2021/22 First Holy Communion Child's Name* First Last Age* MM slash DD slash YYYY Grade*3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeGender Boy GirlFather's Name First Last Father's Cell PhoneMother's Name First Last Mother's Cell PhonePhone # For Notifications (MUST BE CELL)*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Any Known Allergies or Health Considerations?* Yes NoIf selected yes, list them below:Communion Mass Group*Group A 10 am MassGroup B 2 pm MassConsent* I agreeI give permission for my child to attend the “Touch Safety Program” , I also consent to and authorize St. Joseph Chaldean Catholic Church and it’s representatives to publish photographs, video, audio, and other media of my child that my promote the Church’s programs.Consent* I agreeRegistration fees will be required upon release of official start date. A reminder will be sent with the confirmation of official start date and required payment date. I certify that I accurately completed this form, and if anything changes, I will notify the provider by updating this form.Class Start Date* I Understand1. Classes will be held at Grissom Middle School from 10a.m. – 1p.m. starting September 18, 2021. 2. Tuition will cover books, gowns and the communion program. a. Tuition does NOT include video or photography. This will be purchased separately. 3. A child may not miss more than 3 Communion classes throughout the whole year. If a child misses more than 3 classes, he/she may be considered to be removed from the program. 4. Baptism certificates are required for registration. 5. According to diocesan policy, a child entering communion MUST BE 8 years old and entering 3 rd grade. 6. Protecting God’s Children is a program that assists the Church in being a safe-haven for children and it is a messenger for preventing child abuse within the church and society as a whole. We seek to achieve this goal through the environmental safety training program. a. _______ I do want my child(ren) to attend this environmental safety program. b. _______ I do not want my child(ren) to attend this environmental safety program. 7. Date of First Holy Communion is May 21, 2022. 8. Please Sign up for the REMIND by texting @stjoes316 to 81010 I acknowledge that I have read and agree to all of the terms and conditions listed above.PhoneThis field is for validation purposes and should be left unchanged.