Faith Formation Registration Form 2021-2022

Please enroll us in Please enroll us in Classroom Model Family Program Other (by prior arrangement with Faith Formation Director)

Parent’s Last Name:

Mailing title Mailing title M/M Mr. Mrs. Ms.

Other mailing title

Address

City

Zip

Email Address

Child(ren) live with Child(ren) live with parents father mother grandparents other

Parents are Parents are married separated divorced remarried mother deceased father deceased other

Father's name

Father's cell #

Cell provider if you’d like to receive updates via text

Mother's name

Mother's cell

Cell provider if you’d like to receive updates via text

Primary contact number for your family Primary contact number for your family Father Mother

Is there non-custodial parent or a parent sharing joint custody and should they be included in regular communication? Is there non-custodial parent or a parent sharing joint custody and should they be included in regular communication? Yes No

Name

Cell

Cell provider if you’d like to receive updates via text

Emergency contact name

Emergency contact relationship

Emergency contact phone

I am willing to volunteer for I am willing to volunteer for Saturday morning K-5 Monday evening Middle School Sunday High School

Other comments

Student first name

Student last name

School in September

Grade

RE Grade

Does (s)he have a disability, learning problem, or any allergies?

Student first name

Student last name

Grade

RE Grade

School in September

Does (s)he have a disability, learning problem, or any allergies?

Student first name

Student last name

Grade

RE Grade

School in September

Does (s)he have a disability, learning problem, or any allergies?

Student first name

Student last name

Grade

RE Grade

School in September

Does (s)he have a disability, learning problem, or any allergies?

Any additional information we should be aware of:

Religious Education Fee (check which fee applies) Religious Education Fee (check which fee applies) 1 child: $50 per family 2 children: $75 per family 3 children: $95 per family 4 or more children: $100 per family

Additional Sacramental Fees (check if applicable) Additional Sacramental Fees (check if applicable) 1st Reconciliation: $30 per child 1st Communion: $30 per child

Total payment to be sent (If you need an extension of the fees, please contact the Faith Formation Office.)

*Parent signature

Date

New Field New Field Check here if you DO NOT want to have photos of your family included in publications