STA Kids Faith Formation Registration Form 2015-2016
Complete a separate form for each child
PLEASE NOTE: THIS FORM MUST BE COMPLETED AGAIN FOR EACH ADDITIONAL CHILD. Calendars will be emailed and/or mailed upon completion of registration form. Additional copies of calendars are available on the parish website, at the parish office, and at the STA Kids Faith Formation information area in the church vestibules at Our Lady of the Rosary and St. Albert the Great.
Please print this document before submitting and mail a copy with your check!
Tuition
$100 for 1 student
$50 for each additional student
$50 additional for any child preparing to receive any of the Sacraments

Checks can be made out to:
St. Thomas Aquinas Parish
subject line: STA Kids Faith Formation (child's name)

Please send tuition payment to:
St. Thomas Aquinas Parish
attn: Susan Lee Olsen
3290 Middlefield Road
Palo Alto, CA 94306

If financial assistance is needed, please contact: Susan Olsen, Director of Catechetical Ministry- 650-494-2496 x25 or email to suolsen@dsj.org.

Site your child will attend Faith Formation *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Family Last Name *
Your answer
Father's Name *
Your answer
Mother's Name *
Your answer
Mother's Maiden Name *
Your answer
Home Phone *
(include area code)
Your answer
Mother's Cell Phone *
(include area code)
Your answer
Father's Cell Phone *
(include area code)
Your answer
Primary Email Address *
Your answer
Secondary Email Address
Your answer
May we share your email and phone with other parents? *
Home Address *
Please include city and zip code.
Your answer
What sacraments has the mother of this student received? *
What sacraments has the father of this student received? *
Which Mass do you regularly attend? *
Student's Age *
Your answer
Student's Birthdate *
(month/date/year)
Your answer
Student's Place of Birth
(city, state, country)
Your answer
Gender *
Grade for Faith Formation *
(this is for the school year of 2016-2017)
Sacraments Student has Received *
(please check all that apply)
Required
For students 3rd grade and higher: does your child need to prepare for Baptism and/or 1st Eucharist *
A child 8 years old or older who needs to prepare for Baptism and/or 1st Eucharist may be a candidate for RCIA adapted for children which meets on Wednesday evenings.
I would like my child to prepare for the following Sacraments this year: *
(Check all that apply - Please note additional tuition required)
Required
Does the student have any special needs (medical, learning disabilities, physical disabilities)?
*If yes, please explain.
Your answer
Does the student have any allergies?
*If yes, please explain.
Your answer
Emergency Contact Name *
(First and Last)
Your answer
Emergency Contact Relationship *
Your answer
Emergency Contact Phone Number *
(include area code)
Your answer
Child lives with *
(check one)
STAKids relies on volunteers to ensure success of programs/activities. Please indicate at least two (2) events at which one of the adults from your family can volunteer. *
Required
We are in need of Catechists, Co-Catechists and Aides for both sites. If you would like to volunteer in any of these areas please check the box below [Catechist]
1st grade or PK-K
2th grade
3rd grade
4th grade
5th grade
Catechist
Co-Catechist
Aide
Photo Release Form *
I, the parent/quardian of this student, DO (respond YES) or DO NOT (respond NO) authorize and give full consent, without limitation or reservation, to St. Thomas Aquinas Parish to publish any photographs or videos in which the above named student and/or pictures or videos of his/her parents/guardians appears while participating in any program within St. Thomas Aquinas or a Diocesan sponsored event. There will be no compensation for use of any photographs at the time of publication or in the future.
Medical Waiver Authorization *(typed parent name will constitute their signature)* *
I HOLD THE PARISH AND DIOCESE OF SAN JOSE HARMLESS FROM ANY CLAIM OF INJURY, SICKNESS, ILLNESS OR DAMAGE THAT MY CHILD MAY SUFFER OR SUSTAIN DURING THE ACTIVITY LISTED ABOVE, WITH EXCEPTION TO INJURY OF DAMAGES ARISING OUT OF THE SOLE NEGLIGENCE OF THE PARISH OR DIOCESE OF SAN JOSE. I ATTEST THAT MY CHILD IS PHYSICALLY FIT TO PARTICIPATE IN THIS EVENT. IN THE EVENT MY CHILD BECOMES ILL OR INJURED, I DO HEREBY CONSENT TO WHATEVER X-RAY, EXAMINATION, MEDICAL OR TREATMENT AND HOSPITAL CARE ARE CONSIDERED NECESSARY IN THE BEST JUDGEMENT OF THE ATTENDING PHYSICIAN AND PERFORMED BY OR UNDER THE SUPERVISION OF A MEMBER OF THE MEDICAL STAFF OF THE HOSPITAL FACILITY PROVIDING THE TREATMENT. I AM NOT AWARE OF ANY MEDICAL CONDITION WHICH WOULD RENDER IT INAPPROPRIATE FOR MY CHILD TO PARTICIPATE IN ANY SUCH ACTIVITY.
Your answer
Please print this document before hitting "SUBMIT" and include a copy with your child's tuition.
Submit
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