Register for Morning Out Fall

Child's Name

Date of Birth

Child's Age on September 1st

Mailing Address

Parent/Guardian 1 Name

Phone Number

Email

Parent/Guardian 2 Name

Phone Number

Email

Preferred Contact

Text

Phone

Email

Allergies, Medications, Medical Problems

I hereby certify that my child's immunizations are up to date

Yes

No

The Staff of the Sacred Heart Catholic Church Parent Morning Out Program has permission to give/obtain medical treatment for my child in my absence

Yes

No

Sacred Heart Catholic Church Parent Morning Out Program has permission to use my child's photos and videos for use on the Sacred Heart website, social media site, and print (ie. flyers and bulletins)

Yes

No

My child has permission to take walks with the class on the grounds of Sacred Heart Church, Sacred Heart School Campus, in addition to the surrounding parks and neighborhood

Yes

No

The following people are authorized to pick up my child

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Register for Morning Out

﻿Fall Registration

Contact us any time

Fall Registration