Phone Email Facebook

Forms

- Media

Online Faith Formation Registration
The maximum number of form submissions has been reached. This form is currently not available.
- Family Last Name REQUIRED Please fill out this field. 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-5th 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 REQUIRED Please fill out this field. Please enter valid data.
  
  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 that we 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 REQUIRED Please fill out this field. Please enter valid data.
  
  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 that we 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 REQUIRED Please fill out this field. Please enter valid data.
  
  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 that we 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 REQUIRED Please fill out this field. Please enter valid data.
  
  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 that we 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 REQUIRED Please fill out this field. Please enter valid data.
  
  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 that we 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 REQUIRED Please fill out this field. Please enter valid data.
  
  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 that we should be aware of: (Allergies etc...)
- REGISTRATION FOR SACRAMENTAL PREPARATION OF CHILDREN
  Note: If your child has been baptized outside this parish, please present their baptismal certificate to the office as soon as possible (email or paper).
- Number of Children to Enroll in Sacramental Preparation 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.
  
  Age Please enter an integer (number).
  
  Check all Sacraments that have NOT yet been received Baptism Reconciliation Eucharist
  
  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.
  
  Age Please enter an integer (number).
  
  Check all Sacraments that have NOT yet been received Baptism Reconciliation Eucharist
  
  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.
  
  Age Please enter an integer (number).
  
  Check all Sacraments that have NOT yet been received Baptism Reconciliation Eucharist
- INSURANCE AND MEDICAL INFORMATION
  If you are unavailable, we and/or The Archdiocese are authorized to contact the following persons for any child listed in case of sudden illness, addident, or other emergency per your instructions.
- Contact Name REQUIRED Please fill out this field. Please enter valid data.
- 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.
- Online Registration Fee Payment
- Registration Fee Payment REQUIRED Please fill out this field.
Total:

Submit

Pay Now

Pay Later

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.