivine Mercy Senior SchoolLucan CNSLucan East ETNSGriffeen Valley ETNSStewarts SchoolOtherChild 2: Class starting in Sept 2023 *Primary – 1st ClassPrimary – 2nd ClassPrimary – 3rd ClassPrimary – 4th ClassPrimary – 5th ClassPrimary – 6th ClassSecondary – 1st YearSecondary – 2nd YearSecondary – 3rd Year / Junior CertSecondary – 4th Year / TransitionSecondary – 5th YearSecondary – 6th Year / Leaving CertChild 2: Any health issues or additional needs the parish team should be aware of:Child 3 Child 3: Name *FirstLastLayoutChild 3: Date of birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 3: Gender *MaleFemaleChild 3: Sacraments ALREADY received (Tick all that apply)BaptismFirst Penance / ConfessionFirst Holy CommunionConfirmationChild 3 SchoolChild 3: School attending (2023-2024) *Divine Mercy Junior SchoolDivine Mercy Senior SchoolLucan CNSLucan East ETNSGriffeen Valley ETNSStewarts SchoolOtherChild 3: Class starting in Sept 2023 *Primary – 1st ClassPrimary – 2nd ClassPrimary – 3rd ClassPrimary – 4th ClassPrimary – 5th ClassPrimary – 6th ClassSecondary – 1st YearSecondary – 2nd YearSecondary – 3rd Year / Junior CertSecondary – 4th Year / TransitionSecondary – 5th YearSecondary – 6th Year / Leaving CertChild 3: Any health issues or additional needs the parish team should be aware of:Child 4 Child 4: Name *FirstLastLayoutChild 4: Date of birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 4: Gender *MaleFemaleChild 4: Sacraments ALREADY received (Tick all that apply)BaptismFirst Penance / ConfessionFirst Holy CommunionConfirmationChild 4 SchoolChild 4: School attending (2023-2024) *Divine Mercy Junior SchoolDivine Mercy Senior SchoolLucan CNSLucan East ETNSGriffeen Valley ETNSStewarts SchoolOtherChild 4: Class starting in Sept 2023 *Primary – 1st ClassPrimary – 2nd ClassPrimary – 3rd ClassPrimary – 4th ClassPrimary – 5th ClassPrimary – 6th ClassSecondary – 1st YearSecondary – 2nd YearSecondary – 3rd Year / Junior CertSecondary – 4th Year / TransitionSecondary – 5th YearSecondary – 6th Year / Leaving Cert4. Other relevant informationPlease note that the organisers cannot administer any medication. Should your child require medication or intimate care, please discuss this with the organisers who will work with you to establish how your child can be accommodated, according to relevant policies and procedures. 5. In cases of a medical emergency In the event of illness or an accident, I/we give permission for medical treatment to be administered to my child, where considered necessary, by a suitably qualified medical practitioner and/or hospital. I/we understand that every effort will be made to contact me/us as soon as possible. In an emergency I/we can be contacted at the telephone numbers provided above Name of parent giving consent *6. Child's / young person's consentChild / Young Person 1: Child 1 Consent LayoutI would like to take part in the Catholic Faith Formation class organised by the Lucan South Parish. Child 1 Photo Consent *I understand that photographs may be taken during the group activities, and I give my permission for these to be used in any hard copy/online (delete as appropriate) publications by the Lucan South Parish. *Child 1 Video Consent *I understand that videos (which include the Church webcam) may be taken during the group activities, and I give my permission for these to be used in any online publications (e.g. live streaming of mass) by Lucan South Parish. *Child 1 Behaviour Consent *I understand that during group activities will be appropriately supervised at all times and will agree to abide by the group’s code of behaviour. *Child 1 Consent *Parent / Guardian relationship to child/young person 1 *E.g. Father, Mother, Aunt, Uncle, Grandmother, Grandfather, etc.Child / Young Person 2: Child 2 Consent LayoutI would like to take part in the Catholic Faith Formation class organised by the Lucan South Parish. Child 2 Photo Consent *I understand that photographs may be taken during the group activities, and I give my permission for these to be used in any hard copy/online (delete as appropriate) publications by the Lucan South Parish. *Child 2 Video Consent *I understand that videos (which include the Church webcam) may be taken during the group activities, and I give my permission for these to be used in any online publications (e.g. live streaming of mass) by Lucan South Parish. *Child 2 Behaviour Consent *I understand that during group activities will be appropriately supervised at all times and will agree to abide by the group’s code of behaviour. *Child 2 Consent *Parent / Guardian relationship to child/young person 2 *E.g. Father, Mother, Aunt, Uncle, Grandmother, Grandfather, etc.Child / Young Person 3: Child 3 Consent LayoutI would like to take part in the Catholic Faith Formation class organised by the Lucan South Parish. Child 3 Photo Consent *I understand that photographs may be taken during the group activities, and I give my permission for these to be used in any hard copy/online (delete as appropriate) publications by the Lucan South Parish. *Child 3 Video Consent *I understand that videos (which include the Church webcam) may be taken during the group activities, and I give my permission for these to be used in any online publications (e.g. live streaming of mass) by Lucan South Parish. *Child 3 Behaviour Consent *I understand that during group activities will be appropriately supervised at all times and will agree to abide by the group’s code of behaviour. *Child 3 Consent *Parent / Guardian relationship to child/young person 3 *E.g. Father, Mother, Aunt, Uncle, Grandmother, Grandfather, etc.Child / Young Person 4: Child 4 Consent LayoutI would like to take part in the Catholic Faith Formation class organised by the Lucan South Parish. Child 4 Photo Consent *I understand that photographs may be taken during the group activities, and I give my permission for these to be used in any hard copy/online (delete as appropriate) publications by the Lucan South Parish. *Child 4 Video Consent *I understand that videos (which include the Church webcam) may be taken during the group activities, and I give my permission for these to be used in any online publications (e.g. live streaming of mass) by Lucan South Parish. *Child 4 Behaviour Consent *I understand that during group activities will be appropriately supervised at all times and will agree to abide by the group’s code of behaviour. *Child 4 Consent *Parent / Guardian relationship to child/young person 4 *E.g. Father, Mother, Aunt, Uncle, Grandmother, Grandfather, etc.7. Parental Consent / GDPR / PrivacyI/ We agree & consent to the following: Allowing the above-named child/young person to attend the Catholic Faith Formation classes every Saturday (Sept’2023 – May’2024) from 4:45 to 5:45 pm in accordance with the permission granted by the child/young person. Understand that there will be suitable supervision and an agreed code of behaviour while the child/young person is in the care of the organisers. In compliance with the guidelines for the Protection of Personal Data, in filling this form, I/ we agree and consent to the use of my personal data as well as my child’s personal data provided in the registration form specifically for the needs of the Catechists in the Catechetic Ministry. It may only be accessed by those with responsibility for managing records or group activities. Do you consent to being contacted by members of the Faith Formation program? *YesDo you consent the data on this form being stored by the parish until the end of 2024? *YesGDPR Privacy Notice: The information you provide is to facilitate the provision of faith formation activities for your children. The information will be retained on the Parish Pastoral Management System for this purpose only and will not be shared with anyone else. Click here to read the parish privacy policyName of Parent / Guardian *FirstLastIf you would like to know more about the curriculum that will be used in the faith formation classes or have any questions feel free to email catechismlucansouth@gmail.com Submit
