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2022 Faith Formation Registration

- Ministries

2022 Registration for Faith Formation Classes Grades PreK-Middle School
Online Faith Formation Registration
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- Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Guardian (if applicable) Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Phone Number - Cell Maximum 20 characters Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Number of Children Registering PK-8th Grade REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Age in September REQUIRED Please fill out this field. Please enter an integer (number).
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending in September REQUIRED Please fill out this field.
  
  Please list any physical and/or medical needs and medications that staff should be aware of: (Allergies etc...)
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Age in September REQUIRED Please fill out this field. Please enter an integer (number).
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending in September REQUIRED Please fill out this field.
  
  Please list any physical and/or medical needs and medications that staff should be aware of: (Allergies etc...)
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Age in September REQUIRED Please fill out this field. Please enter an integer (number).
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending in September REQUIRED Please fill out this field.
  
  Please list any physical and/or medical needs and medications that staff should be aware of: (Allergies etc...)
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Age in September REQUIRED Please fill out this field. Please enter an integer (number).
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending in September REQUIRED Please fill out this field.
  
  Please list any physical and/or medical needs and medications that staff should be aware of: (Allergies etc...)
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Age in September REQUIRED Please fill out this field. Please enter an integer (number).
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending in September REQUIRED Please fill out this field.
  
  Please list any physical and/or medical needs and medications that staff should be aware of: (Allergies etc...)
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Age in September REQUIRED Please fill out this field. Please enter an integer (number).
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending in September REQUIRED Please fill out this field.
  
  Please list any physical and/or medical needs and medications that staff should be aware of: (Allergies etc...)
- INSURANCE AND MEDICAL INFORMATION
  If you are unavailable, we and/or The Archdiocese are authorized to contact the following person(s) for any child listed in case of sudden illness, accident, or other emergency.
- Contact Name REQUIRED Please fill out this field. Please enter valid data.
- Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Family Doctor REQUIRED Please fill out this field. Please enter valid data.
- Take student to nearest hospital? REQUIRED Please fill out this field.
- Registration Fees
  
  Pk-5th Grade: $40/child - Family Max Fee of $80
  
  6th-8th Grade: $30/child - Family Max Fee of $60
- Children - Grades Pk-5th REQUIRED Please fill out this field.
- Middle School Children - Grades 6-8th REQUIRED Please fill out this field.
Total:

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