2024-2025 Nino y Juvenil Ministerio (Grados 4K - 12th) Formulario de Registro y Exención de Responsabilidad

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INFORMACION DE ESTUDIANTE:

 
 
 
 
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SACRAMENTOS RECIBIDOS

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PADRE/TUTOR PRIMARIO

 
 
 
 
 
 
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PADRE/TUTOR SECUNDARIO

 
 
 
 
 
 
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CONTACTO DE EMERGENCIA:

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INFORMACION PARA RECOGER:

Doy permiso a la/s siguiente/s persona/s para recoger a mi/s hijo/s de las clases de Formación de Fe en mi ausencia:

 
CONSENTIMIENTO MEDICO Y PERMISO PARA SER ATENDIDO:

Con el mejor conocimiento que tengo, mi hijo/a, esta bien de salud y asumo todas las responsabilidades por la salud de mi hijo/a. En laso de una emergencia, yo doy permiso para que el personal medico transporte mi hijo/a a un hospital o centro de tratamiento de emergencia. Yo espero seme avise antes de que se le realicen futuros tratamientos en el hospital o en la oficina del doctor. Deseo se me informe antes de cualquier tratamiento adicional por parte de los profesionales medicos; pero no quiero que se le retenga el tratamiento si no se puede contactar a un contacto de emergencia que menciono en este documento o a mi persona y la lesion es potencialmente mortal o la falta de tratamiento resulte en una lesion permanente. 


Yo por este medio autorizo para que el personal medico de información a un representante de la parroquia en el caso de que mi hijo/a tengo algún dolor o lesion.

INFORMACION MEDICA:

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MEDICACION:


Los medicamentos no son administrados por nadie en el programa de Formación de Fe. En algunos casos, los niños que asisten a la Formación de Fe pueden estar sujetos a episodios potencialmente mortales (debido, por ejemplo, a alergias, epilepsia, diabetes, etc.) que requerirían atención y acción inmediatas. En tales casos, se espera que los padres informen al Director de Formación de Fe sobre los procedimientos de emergencia que se deben de seguir.

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Electronic Parent/Legal Guardian Signature Agreement

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  1. Electronic Signature Agreement. By selecting the "Sign Here" button, you are signing the various documents and forms contained in the Registration/Liability Waiver packet electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "Sign Here" you consent to be legally bound by the various agreements, acknowledgements, and releases contained therein. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide Bishop of Charleston, a Corporation Sole dba Catholic Diocese of Charleston fbo St. Paul the Apostle Catholic Church (“Parish”) instructions via the Registration/Liability Waiver packet, or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and Parish.

  2. Consent to Electronic Delivery. Visiting charlestondiocese.orgsaintpaulseneca.org, or any of their subdomains or sending emails to electronic mailboxes hosted on the charlestondiocese.org or saintpaulseneca.org domains constitutes electronic communications. You agree to receive electronic communications and you agree that all agreements, notices, disclosures and other communications that we provide to you electronically, via email, satisfy any legal requirement that such communications be in writing. You acknowledge that, for your records, you are able to retain electronic communications by printing and/or downloading and saving them that you agree to using your E-Signature. You accept Electronic Communications provided via email as reasonable and proper notice, for the purpose of any and all laws, rules, and regulations, and agree that such electronic form fully satisfies any requirement that such communications be provided to you in writing or in a form that you may keep.

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Description

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Por favor complete este formulario y haga clic en enviar.