Faith Formation Online Registration Form For 2011-2012

Family Name
Father's Name - Catholic - Yes
Father's Name - Catholic - No
Mother's Name - Catholic - Yes
Mother's Name - Catholic - No
Step Parent's Name - Catholic - Yes
Step Parent's Name - Catholic - No
Email Address
Address (street,city,state,zip)
Home Phone
Work Phone
Cell Phone
Child(ren) Live With	Both Parents
Child(ren) Live With	Mother
Child(ren) Live With	Father
Child(ren) Live With	Step Parent
Child's Name
Birthdate
Baptism
Reconciliation
Eucharist
Please list special needs, allergies, and medications
Parent Involvement	Scholarship for someone unable to pay
Parent Involvement	Catechist/Teacher (Substitute)
Parent Involvement - Room Parent - List 1st Grade Choice & 2nd Grade Choice
Parent Involvement	Support for the Catechist
Parent Involvement	Help with Class Service Projects
Parent Involvement	Help with Class Photos
Parent Involvement	Seasonal Activities
Parent Involvement	Grotto Field Trip
Parent Involvement	Hospitality for Sacramental Classes & Receptions
Parent Involvement	Religious Education Parent Advisory Committee
Parent Involvement	Catechist & Volunteer Appreciation
Parent Involvement	Office assistance, mailings, copying, etc.
Registered in this Parish Yes or No?
Grade Child Is In
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Registration Fees - $25.00 Per Child
Out of Parish Fees - Additional $25.00 Per Child

If your child was not baptized in our Parish you will need to provide us with a copy of his or hers Baptismal certificate.