Faith Formation Registration Form

Faith Formation Registration Form

Holy Family/St. Lawrence & St. Pius X Parishes 2020-2021
Thank you for registering for Faith Formation at Holy Family/St. Lawrence & St. Pius for the 2020-2021 year. If you have any questions please contact

Emma Goff at 802-878-5997 x 102

or John McMahon at 802-878-5331 x 202.

*If you need to stop and complete the form later use the "save" button, if you are ready to go to the next part of the form use the "next" button. There is a "submit" button on the last page after the payment information.
Family Information
Family Last Name *
Email *
example@example.com
Home Phone

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
What parish are you registered at? *

Holy Family/St. Lawrence St. Pius X
Mother's Name

First Name Last Name Maiden Name (if different)
Mother's Phone Number

Area Code Phone Number
Mother's Email
example@example.com
Father's Name

First Name Last Name
Father's Phone Number

Area Code Phone Number
Father's Email
example@example.com
Emergency Contact

Please provide the contact information for someone other than parents in case of emergency.
Name

First Name Last Name
Phone Number

Area Code Phone Number
Relationship to children

Student Information

Child #1
Name

First Name Last Name
Age
Date of Birth

Month Day Year
Date
Gender

Male Female
Grade
School
What Sacraments has this child received? Date and location?
Sometimes, for a variety of family reasons and /or circumstances, children are unable to celebrate the initiation sacraments at the usual ages. Our parish is happy to offer children & youth of any age, age-appropriate instruction for any of the sacraments that they may be lacking. Enrollment and active participation in grade level Religious Education program is required. Please indicate below the Sacrament/Sacraments your Child/Children Need.
Please share any information (learning, behavioral, emotional, health, IEPs, 504s) that would allow for us to teach and know your child best
Do you have another child you would like to register? *

yes no

Student Information

Child #2
Name

First Name Last Name
Age
Date of Birth

Month Day Year
Date
Gender

Male Female
Grade
School
What Sacraments has this child received? Date and location?
Sometimes, for a variety of family reasons and /or circumstances, children are unable to celebrate the initiation sacraments at the usual ages. Our parish is happy to offer children & youth of any age, age-appropriate instruction for any of the sacraments that they may be lacking. Enrollment and active participation in grade level Religious Education program is required. Please indicate below the Sacrament/Sacraments your Child/Children Need.
Please share any information (learning, behavioral, emotional, health, IEPs, 504s) that would allow for us to teach and know your child best
Do you have another child you would like to register? *

yes no

Student Information

Child #3
Name

First Name Last Name
Age
Date of Birth

Month Day Year
Date
Gender

Male Female
Grade
School
What Sacraments has this child received? Date and location?
Sometimes, for a variety of family reasons and /or circumstances, children are unable to celebrate the initiation sacraments at the usual ages. Our parish is happy to offer children & youth of any age, age-appropriate instruction for any of the sacraments that they may be lacking. Enrollment and active participation in grade level Religious Education program is required. Please indicate below the Sacrament/Sacraments your Child/Children Need.
Please share any information (learning, behavioral, emotional, health, IEPs, 504s) that would allow for us to teach and know your child best
Do you have another child you would like to register? *

yes no

Student Information

Child #4
Name

First Name Last Name
Age
Date of Birth

Month Day Year
Date
Gender

Male Female
Grade
School
What Sacraments has this child received? Date and location?
Sometimes, for a variety of family reasons and /or circumstances, children are unable to celebrate the initiation sacraments at the usual ages. Our parish is happy to offer children & youth of any age, age-appropriate instruction for any of the sacraments that they may be lacking. Enrollment and active participation in grade level Religious Education program is required. Please indicate below the Sacrament/Sacraments your Child/Children Need.
Please share any information (learning, behavioral, emotional, health, IEPs, 504s) that would allow for us to teach and know your child best
Do you have another child you would like to register? *

yes no

Student Information

Child #5
Name

First Name Last Name
Age
Date of Birth

Month Day Year
Date
Gender

Male Female
Grade
School
What Sacraments has this child received? Date and location?
Sometimes, for a variety of family reasons and /or circumstances, children are unable to celebrate the initiation sacraments at the usual ages. Our parish is happy to offer children & youth of any age, age-appropriate instruction for any of the sacraments that they may be lacking. Enrollment and active participation in grade level Religious Education program is required. Please indicate below the Sacrament/Sacraments your Child/Children Need.
Please share any information (learning, behavioral, emotional, health, IEPs, 504s) that would allow for us to teach and know your child best
Do you have another child you would like to register? *

yes no

Student Information

Child #6
Name

First Name Last Name
Age
Date of Birth

Month Day Year
Date
Gender

Male Female
Grade
School
What Sacraments has this child received? Date and location?
Sometimes, for a variety of family reasons and /or circumstances, children are unable to celebrate the initiation sacraments at the usual ages. Our parish is happy to offer children & youth of any age, age-appropriate instruction for any of the sacraments that they may be lacking. Enrollment and active participation in grade level Religious Education program is required. Please indicate below the Sacrament/Sacraments your Child/Children Need.
Please share any information (learning, behavioral, emotional, health, IEPs, 504s) that would allow for us to teach and know your child best

Circle of Grace
The Catechism of the Catholic Church teaches that, parents are the primary educators in matters of faith. The Diocese of Burlington requires that all Faith Formation programs offer the Circle of Grace which is a safe environment program for children and youth that is designed for use both in Catholic schools and in parish religious education programs. Circle of Grace’s curriculum is steeped in the truths of the Catholic faith and provides a holistic approach to the safety, well-being, and spiritual formation of children and youth. (Please check one box) *

My child may participate in Circle of Grace My child may not participate in Circle of Grace
Photo Release
On occasion during the year photos or videos are taken at various community events. Names are never used. Some of these may be included in other Parish Communications, social media, or diocesan publications. *

I give permission for photos of my child(ren) to be used. Do not use photos of my child(ren).
Payment Section
Select a class/classes
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Registration Fee $ 45.00
Fees to cover materials for this year will be $45 per child with a family maximum of $100. Fees will be reduced or waived in cases of financial need, please contact Emma or John for more information.

Number of Children Registering

Total $ 0.00
Payment Method *

Cash Check Online Giving Applying for scholarship
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Family Information