Faith Formation

- Faith Formation
News
- In Her Own Words’ coming to parish this fall to honor St. Theodore and school founding
  
  August 16
  
  In honor of our parish’s 175th anniversary, St. Mary Church is pleased to offer a one-woman-play on October 7, 2018 at 1pm. ‘In Her Own Words’ is based on the journals and letters of Indiana’s first saint, Mother Theodore Guerin, foundress of the Sisters of Providence at St. Mary-of-theWoods near Terre Haute, IN. The performance will highlight the founding of the first school at St. Mary Church by St. Theodora in the fall of 1854. Actress Sandra Hartlieb will bring the saint to life, centering this historical portrayal of Mother Theodore on her strength, humor, pioneering hardships, determined spirit and a profound trust in Providence. The performance will also include interludes of music and creative movement by Nora Pritchett of Sisterhood Drama Ministry. Reservations are not required and there is no cost to attend this anniversary event.
- Save the date for upcoming Anniversary Mass
  
  August 16
  
  Please save the date for our 175th Anniversary Mass, celebrated by the Most Rev. Charles Thompson, Archbishop of Indianapolis. on Saturday, October 13, 2018. Mass, which will feature the Confirmation of 20 youth and adults, will begin at 5:30pm. An anniversary banquet, hosted by St. Anne's Altar Society, will follow at 7pm. Reservation details to follow.
- Well Read Mom
  
  August 13
  
  So. Ind begins 2nd year Well-Read Mom is a way for women to reclaim time to read and provides a monthly structure for reading high quality literature and grow in friendship. The year’s theme is “Contemplative” and includes great books, spiritual classics (during Advent and Lent), poetry and selected essays from the Catholic and Western Tradition. The kick off is September 14 at St. Joseph Church from 7-9pm . Find out more by emailing Angela de Krieger at angela.dekrieger@gmail.com . You may also want to check out www.wellreadmom.com .
- Second Greatest Story offered at St. Joseph
  
  August 6
  
  You are invited to attend a DVD series presented by Fr. Michael Gaitley, “The Second Greatest Story Ever Told,” that tells the dramatic story of God’s Love and Mercy as interwoven into the key events of history. It is a perfect opportunity for every parish or person who desires to go deeper into a heartfelt understanding of Divine Mercy and their role in God’s plan. This program will be offered at St. Joseph Church in the Cafeteria on Friday, August 17 (7pm –9pm) and Saturday, August 18 (9am – 4pm, includes lunch). Please RSVP the St. Joseph’s Parish Office at (812) 738-2742 by Thursday, August 16, 2018. This opportunity is offered by the Missionaries of Divine Mercy from all Harrison County parishes!
- High school grads and college students invited to Tacomania
  
  July 25
  
  Don’t go back to college without it! All 2018 high school graduates and college-age compatriots are invited out for a night of Tacomania craziness with Catholic YouthMinistries! Meet at Mt. St. Francis (101 St. Anthony Dr / Mt. St. Francis, IN) on August 3 at 5 pm. We will travel together to Kraft’s pool complex where tacos, games and general pool shenanigans will take place! Please RSVP by July 30 by texting “George” to 84576 and sign on to the “Tacomania” group. You may also call (812) 923-8355 for more information.
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Our mission: To form the faith of St. Mary’s parish.

Our priorities are:

1.) To remember that we are instruments of the Holy Spirit.
2.) To include elements of the Catholic Church’s mission: community, worship, message and service.
3.) To encompass all ages, cradle to grave.
4.) To recognize that St. Mary’s is a community of various multi-cultural backgrounds and family structures.
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- 2018-19 Faith Formation Registration
- Parent/Gurdian Name REQUIRED Please fill out this field. Please enter valid data.
- Relation to the child REQUIRED Please fill out this field. Please enter valid data.
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- Cell Phone Number Please enter a phone number.
- May we have your cell phone number for faith formation program / youth ministry database? This information will be used for phone calling only when necessary and text message updates only if requested. At any time, you may request removal from our text REQUIRED Yes No Please fill out this field.
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- NUMBER OF CHILDREN REGISTRERING REQUIRED Please fill out this field.
  
  CHILD'S INFORMATION 1
  
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  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
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  CHILD'S INFORMATION 2
  
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  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
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  CHILD'S INFORMATION 3
  
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  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
  I Agree Please select this field.
  
  CHILD'S INFORMATION 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
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  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
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  CHILD'S INFORMATION 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
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  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
  I Agree Please select this field.
  
  CHILD'S INFORMATION 6
  
  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 a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
  I Agree Please select this field.
  
  CHILD'S INFORMATION 7
  
  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 a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
  I Agree Please select this field.
  
  CHILD'S INFORMATION 8
  
  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 a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
  I Agree Please select this field.
  
  CHILD'S INFORMATION 9
  
  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 a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
  I Agree Please select this field.
  
  CHILD'S INFORMATION 10
  
  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 a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
  I Agree Please select this field.
  
  CHILD'S INFORMATION 11
  
  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 a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
  I Agree Please select this field.
  
  CHILD'S INFORMATION 12
  
  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 a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
  I Agree Please select this field.
  
  CHILD'S INFORMATION 13
  
  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 a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
  I Agree Please select this field.
  
  CHILD'S INFORMATION 14
  
  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 a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
  I Agree Please select this field.
  
  CHILD'S INFORMATION 15
  
  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 a date.
  
  GRADE LEVEL REQUIRED Please fill out this field.
  
  If you child has any pertinet medical consitions or learning difficulties, please contact the parish office or describe below. All information will be confidential.
  
  SCHOOL NAME REQUIRED Please fill out this field. Please enter valid data.
  
  Do you grant permission for St. Mary Parish to use photos of you or your child for parish craft projects, emails, and website/newsletter information only? REQUIRED Yes No Please fill out this field.
  
  I, the undersigned parent or guardian of the registered minor(s), do hereby authorize the adult(s) representing St. Mary Catholic Church as my agents, to consent in case of a medical emergency to any examinations, x-ray, anesthetic, medical, or surgical diagnosis or treatment and hospital care deemed advisable by a qualified physician or local hospital. An authorized parish adult agrees to contact the undersigned as soon as possible if any emergency should arise. I will assume responsibility for fees incurred by such an emergency. In addition, I certify that the above information is correct and give permission for the release of medical records to the attending physician. I realize that I cannot hold St. Mary Catholic Church, New Albany Deanery Youth Ministry Office, nor the Archdiocese of Indianapolis responsible for such and emergency. As parent or guardian of the above named youth, I have hereby released the Archdiocese of Indianapolis, New Albany Deanery Parishes, Deanery Youth Ministries, St. Mary Catholic Church parish staff and/or volunteer leaders from any claim, loss, cost, damage, or expense arising out of any accident or other occurrence causing injury to any person or property during any outings or events. In case of a sickness, the adult in charge has my permission to secure medical attention for my child.
  
  I Agree Please select this field.
- There is a fee of $15 per child ($40 family maximum) for our fatih formation program for children and youth. Confidential financial assistance is available by contacting Sara Trickle at 812-952-2853.
  
  Please mail or drop payment off at the office, attention Sara Trickle.
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St. Mary
Catholic Church, Lanesville

A parish served by the
Conventual Franciscan Friars

Faith Formation

News

2018-19 Faith Formation Registration