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*

Surname*

Identity Card No*

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

Date of birth*

Gender*

Application for programme level*

⚠️St. Catherine High School does not offer this Programme

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

Parents’/Legal guardians’ details

Name - Father/Parent 1/Guardian 1*

Surname - Father/Parent 1/Guardian 1*

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

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*

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

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*

Mobile No*

Country Phone Number

Child’s residential address*

Door No, House Name Street Locality Postal Code

Decleration

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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