2020-2021 Faith Formation Registration Form
Welcome to the Church of the Assumption of Our Blessed Lady. Use this form to register your child. If you are registering more than one child, please submit additional forms.
Email address *
Church of the Assumption of Our Blessed Lady Wood-Ridge New Jersey
Please choose a program: Hybrid or Home School: PLEASE READ the full description in the email sent to you by Director Nancy Joy. Thank you. *
Family Name *
Primary Address *
Father's Name *
Father's Phone Number *
Father's Email *
Mother's Name *
Mother's Phone Number *
Mother's Email *
Child lives with ? *
If necessary, provide the second address
Child's Full Name (First Middle Last) *
New Student? *
Baptized ? New students must provide a copy of Baptismal Certificate *
Date of Birth *
Place of Birth *
Grade in 2020-2021 School Year *
Faith Formation Grade in 2020-2021 *
Is this child preparing to receive a sacrament this year? *
Allergies ( Please explain and note if Epi Pen is needed) *
Special Learning Needs? Medical Needs? *
Emergency Contact Name & Relationship to Child (must be other than Mom and Dad) *
Emergency Contact Phone Number *
Do you give permission for your child's name and image to be included in publicity releases about parish events in the bulletin, parish website, social media, local and diocesan newspaper? *
Never submit passwords through Google Forms.
This form was created inside of Assumption Parish. Report Abuse