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Saint Paul the Apostle Church
Annville, Pennsylvania
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Home
About
Clergy & Staff
Bulletins
Parish History
Contact Us
Faith Formation
Leadership Summit
Religious Education
Formed.org
Interested in becoming Catholic?
Sacraments
Baptism
Sacrament of Confession
First Holy Communion
Confirmation
Holy Matrimony
Holy Orders
Anointing of the Sick
Funeral Services
Catholic Education
Our Lady of the Cross School
St. Joan of Arc School
Giving
Online Giving
Specialty Giving
Flower Memorials
Diocesan Annual Campaign
Mass Cards
Medical Release, Liability, and
Photo Consent Form
Faith Formation
Leadership Summit
Religious Education
Registration: Religious Ed.
Medical Release Form
Religious Education Payment
Formed.org
Interested in becoming Catholic?
The maximum number of form submissions has been reached. This form is currently not available.
Family Name
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Name of person completing this form
First Name
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Last Name
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Medical Release Acknowledgement
I authorize emergency medical treatment to be given to my child(ren).
I Agree
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Emergency Contact Information
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Relationship to Child(ren)
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Medical Insurance
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Group ID#
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Preferred Hospital
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Release of Liability
In consideration of St. Paul the Apostle Catholic Church accepting my child’s registration in the Religious Education Program, I/we release, hold harmless and discharge St. Paul the Apostle Catholic Church and the Diocese of Harrisburg, their officers, trustees, employees, agents, and catechists of and from any and all liability, claim, damage, cost or expense, except in the case of willful/intentional harm or gross negligence and waive any such claims against any such person or organization in connection with the Church of the Diocese of Harrisburg.
I Agree
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Photo Consent
I/we give permission for my/our child/children to have their photographs displayed in the church, in the bulletin, on the parish website, and/or the parish Facebook page.
Photo Consent
REQUIRED
In consideration of St. Paul the Apostle Catholic Church accepting my child’s registration in the Religious Education Program, I/we give permission for my/our child/children to have their photographs displayed in the church, in the bulletin, on the parish website, and/or the parish Facebook page.
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