aFoF Registration form20-21

Head(s) of Household names:
Mother's Maiden name:
Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Cell Phone Number

Area Code Phone Number
Email
example@example.com
Other Guardian(s):
Relation to child(ren):
Are you

Married (Catholic) Married (Civilly, other church wedding) Separated/Divorced Unmarried
Please check if your family plans to take advantage of the childcare being offered during the parent sessions.
How many children will be dropped off?
Registration fee *

Will pay by check (mail in or bring by the Pastoral Center) paid via Pushpay (see below)
Which will you be attending?

SUNDAY MORNING Community meetings WEDNESDAY EVENING Community meetings
Child's Name

First Name Last Name
Place (City, State)/ Church of Baptism
Child's Date of Birth

Month Day Year
Date
Their age today
Gender

Male Female
Grade this fall:
Any Allergies?
2nd Child's Name:
Place (City,State) / Church of Baptism of 2nd Child
Date of Birth (2nd Child):

Month Day Year
Date
Their age today
Gender

Male Female
Grade this fall:
Any Allergies?
3rd Child's Name:
Place (City,State) / Church of Baptism
Date of Birth (3rd Child):

Month Day Year
Date
Their age today
Gender

Male Female
Attach additional information as necessary
Grade this fall:
Any Allergies?
4th Child's Name:
Place (City,State) / Church of Baptism
Date of Birth (4th Child):

Month Day Year
Date
Their age today
Gender

Male Female
Grade this fall:
Any Allergies?
Payment Options

Choose one option below
Please checkout using this option for One child.
Please checkout using this option for Two children.
Please checkout using this option for Three or more children.
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Payment Options