New Religious Education Students

My child(ren) has my permission to attend Religious Education at St. Martin of Tours and will be registering for class for 2025 - 2026.

For middle and high school aged child(ren), if applicable, my child(ren) has my permission to attend Youth Ministry events at St. Martin of Tours during the school year calendar of August 2025 - August 2026. The below Medical Release Form and Photo Release Form will cover release for both Religious Education and Youth Ministry for the school year calendar. I understand that this doesn't cover off-site events sponsored by St. Martin of Tours Youth Ministry and I will still need to complete the necessary forms for these particular events.

Permission to Attend Religious Education REQUIRED Yes No Please fill out this field.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Middle Name Please enter valid data.

Family Registered at St. Martin Parish? REQUIRED Yes No Please fill out this field.

Street 1 REQUIRED Please fill out this field. Please enter valid data.

Street 2 Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

School Child Currently Attending REQUIRED Please fill out this field. Please enter valid data.

Grade REQUIRED Please fill out this field. Please enter valid data.

Expected Year of Graduation REQUIRED Please fill out this field. Please enter valid data.

Father's Name REQUIRED Please fill out this field. Please enter valid data.

Father's Religion REQUIRED Please fill out this field. Please enter valid data.

Mother's Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Religion REQUIRED Please fill out this field. Please enter valid data.

Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Place of Parent's Marriage: Church, City, State REQUIRED Please fill out this field. Please enter valid data.

Number of Siblings REQUIRED
List All siblings
Please fill out this field.
Sibling 1
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 2
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 3
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 4
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 5
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 6
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 7
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 8
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 9
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 10
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 11
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 12
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 13
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 14
- Name REQUIRED Please fill out this field. Please enter valid data.
Sibling 15
- Name REQUIRED Please fill out this field. Please enter valid data.

Previous Religious Education: When REQUIRED Please fill out this field. Please enter valid data.

Previous Religious Education: Where REQUIRED Please fill out this field. Please enter valid data.

If Sacrament has not been celebrated yet, please enter none for it's associated fields.

Baptism: Date (Month/Year will suffice) REQUIRED Please fill out this field. Please enter valid data.

Baptism: Church REQUIRED Please fill out this field. Please enter valid data.

Baptism: City, ST REQUIRED Please fill out this field. Please enter valid data.

Baptismal Certificates are required for ALL new students. If your child was not baptized at St. Martin's, please contact the parish of Baptism and have a copy sent to the Religious Ed office at St. Martin's.

First Penance: Date (Month/Year will suffice) REQUIRED Please fill out this field. Please enter valid data.

First Penance: Church Please enter valid data.

First Penance: City, ST Please enter valid data.

First Communion: Date (Month/Year will suffice) REQUIRED Please fill out this field. Please enter valid data.

First Communion: Church REQUIRED Please fill out this field. Please enter valid data.

First Communion: City, ST REQUIRED Please fill out this field. Please enter valid data.

Confirmation: Date (Month/Year will suffice REQUIRED Please fill out this field. Please enter valid data.

Confirmation: Church REQUIRED Please fill out this field. Please enter valid data.

Confirmation: City. ST Please enter valid data.

Photo Release 2025-2026

I, the parent/guardian, grant permission to the staff/volunteers of St. Martin of Tours to reproduce photos taken of my child for the purpose of publication, illustration, promotion, advertising, or any other manner in any medium used by St. Martin of Tours.

Photo Release Permission REQUIRED I Agree I Do Not Agree Please fill out this field.

Maria Goretti Project - Opt In or Opt Out?
The Maria Goretti Project is the updated Safe Environment Training from the Diocese of Kalamazoo that takes elements from the VIRTUS program and Protect Young Eyes to create a parent-based education system for covering safe environment education. Implementing this program includes the following:
1. Attend the introductory session at our mandatory Parent Session Sunday September 14th (First Day of Religious Education)
2. Sign and date the Opt-In (or Opt-Out) Form
3. Complete the assigned lesson with your child(ren) at home

Medical Treatment Release 2025-2026

As a parent/guardian, I do hereby authorize the treatment by a qualified and licensed physician of any condition which, in the opinion of the physician, is deemed necessary and appropriate. This authority is granted only after a reasonable effort has been made to reach me.

Reason for which release is intended: St. Martin of Tours Religious Education/Youth Ministry Events

Age REQUIRED Please fill out this field. Please enter valid data.

Relationship to you: REQUIRED Please fill out this field. Please enter valid data.

Please list ALL persons that are permitted to pick you child up from class: REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Phone Type REQUIRED Home Mobile Work Please fill out this field.

Parent Email REQUIRED Please fill out this field. Please enter an email address.

Emergency Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Family Physician: Name REQUIRED Please fill out this field. Please enter valid data.

Family Physician: Phone REQUIRED Please fill out this field. Please enter valid data.

Family Physician: Street Address REQUIRED Please fill out this field. Please enter valid data.

Family Physician: City REQUIRED Please fill out this field. Please enter valid data.

List all allergies, medication, contacts, or other pertinent comments: REQUIRED Please fill out this field. Please enter valid data.

Health Insurance: Company REQUIRED Please fill out this field. Please enter valid data.

Health Insurance Policy/Plan/Member No REQUIRED Please fill out this field. Please enter valid data.

I further authorize the person who presents the minor to sign the Acknowledgement of Receipt of Notice of Privacy Rights that may be presented by the physician or health care facility.

This authorization is completed and signed of my own free will with the sole purpose of authorizing medical treatment deemed necessary and appropriate by the treating physician.

Parent electronic signature

By entering into and/or signing this document, the signatory/signatories agree to conduct its/their dealings via electronic means. The signatory agrees that allowing dealings via electronic means will facilitate these dealings. The signatory has the option to opt to sign things in a paper format.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

St Martin of Tours Parish

Vicksburg, MI
Parish Office: 269-649-1629

New Religious Education Students