Full Name *

Baptismal name (If Different)

Date of Birth *

Age *

Year in School *

Year in Catechism *

Home Address (Including post code) *

Name of the school *

Any Allergies/relevant health condition *

If No allergies, please write as "None"

Father's Full Name *

Father's Mobile Number *

Mother's Full Name *

Mother's Mobile Number *

Email

Landline Number

List name of sibilings in catechesis (including year)

Additional contact details name (in case of emergency)

Additional contact details Phone Number

Additional contact details Name (2nd)

Additional contact details Phone number (2nd)

Name and Address of the Mass centre/Mission centre

Checkbox Items *

I give permission for my child to attend catechesis classes, retreats and other reglious activities organised by the Catholic Syro-Malabar Eparchy of Great Britain.
I understand that personal data/special category data given in this form will be processed by the Catholic Syro-Malabar Eparchy of GB for the purose of attending catechesis classes, retreats and other religious activities organised by the Catholic Syro-Malabar Eparchy of Great Britain.
I understand and consent to the use of my child's information and images (including photographs and video recordings) as part o the church activities/catechesis training to be used in church and Eparchy's website, publications, wall and classroom displays, presentations, churches, social media, local newspaper and it could appear in the public domain.
I give my permission for the church to contact me via post, phone, social media or email to circulate news, events, activities and services of the Catholic Syro-Malabar Eparchy of Great Britain.

Parent's Name *

Submitted Date *

CATHOLIC SYRO-MALABAR EPARCHY OF GREAT BRITAIN

COMMISSION FOR CATECHESIS