Faith Formation Program Registration 2021 - 2022 Information for Students Student name* First Last NicknameDate of Birth*Age (as of last birthday)*Please enter a number from 1 to 100.Grade (2020 - 2021)*School*Total years of religious formation in Parish Programs*Less than a year1-2 years3-4 yearsOver 3 yearsNever attended religious formationTotal years of religious formation in Catholic School?*Less than a year1-2 years3-4 yearsOver 3 yearsNever attended Catholic SchoolSacraments received to date* Select All Baptism Reconciliation Communion Confirmation Certificate on file* Yes No Please submit a copy of child's baptism certificate to the Faith Formation Office if it has not already been submitted. Where did you attend Faith Formation last year?*What Sacraments will student make this year?* Baptism First Reconciliation First Communion Confirmation Does student have any issues which might affect their ability to participate in classes? (Health, allergies, disabilities, etc)* No Yes Please specify health, allergies, disabilities, etc*Any other important information we should know?Parent/Guardian information* First Last Relationship to Student*MotherFatherLegal GuardianCell Phone*Opt in for text messaging* Yes No - By selecting this option, I understand I may not receive important updates on programs and closures Text messaging is used solely for the purpose of cancellations due to inclement weather or if emergency numbers are invalid. This is also to insure that families are notified in a timely manner about program updatesWork PhoneEmail Parent/Guardian information First Last Relationship to StudentMotherFatherLegal GuardianCell PhoneWork PhoneEmail Parent/Guardian information First Last Relationship to StudentMotherFatherLegal GuardianCell PhoneWork PhoneEmail Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Where the student residesEmergency Contact Information* First Last Emergency contact phone*Emergency Contact Information First Last Emergency contact phoneNames of anyone allowed to pick up child*Names of anyone who is specifically NOT allowed to pick up childCAPTCHAEmailThis field is for validation purposes and should be left unchanged.