Family Information

Emergency/ Medical Contact

In the event of an emergency, I give permission to transport my child to a hospital for medical treatment. I wish to be advised prior to any further treatment by a doctor or hospital. In the event of any emergency, and you are unale to reach me at the above numbers, please contact:

Student Information

If you need to register more than 3 students, please contact that Faith Formation Coordinator (Cathy Roche) at [email protected] or 651-437-3526 ext 13

How Can You Help?

*Note: Full tuition covered for all Lead Catechists

Tuition/ Fees

Tuition for attending in person Wednesday night Faith Formation classes or distant learning program is $50 per child with a family cap of $150 for three or more children.

Upon signature of this form, you will be transferred to another page to make a payment.

Free tuition for Lead Catechists!

Liability & Releases

AUTHORIZATION, CONSENT AND RELEASE FOR USE OF VISUAL LIKENESSES AND ORIGINAL WORKS OF MINORS

This form allows you, the parent or guardian, to identify if images of your child and their original works may be used for purposes of print, online, social media communication and promotion.
I grant the following rights to St. Joseph Church, Miesville and the Archdiocese of Saint Paul and Minneapolis:
-The right to use all photographs, pictures, portraits, vocal sounds, appearances/likenesses, video and performances (hereinafter collectively known as “image”) of My Child in the possession of St. Joseph Church, Miesville
-The right to use, reproduce, publish, exhibit, distribute, and transmit the image of My Child individually or in conjunction with other images or printed matter in the production of brochures, slides, motion pictures, broadcasts (radio, television, and other social and digital media), audio or video files, recordings, still photography, CD-Rom and any other manner of media now known or later developed;
-The right to use, reproduce, publish, exhibit, distribute, and transmit the image of My Child individually or in conjunction with other images or printed matter on St. Joseph Church, Miesville and the Archdiocese of Saint Paul and Minneapolis’s Internet websites. No home address or phone number will be published;
-The right to record, reproduce, amplify, edit, and simulate My Child’s image and all sound effects produced;
-The right to copyright, in the name of St. Joseph Church, Miesville and the Archdiocese of Saint Paul and Minneapolis, works that contain the image of My Child;
-The right to use and publish for general communications, advertising, commercial or publicity purposes, or for any other lawful purpose whatsoever My Child’s original work;
-The right to assign the above-mentioned rights to third parties without notice to me.
I understand that the video files, still photos, or other media incorporating the image of My Child will become the property of St. Joseph Church, Miesville and the Archdiocese of St. Paul/Minneapolis. I hereby waive the right to inspect or approve the image or any finished materials that incorporate the image.
I understand and agree that no compensation will be provided, now or in the future, in connection with the use of My Child’s image or My Child’s original work.
I hereby release, discharge, and agree to indemnify and hold harmless St. Joseph Church, Miesville, the Archdiocese of Saint Paul and Minneapolis, and their agents, employees and assigns from any and all claims, demands, right, and causes of action of whatever kind that I or My Child have or may have or may arise by reason of this authorization and from the use of My Child’s image and original work, including but not limited to, all claims for libel and invasion of privacy.
This consent regarding My Child’s likeness and original work is valid until such time as I choose to rescind this authorization and consent. If I choose to rescind this authorization and consent, I agree that I will inform St. Joseph Church, Miesville and the Archdiocese of St. Paul/Minneapolis in writing and that my rescission will not take effect until it is received by St Joseph Church, Miesville and the Archdiocese of St. Paul/Minneapolis. I understand and acknowledge that it may not be possible to recall any work or photos that have been published prior to receipt of my written rescission.

NOVEL CORONAVIRUS ACKNOWLEDGEMENT & ASSUMPTION OF RISK

I acknowledge and understand, the novel coronavirus, COVID-19 has been declared a worldwide pandemic by the World Health Organization. Further, that COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. I also acknowledge, that federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited or limited the congregation of groups of people.

I agree, represent and warrant that neither the undersigned, nor any registered participant child(ren) shall visit or utilize the facilities, programs, activities, or services of the Church of St. Joseph within 14 days after (1) returning from outside the United States, (2) exposure to any person returning from outside the United States, or (3) exposure to any person who has a suspected or confirmed case of COVID-19.

I hereby agree, represent and warrant that neither the undersigned nor any registered participant child(ren) shall visit or utilize the facilities, programs, activities, or services of the Church of St. Joseph if he or she (1) experiences symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath, or (2) has suspected or diagnosed/confirmed case of COVID-19. The undersigned agrees to notify the Church of St. Joseph immediately if any of the foregoing access or use restrictions may apply.

The Church of St. Joseph has put in place preventative measures to reduce the spread of COVID-19. I agree to comply with measures that the Church of St. Joseph may require to best protect against the introduction of viruses at the Church of St. Joseph, including, but not limited to, hygiene practices and temperature screening, related to myself and/or my child(ren). The Church of St. Joseph cannot guarantee that my child(ren) will not become infected with COVID-19. I understand and agree that attending the Church of St. Joseph could increase my risk and my child(ren)’s risk of contracting COVID-19.

By signing this agreement (electronic signature), I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by participating in programs of or attending the Church of St. Joseph and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Church of
St. Joseph may result from the actions, omissions, or negligence of myself and others, including, but not limited to, the Church of St. Joseph employees, volunteers, and program participants and their families

GENERAL LIABILITY

I give permission for my child/ren to participate in the Church of St. Joseph Faith Formation and Youth Ministry classes/activities. In consideration of my child's/ren's participation, I agree to indemnify the Church of St. Joseph Church and the Archdiocese of St. Paul & Minneapolis from any claims or law suits brought against the Church of St. Joseph Church/Archdiocese of St. Paul & Minneapolis by myself, my child/ren or others, that arises out of any behavior by my child/ren at Faith Formation/Youth Ministry classes/activities. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school and the Archdiocese in defense of such a claim/suit. I the undersigned, have read all the releases and understand all it's terms and execute it voluntarily and with full knowledge of its significance.

I THE UNDERSIGNED HAVE READ THE ABOVE DISCLOSURES, AUTHORIZATIONS, AND RELEASES, AND HAVE HAD THE OPPORTUNITY TO CONSIDER THEIR TERMS, AND UNDERSTAND THEM. I EXECUTE THIS DOCUMENT VOLUNTARILY AND WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.