St. John Vianney Catholic Church Religious Education Registration Form
** NOTE: Only a parent/legal guardian can register their child(ren) for Religious Education. If you are not the parent/legal guardian, SJV will need the written permission of the parent/legal guardian before enrollment**
2018-2019 Religious Education Registration Form Kindergarten to 12th Grade
Student First Name
Student Last Name
Entering Fall 2018
Food Allergies/Health Concerns
What else should we know about your child?
Sacraments your child has already received
1st Holy Communion
Name of Baptismal Church
Religious Education Program Choice
Please Note: XLT for all LifeTeen students on the First Saturday of the month 5:30 pm-7:30 pm
SJV Kids (Kindergarten-5th) -Sundays, 11:30 am-12:30 pm
SJV Kids (Kindergarten-5th) -Wednesdays, 3:00 pm-4:00 pm
EDGE (6th-8th Grade) - Thursdays, 7:00 pm -8:30 pm
LifeTeen Insight (9-11th grade) Pre-Confirmation - Sundays, 3:00 pm-4:30 pm
LifeTeen Chosen(10-12th grade) Confirmation Year - Sundays, 3: 00 pm - 4:30 pm
LifeTeen Lead (9-12th grade) Post-Confirmation - Every other Monday 6:30 pm-8:00 pm
Parent 1 Name
Parent 1 Cell Phone
Parent 1 Cell Phone accepts text messages
Parent 2 Name
Parent 2 Cell Phone
Parent 2 Cell phone accepts text messages
Parent 2 Email Address
Are you a member of St. John Vianney?
Emergency Contact will be notified for emergencies if unable to reach parent 1 or 2
Emergency Contact Name:
Other than Parent
Emergency Contact Phone #
Other than Parent
Circle of Grace Consent
I give permission for my child to participate in the Archdiocese of Santa Fe’s Circle of Grace program. The goal of the Circle of Grace program is to educate & empower children and young people to actively participate in a safe environment for themselves & others.
Yes, my child can participate in the Circle of Grace Program
No,I do not want my child to participate in the Circle of Grace Program
Video and Photograph Permission
I give my permission for my child to be photographed or videotaped at St. John Vianney Parish for the year registered in Religious Education/Formation. I realize the photo/video may be published in the bulletin or other parish and/or archdiocesan publications. The photo/video may be used for informational, educational or promotional purposes regarding our religious education/formation programs.
All parents will be added to SJV's Flocknote Service. Flocknote is a service the church uses in order to better stay in contact with it's members. Your information (Name/Cell Phone/Number/Email Address) will only be used for approved church notifications (email and/or text messages). Your information will never be sold.
A copy of your responses will be emailed to the address you provided.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service