Application for Children’s Catechetical Programme in a school – Lifelong Catechesis

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Lifelong Catechesis

Arcdiocese of Malta

Application for Children's Catechetical Programme in a school

"*" indicates required fields

School offering Catechetical Programmes*

⚠️Please apply with the link provided

Child’s personal details

Name of Child*

As written on the ID Card

Surname of Child*

As written on the ID Card

Does Child hold a Maltese Identification Card?

Yes

No

Identity Card No of Child*

The ID card number should be in this format: Seven numbers and a letter, e.g. if the ID Card is 23488L write 0023488L

Identity Number of Child*

Country where Child's Identification was issued*

Gender of Child

Date of birth of Child*

If applicable, please indicate below any of your child’s medical conditions or other condition/s including particular situations which the persons working with the child should be aware of

Child has LSE assistance at School*

Yes

No

Is Child Baptised in Malta?

Yes

No

(Gozo or outside Malta)

Enter the name of the parish that is not in Malta (Gozo or outside Malta)*

Child’s Baptismal Parish*

Child’s Residential Parish*

This field is hidden when viewing the form

Parish Email

Application for programme level*

Godparent / Sponsor Details (for Confirmation)

Name of godparent/sponsor*

First Last

Birth Surname of godparent/sponsor

Does godparent/sponsor hold a Maltese Identification Card?

Yes

No

Identity Card No of godparent/sponsor*

The ID card number should be in this format: Seven numbers and a letter, e.g. if the ID Card is 23488L write 0023488L

Identity Number of godparent/sponsor*

Country where Child's Identification was issued*

Gender of godparent/sponsor*

Mobile number of godparent/sponsor

Country Phone Number

Is godparent/sponsor married

Yes

No

Name of husband/wife of godparent/sponsor

First Last

Vital status of sponsor's husband/wife

Alive

Deceased

Name of godparent's/sponsor's mother name

First Last

Vital status of sponsor's mother

Alive

Deceased

Name of godparent's/sponsor's father name

First Last

Vital status of sponsor's father

Alive

Deceased

Residential address of godparent/sponsor

Door No, House Name Street Locality Postal Code

Residential Parish of godparent/sponsor

Parents’/Legal guardians’ details

Name - Father/Parent 1/Guardian 1*

Surname - Father/Parent 1/Guardian 1*

Relationship - Guardian 1

Gender - Guardian 1

Does Guardian 1 hold a Maltese Identification Card?

Yes

No

Identity Card No - Father/Parent 1/Guardian 1*

The ID card number should be in this format: Seven numbers and a letter, e.g. if the ID Card is 23488M write 0023488M

Identity Number - Father/Parent 1/Guardian 1*

Identification Country Issued - Father/Parent 1/Guardian 1*

Mobile No - Father/Parent 1/Guardian 1*

Country Phone Number

Email - Father/Parent 1/Guardian 1*

Telephone No - Father/Parent 1/Guardian 1

Country Phone Number

Name - Mother/Parent 2/Guardian 2*

Surname - Mother/Parent 2/Guardian 2*

Relationship - Guardian 2

Gender - Guardian 2

Does Guardian 2 hold a Maltese Identification Card?

Yes

No

Identity Card No - Mother/Parent 2/Guardian 2*

The ID card number should be in this format: Seven numbers and a letter, e.g. if the ID Card is 23488M write 0023488M

Identity Number - Mother/Parent 2/Guardian 2*

Identification Country Issued - Mother/Parent 2/Guardian 2*

Mobile No - Mother/Parent 2/Guardian 2*

Country Phone Number

Email - Mother/Parent 2/Guardian 2*

Telephone No - Mother/Parent 2/Guardian 2

Country Phone Number

Parents living together?*

Yes

No

Emergency contact person name*

Mobile No*

Country Phone Number

Child’s residential address*

Door No, House Name Street Locality Postal Code

Declaration

Click here to view the full Declaration.

We the undersigned parents/guardians declare that we:

Give permission to our child to attend various activities related to this programme which might be held outside the usual premises.*

Yes

No

Give consent that our personal contact details are used to communicate with us by means of messages (SMS or similar)/emails / correspondence related to this programme and its related activities.*

Yes

No

Hereby give consent to a First Aider to medically assist our child, and if needed admitted to a Health Centre or hospital, in the event that immediate medical assistance is required.*

Yes

No

(refraining from such authorisation will exonerate the Parish authorities and other staff from all responsability.)

Agree that our child’s medical information may be released to the person responsible of our child during any activity related to this programme*

Yes

No

(refraining from such authorisation will exonerate the Parish authorities and other staff from all responsibility)

Agree that this information may be used to update the Parish database for pastoral purposes, as stipulated in the Terms and Conditions.*

Yes

No

(without prejudice to other given consents)

Give consent to the Church and to any photographer/videographer angaged by the Church to take photos and/or videos of our child during organised activities. These may be used for Church internal use, and may be published on Church websites, social media such as Facebook and other Church publications, and may be sold.*

Yes

No

(without prejudice to other given consents)

Wish to receive furhter information with regards to various parish activities.*

Yes

No

(without prejudice to other given consents)

Δ

Lifelong Catechesis
Archbishop's Curia
St. Calcedonius Square, Floriana
FRN 1535, Malta

Phone +356 2590 6252
Email [email protected]
Life Long Catechesis - Archdiocese of Malta

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