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Mass and Sacraments
Mass Times
Understanding the Mass
Sacraments
Baptism
First Communion
Confirmation
Reconciliation
Anointing of the Sick
Matrimony
Holy Orders
Funerals
Mass Intentions
I’m New
To Holy Spirit Church
To Catholicism
To Jesus
Faith Formation
Little Ones
Children’s Formation (Grades 1-5)
Middle School Group (Grades 6-8)
High School Youth Ministry (Grades 9-12)
Photo Gallery: XLT
Youth & Young Adult Blog
Young Adults
Adult Formation
Vacation Bible School
Connect
Ministries
Holy Spirit School
Adoration Chapel
Request a prayer
Join our community!
News
Announcements
Weekly Bulletin
Holy Spirit Happenings
Photo Gallery
More
About us
History
Directions
Contact Us
Staff
Pastoral Council
Facilities Rentals
Gift Shop
Holy Spirit Library
Liturgy Schedules
Natural Family Planning
Publicity Request Form
Respect Life
Safe Environment
Sister Parish
Give
Campus Master Plan
Middle School Online Registration
Middle School (Grades 6-8) Registration Form
1
PayPal Payment & Email Acknowledgement
2
Student Information
3
Emergency Contact and Evacuation Form
PayPal Confirmation Number (Please pay through PayPal first)
*
Email for Acknowledgement of Registration
*
Enter Email
Confirm Email
Enter the email address that is to receive a notification of acknowledgement of registration.
Student Information
Student's Name
*
First
Last
Student's Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Student's Gender
*
Male
Female
Student Birthday
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Student's Birthplace (include City, State, and Country, if outside of U.S.)
*
Student's Cell Phone
*
Student's Email Address
*
Which school will student be attending this fall?
*
What grade will your student be in this fall?
*
Class for Grades 6-8:
Middle School Group - Thur. 4:30-6:00 pm
Is Child Already Baptized?
Yes
No
Church of Baptism
Name of Church
City and State (if outside the U.S., please include the address and country)
Address
Country
Please attach a copy of your child's baptismal certificate if you have not sent one:
Max. file size: 512 MB.
Has Child Already Recieved First Communion?
Yes
No
Church of First Communion
Name of Church
City and State (if outside the U.S., please include the address and country)
Address
Country
Please attach a copy of your child's First Holy Communion certificate if you have not sent one:
Max. file size: 512 MB.
List all conditions (such as allergies, food allergies, seizures) for which this student requires ongoing medication and state the type and frequency of medication given:
*
Student has/had difficulty with the following (check all that apply)
Asthma
Fainting Spells
Convulsions
Diabetes
Heart
Eyes
Ears
Nose
Throat
Lungs
Digestion
Menstrual Problems
List any physical restriction or restriction for any activity on the basis of medical condition:
Parents Information
Child lives with
*
Father
Mother
Both Parents
Other
Marital Status
*
married
single
divorced
separated
widow
domestic partners
Mother's Name
*
First
Last
As it appears on child's birth certificate.
Mother's Maiden Name
*
Last
Mother's Email
*
Mother's Cell Phone
Mother's Religion
Father's Name
*
First
Last
As it appears on child's birth certificate.
Father's Email
*
Father's Cell Phone
Father's Religion
Emergency Contact Information (Other than parent/guardians)
Emergency Contact Name #1
*
First
Last
Emergency Contact #1 Phone
*
Emergency Contact #1 Relationship to Student
*
Emergency Contact Name #2
*
First
Last
Emergency Contact #2 Phone
*
Emergency Contact #2 Relationship to Student
*
Do you authorize the adult leader to authorize medical treatment for your child in an emergency, as considered necessary by the attending physician?
*
Yes
No
If no, state any reasons why you do not want medical care given to your child in an emergency:
Family Physician Name
*
Family Physician Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Family Physician Phone
*
Medical Insurance Name
*
Member ID Number
Group Number
Plan Number
*
Parental Permission & Acknowledgement of Conditions for Participation in Program
*
1. I/we, parent(s) or authorized guardian(s) give permission for this student to participate in Faith Formation. 2. I/we agree to direct my/our child to cooperate and comply with reasonable direction and instructions from Holy Spirit Staff, adult volunteer leaders and youth volunteers. 3. I/we agree to be responsible for all medical expenses relating to injury of my/our child as a result of his/her participation in these event(s), whether or not caused by the negligence of parish Faith Formation program employees, agents or volunteers or other participants. 4. I/we understand that youth participating in Faith Formation Program events risk injury to the body, psyche or property damage to themselves and others. Such injuries can be caused by other persons or accidentally or intentionally self inflicted, faulty equipment or facilities, conditions of recreational facilities, vehicle accidents while in transport or through the activity itself.
Yes
No
Release & Waiver of Liability & Indemnity Agreement
*
In consideration for being permitted to participate in this Faith Formation Program event, use the equipment provided and to enter the premises or facilities of the Diocese of Oakland (Diocese) for any purpose including observation and participation in activities, the parent or guardian for him or herself and any successors in interest and on behalf of the minor child agrees: 1. To release, waive, discharge and promise not to sue the Diocese of Oakland, and its affiliated entities, its officers, directors, employees, agents and volunteers (hereafter referred to as "Releases") from all liability for any loss or damage, and any claim or demands therefor on account of serious or mortal injury to the body, injury to psyche or property of the minor child, or undersigned parent or guardian, whether caused by negligence or other conduct by the Releases while the minor child, parent or guardian is participating in this event or in, upon or about the premises of the Diocese or any of its facilities or equipment. 2. To indemnify and hold harmless the Releases eases from any loss, liability, damage or cost it may incur due to the presence of the minor child, parent or guardian in, upon or about the premises of the Diocese, its facilities or equipment, or while participating in any Faith Formation Program whether caused by the negligence of Releases or otherwise. 3. That the parent or guardian has read this Agreement, voluntarily signs the Agreement and that no oral representations, statements or inducements apart from the contents of this written Agreement have been made.
Yes
No
Model Release Statement
*
I give permission for my child named on this form to be photographed and/or videotaped during Faith Formation Activities and events; and for the resulting photographs and/or videotaped footage to be edited, if necessary, and be published and/or broadcast (newspaper, church bulletin, church website, etc) for the purpose of promoting the activities of Holy Spirit Catholic Church.
Grant
Decline
Evacuation Form
In the event of an emergency, no individual telephone communications will be possible. The evacuation plans will go into effect, but you may indicate a preference for your child. The authorities will designate possible types of evacuation in the case of emergency: 1. ON SITE- children will be kept at HOLY SPIRIT under supervision. “Housing”, food and care will be provided here. 2. OFF CAMPUS- dependent upon the situation, children would be assigned to a location by local authorities. Radio stations, air patrol and/or police would be the source of information.
Please list Children Enrolled in Holy Spirit Faith Formaton
In the event of evacuation of Holy Spirit Faith Formation, I choose the following: (please check all that apply)
*
I will pick up my children at the evacuation site
I give permission for my children to walk home unattended to a reunion parent.
If I do not pick my children up personally, I designate the following person(s) to act on my behalf.
Name of first person designated to act on my behalf
First
Last
Address of first person to act on my behalf
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone of first person to act on my behalf
Name of second person to act on my behalf
First
Last
Address of second person to act on my behalf
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone of second person to act on my behalf
If, at the time of an emergency, first aid should be administered, I authorize the following: (check ALL that aply)
*
First Aid may be administered by a qualified person.
I authorize sending my child to a hospital, if necessary.