Faith Formation Registration Form
Email address *
Child Data
Child's Name *
Your answer
Street Address *
Your answer
City
Your answer
Zip Code
Your answer
Telephone Number *
Your answer
Age
Your answer
Grade *
Your answer
Birth date
MM
/
DD
/
YYYY
Sacraments Received *
Required
Parents Data
Name of Father
Your answer
Address (if different from above)
Your answer
Telephone
Your answer
Name of Mother
Your answer
Address (if different from above)
Your answer
Telephone
Your answer
Child lives with
Emergency Contact
Name *
Your answer
Telephone *
Your answer
Relationship to child *
Your answer
Medical Information
List Medical Information about Child (allergies, medications, disabilities, dietary needs, glasses, other important commentary)
Your answer
Family Physician Data
Name
Your answer
Address
Your answer
Telephone
Your answer
Health Insurance Data
Company
Your answer
Policy Number
Your answer
Group Number
Your answer
Contact Number
Your answer
Parent Involvement
How would you like to support our faith formation program? (please check all that apply) *
Required
Any additional info you would like us to have regarding your child
Your answer
Tuition
*If your child has not been baptized AND/OR has not received First Reconciliation and First Communion in 2nd grade, please contact the parish office at 897-9820 to make arrangements for Sacramental Preparation.
*If you are experiencing a financial hardship, please contact the parish office. No child will be denied faith formation due to lack of funds.
*Please make checks payable to St. Mary's. Tuition can be dropped off at the parish office, in the collection basket at Mass clearly labeled as "tuition for Faith Formation" or brought to the first day of class.
Fee: $35 per child; $130 family limit
First Communion Prep: $30 per child
Confirmation Prep: $30 per child
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