Children's Religious Ed. (VPK-5)

Welcome to Children's Ministry at Prince of Peace

Children's Religious Education (VPK-5th Grade)

We love young families at Prince of Peace!

- Our Children's Religious Education sessions are on Sundays: 9am - Holy Mass; Classes: 10:15 - 11:15am (in the Religious Education/Parish Office building)

- The goal of our program is to help children and families become life-long disciples of Jesus Christ

- We believe in 3 F's: Fun, Friendly & and Faithful to authentic Catholic Doctrine and Tradition.

Please, fill out the registration form found below for sessions in the upcoming 2025-2026 year

of growing in Faith. If you have children in 6, 7, and 8th grades, click on Middle Grades and register your children for PowerUp (Religious Education for Junior High)

The sessions will begin on Sunday, September 7

Looking forward to journey in faith with your children and with you :-)

If you have any questions, please do not hesitate to contact Sister Rose at dod@princeofpeaceormond.com

or call Parish Office at 386-672-5272

Rel Ed 25/26

Name:

What Grade is the Child in?

School of Attendance

Date of Birth

Exact date and place of Baptism (indicate if there is a need to be baptized); provide a copy of Baptism, please, if you haven't done so

List all the Sacraments the child received

Father/Guardian's Full Name

Mother/Guardian's Full Name

Home Mailing Address

Phone Number

Email:

Email 2

Emergency contact Full Name

Emergency Contact Phone Number

Medical Matters: I hereby warrant to the best of my knowledge, all the information provided is true and correct and I assume all responsibility for the health of my child. I understand it is my responsibility to update the Medical information and Consent Form if there are any changes to my child's health (Please, initial)

Emergency Medical Treatment: In the event of an emergency, I hereby give permission to transport my child to a hospital/clinic for emergency medical or surgical treatment (Please, initial)

Family Doctor

Family Doctor's phone number

Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency, are as follows:

Free Text

Medical Conditions Information: (Reasonable steps will be taken to keep this information confidential, but it will be shared with Diocesan personnel and others, as warranted.)

My son/daughter is allergic to the following medications: (Please list below)

My son/daughter has had an episode of the following or has been diagnosed with seizures, asthma, diabetic

Seizures

Asthma

Diabetic

My son/daughter has had allergic reactions to the following (foods, dyes, latex, etc.)

My son/daughter has had a medical surgery within the last six months and still under doctor's care? click on the box to type in the answer)

My son/daughter has a medically prescribed diet (please explain)

My son/daughter has the following physical limitations: (list the limitations if any)

Immunizations current and up to date?

Yes

Date of last tetanus/diphtheria immunization?

You should also be aware of these special medical conditions of my child:

Insurance information: Do you carry medical insurance for your child at this time?

Insurance carrier

Name of insured

Insurance Policy number

Free Text

In the event the participant does not have insurance, payment in full for medical care becomes the responsibility of the participant's parent/guardian.

Free Text

Photography and Image Assignment, Waiver, and Release

I, (you will type your name below) for valuable consideration received and for being allowed access to Diocesan property, activities, or events, expressly assign to Prince of Peace and the Diocese of Orlando, and to all of their current, former, and future agents and related entities (collectively, "the Diocese"), all rights, title and interest in, and to, the use of my and my child/ward's image of likeness, including, but not limited to all videotape recordings, photographs, or audio recordings of, or made by, me and/or my child/ward on Diocesan property, during a Diocesan-sponsored event, or for any other Diocesan purpose ("the Property"). The Diocese shall have, without my consent, the right to assign its rights in the Property, in whole or in part, to any entity, parish, or school within the Diocese of Orlando. I hereby irrevocably grant the Diocese perpetually and exclusively, the right to use and incorporate (alone or together with other materials), in whole or in part, the Property, in any Diocesan publication, news release, or for any other purpose. Further, I hereby authorize the reproduction, sale, lease, copyright, exhibition, broadcast and/or distribution of the Property without limitation for nay purpose whatsoever, and I further waive all rights to any compensation for my and /or my child/ward's appearance of participation in the Property. I understand and have been advised that photographs or videotape of participants may be used in publications, websites or other materials produced from time to time by the Office of Youth and Young Adult Ministry and/or the Diocese. Particpants' names would not be identified, however, without specific written consent. I further understand that the Diocese has no control over the use of photographs or film taken by media that my be covering the event in which my child(ren)ward(s) participate(s). I hereby waive any claims against and release the Diocese, its current, former, and future religious, emplyoees, volunteers, agents, and successors and assigns from and against any and all claims, demands, actions, causes of actions suits, costs, expenses, liabilities, and damages whatsoever that I and/or my child/ward may have against the Diocese in connection with the Property or the use of the Property. This release shall not obligate the Diocese to use the Property or to use any of the rights granted hereunder, or to exhibit, distribute, or exploit the Property. I acknowledge that the Diocese cannot control all photographic access to its properties, and that my child/ward's name may be printed with photos/images in various publications, including non-Diocesan publications I represent that I am eighteen years of age or older, and that I have read and understand the terms of this Assignment, Waiver, and Release (by typing my full name and date below)

We always welcome those who would like to donate their time and talent toward either Religious Education or Adult Formation. Please, see the form below listing opportunities that are calling your name.

The video below might help you with preparing your child for participation at Mass

For more information, please contact the Director of Discipleship, Sr. Rose Urbanczyk, at 386-672-5272 or e-mail: dod@princeofpeaceormond.com

386-672-5272

600 S. Nova Road
Ormond Beach, FL 32174