Student Faith Formation Registration – St. Vincent de Paul Catholic Church

Student Information

Full Name(Required)

First Last

Date of Birth(Required)

Age (as of last birthday)(Required)

School(Required)

Grade 2022-2023(Required)

What Parish are you registered with?(Required)

Address (where student resides)(Required)

Street Address Apartment Number City State ZIP Code

Student Religious Education History

Total number of years with Parish Programs(Required)

Regarding religious formation – if not applicable please input “0”

Total number of years of Catholic School(Required)

Regarding religious formation – if not applicable please input “0”

Sacraments received to date:(Required)

Baptism

Reconciliation

First Communion

Confirmation

Is child's baptism certificate on file?(Required)

Please submit a copy of child’s baptism certificate to Saint Vincent de Paul Faith Formation Office if not already on file.

Yes

Will student make First Communion this year?(Required)

Yes

Other

Will student make First Reconciliation this year?(Required)

Yes

Other

Will student make Confirmation this year?(Required)

Yes

Other

Does student have any special needs (health, allergies, disabilities, etc.) which might affect their ability to participate in classes?(Required)

Please write “N/A” if there is no information to provide.

Any additional Information we should know?(Required)

Please write “N/A” if there is no information to provide.

Parent/Legal Guardian Information

Primary language spoken at home?(Required)

English

Spanish

Other

Parent/Legal Guardian Information(Required)

First Last

Relationship to Child(Required)

Mother

Father

Other

Cell #(Required)

Work #(Required)

Home #

Email(Required)

Parent/Legal Guardian(Required)

First Last

Relationship to Child(Required)

Mother

Father

Other

Cell #(Required)

Work #(Required)

Home #

Email(Required)

Primary Number for Text Messaging(Required)

Please note: This number will be used in the event of cancellation due to inclement weather or if emergency numbers are invalid.

Secondary Number for Text Messaging

Please note: This number will also be used in the event of cancellation due to inclement weather or if emergency numbers are invalid.

Include Additional Caregiver?

Please select “Yes” if you wish to provide the names of any additional primary caregivers.

Yes

Name

First Last

Relationship to Student

Name

First Last

Relationship to Student

Additional Information

Emergency Contact Information

Important: Used in the event a parent/legal guardian cannot be reached.

Primary Emergency Contact(Required)

First Last

Relationship to Student or Parent/Legal Guardian

Primary Phone Number(Required)

Secondary Phone Number

Address(Required)

City State / Province / Region

Secondary Emergency Contact

First Last

Primary Phone Number

Secondary Phone Number

Drop Off & Pick Up Information

Information for those with permission to pick up child if parent or legal guardian is unavailable.

Name(s) of those who may drop-off/pick-up your child for class

Is there anyone specifically NOT allowed to pick up child?(Required)

Yes

Name(s) of anyone who is specifically not allowed to pick up child(Required)

Additional Information

Please indicate if there is anything we need to be specifically aware of in order to ensure the safety of your child. This can include physical appearance of the individual(s), if police need to be contacted, etc.

CAPTCHA

Faith Formation 2022

Student Information

Student Religious Education History

Parent/Legal Guardian Information

Emergency Contact Information

Drop Off & Pick Up Information