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Religious Education Registration

- Sacraments
Contact Us
- Faith Reilly
  
  Director of Evangelization
  
  (405) 523-3057
  freillycathedralokc.org

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- Student Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Student Phone Number Please enter valid data.
- Student Email Please enter valid data.
- Name of School Please enter valid data.
- Grade Level(2024-2025) REQUIRED Please fill out this field. Please enter valid data.
- T-Shirt Size
- My child needs to prepare for the sacrament of:
- Parent/Family Information
- Parish ID Number Please enter valid data.
- Fathers's Full Name Please enter valid data.
- Fathers's Phone Please enter valid data.
- Fathers's Email Please enter valid data.
- Mother's Full Name Please enter valid data.
- Mother's Phone Please enter valid data.
- Mother's Email Please enter valid data.
- Emergency Contact (Not a Parent)
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Relationship to Student REQUIRED Please fill out this field. Please enter valid data.
- Photo Release Form
- I grant to Our Lady’s Cathedral, the right to take photographs of me and my family in connection with the Religious Education, Youth Activities, retreats, etc. I authorize Our Lady’s Cathedral, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Our Lady’s Cathedral may use such photographs of me with or without my name and for any lawful purpose, following the Archdiocese of Oklahoma City Safe Environment guidelines, including such purposes as publicity, illustration, advertising, and Web content. I have read and understand the above.
  I Agree Please select this field.
- Participation Permission
- I, the undersigned, am custodial parent/legal guardian of Participant and request that he/she be to allowed participate in the RE/Youth programs, events and activities to be held at Our Lady’s Cathedral parish during the 2023/2024 parish year. I understand that the RE/Youth Activities consist of weekly sessions and related activities which may be held from time-to-time.
  I Agree Please select this field.
- Lost and Stolen Items
- I hereby understand and agree that neither the Archdiocese of Oklahoma City or Our Lady's Cathedral parish during the 2023/2024 parish year nor any of their respective employees, directors, offices, agents, representatives and/or volunteers shall be held liable for any of my or my child's personal property lost or stolen durin gparticipation in the RE/ Youth Activities.
  I Agree Please select this field.
- Medical Information
- Is Participant taking any medications OR have any medical conditions (e.g., diabetes, epilepsy, heart conditions, etc.) If yes, explain.
- Does your child have any allergies? (e.g., insects, hay fever, strawberries, peanuts, etc.) If yes, explain.
- Does your child have any disabilities or physical or developmental limitations? If yes, explain.
- Student's Primary Care Physician Please enter valid data.
- Physician's Phone Number Please enter valid data.
- Health Plan Carrier Please enter valid data.
- Name of Primary Insured Please enter valid data.
- Group # Please enter valid data.
- Policy # Please enter valid data.
- Date of Last Tetanus Immunization Please enter valid data.
- As a rule, medication will not be administered by RE/Youth Program staff. The exception is an RE/Youth program or activity that includes an extended day or overnight activity. If medication is required a Consent and Waiver Medication Form must be completed prior to the activity.
- CONSENT TO TREATMENT OF PARTICIPANT: I am the custodial parent or legal guardian of Participant. I hereby warrant that to the best of my knowledge, Participant is in good health and physically able to participate in the RE/Youth Activities and I assume all responsibility for the health and physical condition and ability of Participant to so participate. In the event of circumstances that indicate that Participant is in need of immediate medical care, I authorize and give permission for Participant to be transported to a hospital/clinic/medical facility for evaluation and emergency medical or surgical treatment, including any necessary X-ray examination. I authorize any licensed physician or medical center to treat Participant. I accept full responsibility for any medical or hospital bills associated with the care of Participant.
  I Agree Please select this field.
- LIABILITY WAIVER: In consideration of the arrangement set forth herein, I do on behalf of myself, Participant and our respective heirs, successors, assigns and next of kin, release, waive, hold harmless, defend and covenant NOT TO SUE, Our Lady’s Cathedral, the Archbishop of the Archdiocese of Oklahoma City, and the Archdiocese of Oklahoma City and each of their respective departments, directors, administrators, teachers, officers, agents, representatives, volunteers and employees from any and all actions, claims, demands or liabilities, including without limitation, those for personal injuries or property damage, that I and/or Participant may suffer due to illness or injury suffered by Participant as a result of, or in connection with, participation in the RE/Youth Activities, including the administration of authorized medications, medical treatment and any consequences that may arise as the result of said treatment, including without limitation, housing, meals and collateral entertainment to the fullest extent permitted by law.
  I Agree Please select this field.
- Custodial Parent/Guardian Name/Signature REQUIRED Please fill out this field. Please enter valid data.
- Date REQUIRED Please fill out this field. Please enter valid data.
- Message to Director of Religious Education
Submit

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Documents
- Religious Education Registration Form 2024-2025

Religious Education Registration

Student Information

Parent/Family Information

Emergency Contact (Not a Parent)

Photo Release Form

Participation Permission

Lost and Stolen Items

Medical Information