Little People Church Registration

Name of Child:

Child's Date of Birth:

Child's Gender

Male Female

Address:

Parent Email:

This address will receive a confirmation email

Parent Phone:

Mother's Name:

Father's Name:

I grant permission for my child's picture to appear in all social media in relation to events at the Parish:

Yes No

Does your child have a chronic illness:

Yes No

Does your child have a physical or learning challenge:

Yes No

If you answered 'yes' to either of the 2 previous questions, please explain below.

I give permission for my child to participate in “Little People Church” at Saint Peter Parish. I agree to release and hold harmless St. Peter Parish, the Parish Catechists and the Archdiocese of Philadelphia and their employees and representatives from claims arising from and related to my child’s participation in this program.

By checking this box, I am granting my child permission to participate.

Donation

There is no specific fee for Little People Church. If you would like to donate to help cover expenses, please submit an amount in the Payment field below and the remaining credit card information will populate. Thank you for your kindness!

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out a registration form for each child that will be joining Little People Church.
Click submit at the bottom of this form when complete.

PLEASE NOTE: Little People Church is not a substitute for religious education or sacramental preparation.

Little People Church Registration

Description

Please Fix the Following