English CFF Registration Form

English CFF Registration Form

Fill out the form carefully for registration
Please check:

New Student Returning Student
Student Name

First Name Middle Name Last Name Suffix
Date of Birth

Month Day Year
Birthplace:
Age:
Gender
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Baptismal Date

Month Day Year
Name of Church:
Baptismal Church Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Student's E-mail
example@example.com
Parent’s E-mail
example@example.com
Father's Name

First Name Middle Name Last Name Suffix
Father's Mobile Number

Area Code Phone Number
Father's Work Number

Area Code Phone Number
Mother's Name

First Name Middle Name Last Name Suffix
Mother's Mobile Number

Area Code Phone Number
Mother's Work Number

Area Code Phone Number
Marital Status
If married
Name of Sibling

First Name Middle Name Last Name Suffix
Date of Birth

Month Day Year
Name of Sibling

First Name Middle Name Last Name Suffix
Date of Birth

Month Day Year
Name of Sibling

First Name Middle Name Last Name Suffix
Date of Birth

Month Day Year
Name of Sibling

First Name Middle Name Last Name Suffix
Date of Birth

Month Day Year
Name of Sibling

First Name Middle Name Last Name Suffix
Date of Birth

Month Day Year
Name of Sibling

First Name Middle Name Last Name Suffix
Date of Birth

Month Day Year
Guardian’s Name (if applicable, if it's not skip it)

First Name Middle Name Last Name Suffix
Guardian's Mobile Number

Area Code Phone Number
Guardian's Work Number

Area Code Phone Number
School Level
School the Child is enrolled in
CFF Level
Class Day
Class Time

: Hour Minutes AM/PM Option
Catechist's Name

First Name Middle Name Last Name Suffix
Registration Fees (Non- refundable):

$ 95.00 Per Student (Registered parishioners)

$ 110.00 Per Student (Non-registered parishioners who are willing to register)

Catechist’s Children 50% off

Other Fees:

Confirmation Fee (Including Retreat and Fired Up) = $110.00

Communion Fee = $25.00

(Kindly drop your payment at the office. If paying with a check, kindly make it payable to ST. PAUL CATHOLIC CHURCH. Submit to the office the Certificates of Baptism, First Communion, Confirmation whichever one is applicable. Thank you.)

Emergency Health Information

In the absence of parents:
Second contact will be
Contact Number

Area Code Phone Number
Residency Requirement: I am the above child's:
Foster Parent License Number:
Child’s Allergies to Drugs or Food:
Medication Currently Taking:
Time and Dosage of Medicine:
Last Tetanus Shot:

Month Day Year
Date
Please state any health and/or learning concerns that your child has that is important for the catechist to know: (such asseizures, asthma, allergies, visual or hearing disabilities, attention deficit,hyperactivity disorder (ADHD) difficulty reading or writing, short attention span etc.
Please indicate desired action in the event of an accident or emergency.

Option 1 or Option 2
Option 1: In the event of accident or other emergency: When parent is unavailable, I hereby authorize a representative of St. Paul Church to make such arrangements as he/she considers necessary for my child to receive medical or hospital care, including transportation. Under such circumstances, I further authorize the physician named below to undertake such care and treatment of my child as he/she considers necessary. In the event the physician is not available at that time, I authorize such care treatment to be performed by any licensed physician or surgeon. The undersigned hereby agrees to bear any costs incurred as a result of the foregoing.
Medical Insurance Company
Medical Record
Physician's Name

First Name Last Name
Physician's Phone Number

Area Code Phone Number
Option 2: I do not choose the above statement and desire the following action instead:
Type a question
Parent's/Guardian/'s Signature

Clear
Date

Month Day Year
Date
For CFF Use Only:
Documents on File:

___Baptismal Certificate Date____________________Church_______________________Place_______________________________

___First Reconciliation Certificate Date____________________Church_______________________Place_______________________________

___First Communion Certificate Date____________________Church_______________________Place_______________________________

Registration Fee Paid: Amount _________ Cash ____ Check #______________Receipt #_____________________

CFF Registration Staff: Name _________________________________________________ Date __________
Should be Empty:

English CFF Registration Form

Emergency Health Information

Please indicate desired action in the event of an accident or emergency.