Medical and Allergy Form

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MEDICAL / ALLERGIES: Use the following form to alert us to activities that your child should not participate in, to any allergies your child may have, and medications they are on. If medication needs to be given while they are attending faith formation classes, a medical release form is required.

Email *

Parent/Guardian First & Last Name *

Relationship to child *

Child's Name (first & last) *

Grade and session attending *

Specifics of child's medical/allergy condition. *

Does medication need to be administered while at Faith Formation. *

Yes - If yes, a medical release form (which will be emailed to you or can be found on our website) will need to be submitted by your physician and you prior to sessions beginning.)

2nd Child's Name - if applicable (first & last)

2nd child's medical/allergy condition

Does medication need to be administered while at Faith Formation.

Yes - If yes, a medical release form (which will be emailed to you or can be found on our website) will need to be submitted by your physician and you prior to sessions beginning.

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Additional information we should know about.

Send me a copy of my responses.

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