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Faith Formation Form

Faith Formation Registration 2017-18

Is your family registering for the first time?
Family Name
Children's Last Name (if different)
Father's First Name
Mother's First and Maiden Name
Phone (Home)
Father's Cell Phone
Mother's Cell Phone
Father's Work Phone
Mother's Work Phone
Email
Child's Street Address
City
State
Zip

Child(ren) lives with: (Please check all that apply)

Other (Name)

Please check if Catholic:

In the event of an emergency, or if unable to reach the parents/guardian, please contact:

Name
Phone
Relationship

Family Life Program Permission

The Religious Education Program includes a "Family Life" component as prescribed by the Archdiocese of Baltimore. I understand that an orientation will be provided for parents before "Family Life" begins.  I also understand that I am afforded the opportunity to review any and all preparation materials by contacting the Faith Formation Office.

Please consider volunteering and supporting the faith formation of our children

Volunteer Name
For Grade:
Session #:
For Grade:
Session #:
For Grade:
Session #:
For Grade:
Session #:
Session #
Youth Assistant's Name:

Child #1

Child #1 First and Last Name
Age
Birth Date
Gender
Grade
Session Choice
Child's School
Special Needs: medical, allergies, learning disabilities, physical disabilities:

Please check the boxes if your child has received these Sacraments:

New Registration only: Please complete the following sacramental information.

Baptismal Date and Church name:

Baptism Note: If your child was baptized outside of this parish, you will need to supply a copy for our files.

Child #2

Child #2 First and Last Name
Age
Birth Date
Gender
Grade
Session Choice
Child's School
Special Needs: medical, allergies, learning disabilities, physical disabilities:

Please check the boxes if your child has received these Sacraments:

New Registration only: Please complete the following sacramental information.

Baptismal Date and Church Name

Baptism Note: If your child was baptized outside of this parish, you will need to supply a copy for our files.

Child #3

Child #3 First and Last Name
Age
Birth Date
Gender
Grade
Session Choice
Child's School
Special Needs: medical, allergies, learning disabilities, physical disabilities:

Please check the boxes if your child has received these Sacraments:

New Registration only: Please complete the following sacramental information.

Baptismal Date and Church name:

Baptism Note: If your child was baptized outside of this parish, you will need to supply a copy for our files.

Almost Done!

Please select your family's tuition:
Would you like to make a donation to help another family attend Religious Education?

I understand that photos may be taken during Religious Education programming.  I consent to my child(ren)'s image being used to report on this event or promote future programs.  Names of children will not be indentified.

Agree or Not Agree: