SPRED Registration 2024-2025 
SPRED is a program of religious development specifically designed to meet the spiritual needs of persons of all ages with developmental disabilities and intellectual challenges. This program, which brings individuals into communion with Christ and the Church, enables participants to sense His presence in their lives and experience Christ’s love and mercy. Classes are held on the second and fourth Sunday of each month at 9:30 am, from October through April. Catechists meet separately before each SPRED session to plan sessions and pray for our SPRED community members. 
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PARENT/GUARDIAN INFORMATION
Parent/Guardian Name
Full Address
Phone Number
Email Address
Emergency Contact
Emergency Contact Phone
Are you registered at St. Philip Neri?
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STUDENT'S INFORMATION
Name - Please provide the first and last name
Nickname if applicable
Student's Functioning Level (age or grade)
Goals for Attending SPRED -  Please describe the goals that you have for the student in participating in the SPRED Program. (Sacraments, spiritual goal (s) i.e., growing closer to God, social goal(s).)
Sacraments the Student has received -  Please check off all Sacraments the student has received.
STUDENT'S MEDICAL INFORMATION
Visual Impairment/Glasses
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Hearing Impairment/Aid
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  Food Allergies Does the student have any food allergies? If yes, please provide specifics  
Special Diet -  Does the student follow a special diet? If yes, please provide specifics (i.e., Gluten Free).
SPRED Refreshments -  Will the student be able to have SPRED provided refreshments?
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Seizure Information -  If the student experiences seizures, please describe type and frequency
Student's Toileting Ability -  Please describe the student’s toileting ability
Medications -  Please provide any medication information that you want to share
Student Allergies  Does the student have any allergies? If yes, please specify below.
Special Instructions -  If you have special instructions, please provide below.
PARENTAL/GUARDIAN RELEASE
  I understand that reasonable precautions will be taken to safeguard the health and well-being of those participating in this program, and I will be notified as soon as possible in the event of an emergency. In the case of sickness or an accident, I authorize St. Philip Neri Catholic Church, or other associated volunteers of SPRED program to obtain medical care from a licensed physician, hospital, or medical clinic for my son/daughter in the event that myself or other legal guardian(s) cannot be reached. I hereby do release and forever discharge the Diocese of Charleston and St. Philip Neri Catholic Church from all manners and actions, claims which I or the child(ren) named above shall or may have any reason, arising during my child’s(ren’s) attendance of the St. Philip Neri SPRED Program.
Unless other written instruction is submitted, I also consent to allowing my child’s(ren’s) image to be recorded, either by photograph or video. Pictures will NOT be used for any outside publication. Church uses ONLY.)    
Parental Signature for Release
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