1st Communion/1st Reconciliation
Faith Groups (Grades 6-8)
Faith Groups (Grades 9-12)
8th Grade Confirmation
High School Confirmation
Grades 1-5 Religious Education
JAM (Jesus and Me) PreK/Kindergarten
Date of Birth
Grade for the 2018/2019 School Year
Emergency Contact Information:
Please list in order of priority.
Contact Name, Phone, Relationship
Parent's Cell Phone for Emergency Contact Information
Note: Adult leaders DO NOT stock any medication. If prescription and/or non-prescription medications (i.e. Tylenol, Halls, Advil, etc.) are needed or might be needed, please send them with your child. Place these medications (in their original container) and written physician’s instructions on paper in a plastic storage bag with your child’s name on it.
Insurance Company and Policy Number
Does your child have any allergies, diseases, or disabilities? If yes, please describe.
Does your child have any learning or behavioral challenges that we should be aware of? If yes, please describe.
List any activities that your child should NOT participate in.
List any medications* that your child takes or any dietary or health issues.
Additional Medical Information:
Is there anything that you'd like for us to know about your child?
Yes, Grades 1-5
Yes, Grades 6-12
Yes, Vacation Bible School
Any question, please call: 317-852-3195 Religious Education (grades PreK-5) ext.7102/ Youth Ministry (grades 6-12) ext.7007 or leave a question or comment below:
I give permission for my child to take part in the St. Malachy sponsored activities and programs for 2017-2018. In consideration of the opportunity for my child to participate and fully recognizing that such an undertaking involves an element of risk, we assume all risks and hazards incidental in such participation and do hereby release, absolve, indemnify, and agree to hold harmless the Archdiocese of Indianapolis/St. Malachy Parish its agents, employees and officers, the chaperones, leaders, organizers, sponsors, and persons transporting our child to and/or from these activities. Neither the Archdiocese of Indianapolis/St. Malachy Parish nor any of said persons shall be held financially responsible for any injury, illness, or death incurred as a direct or indirect result of the activity. By pressing the "send" button below I acknowledge that I have read this release and understand all its terms and execute it voluntarily and with full knowledge of the significance.
Fee Schedule for 2018/2019
We will still have fees for sacraments-