Family InformationMother's Name First Last Maiden (for sacramental purpose) Father's Name First Last Mother's PhoneFather's PhoneStatus of Parents*Choose OneMarriedSeparated / DivorcedOtherAre parents registered at Pax Christi* Yes No At what parish are the parents registered? Name(s) of person(s) to receive mailed information*Click the '+' to add more Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name(s) of person(s) to receive electronic information*Click the '+' to add moreNameEmailText Message Emergency Contact Name* First Last Relationship to Child* Contact's Phone Number*Tuition* 1 Child 2 Children 3+ Children Sacramental Year* Yes (typically 2nd & 8th Grade) No TotalStudent InformationIf your child is entering Grade 1 or is new to our program, we need to have a copy of his/her Baptismal Certificate unless he/she was Baptized at Pax ChrsitiStudent InformationNameGradeBaptism Date & Parish (City, ST)1st Communion Date & Parish (City, ST) Medical/Allergy Information is important for us to know about. Please list in detail the allergy/medical condition for each child registered.Please include the name of the student and medical condition if applicableDismissal Policy STUDENT DISMISSAL POLICY: Every Pre-K thru 3rd grade student will be assigned a dismissal number. To pick up your child, you will need to show your matching numbered card. If you do not have your card, a parent will have to go to the office and show their driver’s license before dismissal. Please initial here to show that you have read and understand this policy. Dismissal Policy Acknowledgement* I have read and understand the Student Dismissal Policy Photo Use Policy From time to time, pictures and videos may be taken of parish activities and celebrations. Our parish Pax Christi in Lexington, Ky would like to be able to use these photographs and videos for promotional and educational material like flyers, brochures, social media and on the parish’s website. Written consent of both the child’s parent/guardian, if applicable, is required. I authorize and give full consent, without limitation or reservation, to this named parish: Pax Christi to publish any photographs or videos of my child at parish-related activities and celebration. Images may be published in future publications, brochures, flyers, educational materials, webpage, social media, or other promotional materials. There will be no compensation for use of any photograph or video at the time of publication or in the future. I waive the right to approve the final product. I agree that all such portraits, pictures, photographs, video and audio recordings, and any reproductions thereof, and all negatives, recording tape and digital files are and shall remain the property of Pax Christi parish. I understand and agree that the parish may use these images in subsequent years unless I revoke this authorization by notifying Pax Christi Parish in writing. If there are concerns about pictures or videos posted on the website, please contact the parish office and they will promptly be removed. I authorize Pax Christi Parish to publish the first name of my child with any photograph or video in which my child appears. I hereby release, acquit and forever discharge Pax Christi Parish and the Diocese of Lexington, its current and former officers and employees of the above-named entity from any and all claims, demands, rights, promises, damages and liabilities arising out of or in connection with the use or distribution of said photographs and/or video recordings, including but not limited to any claims for invasion of privacy, appropriation of likeness or defamation.Photo Use Policy Acknowledgement* I have read and agree to the terms of the Photo use policy I have read and do not agree to the terms of the Photo use policy Policy for ParticipationPARTICIPATION POLICY FOR PAX CHRISTI CATHOLIC CHURCH’S FAITHWALK FOR CHILDREN/YOUTH Background and Belief PAX CHRISTI’s FaithWalk Program is a religious formation program intended for all parishioners. These programs for children/youth have been designed to be in compliance with the policies of the Diocese of Lexington. The National Catechetical Directory states that the parents are the first and most important catechists of their children. Parents catechize by example and instruction. The faith community of PAX CHRISTI is committed to assisting parents in this most important duty by providing volunteer catechists and curricula. • Volunteer catechists are a vital part of our program. They work together to share their faith and their love of God with the students and their families. Their ministry is a valuable service to the Church. These catechists are guided by the Formation Committee of the parish and parish staff. • Curricula used for our programs are approved by the diocese. The curriculum presents the central truths of the love of God and others, while building a Catholic Christian community. The curriculum is designed to help parents review the lessons that were presented in class. The faith experience is presented through personal and community activities, personal and liturgical prayer, the celebration of the sacraments, and social actions to help our neighbors. By working together to discuss and reinforce these lessons, parents and teachers help build a spiritual community for our children. Admission Policy • PAX CHRISTI FaithWalk Programs are open to all parishioners. • Non-parishioners who wish their children to participate in the Formation Programs offered at PAX CHRISTI must contact the office before registering, and an additional fee may be charged for participation. • Since sacramental preparation is the responsibility of the family’s parish of registration, children/youth attending Catholic Schools must participate in the preparation programs at PAX CHRISTI. Requests for children/youth from other parishes to receive the sacraments at PAX CHRISTI must be approved by the pastor of the parish of registration. • Children attending Catholic Schools must participate in the faith formation programs at PAX CHRISTI in order for verification of membership to be provided to the school. Attendance and Behavior Policy The following policy is in place to help ensure a consistent and safe atmosphere for faith formation: 1) All adults who have children enrolled in the Sunday morning FaithWalk program are encouraged to assist in that classroom at least one session each semester. Adults are also encouraged to attend other adult programs as they are made available. 2) Students registered in the Sunday morning program are expected to attend all scheduled classes and Sunday Mass. Parents will be contacted if their child(ren) miss more than three consecutive classes. 3) Students who present a discipline problem to the catechists will be required to have a parent present in the class until behavior improves. Statement of Agreement I have read the Policy for participation in the FaithWalk Programs of PAX CHRISTI Catholic Church. I understand and will adhere to all of the policies as outlined. Policy of Participation Acknowledgment* I have read and understand the Policy of Participation EmailThis field is for validation purposes and should be left unchanged.