Sacramental Parental Permission
Child's Full Name (please print):  __________________________________________________
Parental Authority for Children to receive the Sacraments - Family Law Matters
A copy of any Court Orders concerning residence arrangements for the candidate, time spent by the candidate with either parent, or parenting issues must be supplied with this enrolment form. 
Are there any such Orders?  Yes/No  (please circle)
If 'Yes', has a copy of every such Order been attached to this form?  Yes/No  (please circle)
Do you give permission for your child to be in a group photograph?  Yes/No  (please circle)
Do you give permission to have your child's photograph published on the parish social media page?  Yes/No  (please circle)
Father's Full Name:  __________________________________________________________________
Phone Number:  ________________________________________________
Email Address:  _________________________________________________
Mother's Full Name:  ____________________________________________________________________
Phone Number:  ________________________________________________
Email Address:  _________________________________________________
I hereby give consent for the Candidate to be admitted to the Sacrament of the Catholic Church as indicated below: *
Father's signature: ___________________________________________________________________
Date:  ______________________________________________________
Mother's signature: ___________________________________________________________________
Date:  ________________________________________________________
Privacy - The privacy of all individuals is important to the Our Lady and St Dympna Parish and we are committed to protecting all personal information we collect and hold. Our Privacy Policy is available at or on request from the Parish Office.
Privacy Collection Statement
The parishes, schools and agencies of the Archdiocese of Brisbane (we, us or our) may collect, use and disclose personal information about you. We collect personal information directly from you and may also collect personal information passively through our website. We collect your personal information to fulfil the mission and directions of our organisation, to administer the sacraments and provide pastoral care to you, to provide you with other services and products you are seeking, to communicate with you about the services and products we offer, to solicit donations and to comply with our legal and regulatory requirements. If the personal information you provide is incomplete or inaccurate, we may not be able to provide you with the services or products you seek. We may disclose personal information about you to our parishes, schools and agencies and service providers who assist us in operating our organisation.