Youth Faith Formation Registration 2020

St. Joseph & St. Paul Youth Faith Formation

Fees/Matricula: $50 for one youth $40 each additional youth $120 Family Maximum Additional $20 Sacramental Prep Fee (First Communion and Confirmation) Payments can be submitted by check made payable to St. Joseph Catholic Church or by going to the website www.stjoe-stpaul.com and using the YFF payment button.
Father's Name/Nombre del Padre
Address

Address/Direccion

Street Address Line 2

City/Ciudad
St/Estado
Father's Telephone/Telefono
Please enter a valid phone number.
Father's Email/Correo Elctronico
example@example.com
Mother's Name/Nombre de la Madre
Address

Address/Direccion

Street Address Line 2

City/Ciudad
St/Estado
Mother's Telephone/Telefono
Please enter a valid phone number.
Mother's Email/Correo Elctronico
example@example.com
Emergency Contact/Contacto de Emergencia:
Name/Nombre
Telephone/Telefono
Please enter a valid phone number.
OFFICE USE ONLY
Date Registered:

Month Day Year
Date
# Students Registered:
Sacramental Prep Fee
Amount Paid:
Cash
Check
Check #
Received By:
Please make sure to initial and sign the following releases.
***Child Protection Education Component
The Diocese of Belleville requires all students in grades
PreK–12 in our Faith Formation Program to be offered Safe Environment classes each year. The classes are video based and lead by Diocesan approved facilitators. The focus is on personal safety at all grade levels and has an age appropriate approach. These sessions are designed to help our students understand how to keep themselves safe. The Safe Environment Class will be scheduled during a regular YFF time and the date given to parents/guardians in advance of the scheduled date.
I Give My Permission
Please initial one choice
I Do Not Give My Permission
Please initial one choice
Parent/ Guardian Signature *

Clear
Date *

Month Day Year
Date
***Photograph & Digital Media Release
The Youth Faith Formation of St. Joseph and St. Paul Parishes often has the opportunity to take photos of children en-gaged in parish activities. These photos may be used to promote the Youth Faith Formation program on the Web-site and other communications such as, but not limited to, Parish publications (e.g., bulletins, brochures), print advertising and media relations.

By joining any web based digital meetings, you are agreeing to allow your child(ren) to be seen by all participants.

By joining any web based digital meetings, you are agreeing to all videos being recorded for Child Protection purposes.
I Give My Permission
Please initial one choice
I Do Not Give My Permission
Please initial one choice
Parent/ Guardian Signature *

Clear
Date *

Month Day Year
Date
Please fill out the following information for each child you are enrolling in Youth Faith Formation:
Youth's Full Name/Nombre del Estudiante
D.O.B/Fecha de Nacimiento
Returning Youth (please skip Sacrament Information) New Youth (please fill out Sacrament Information Below)
Baptism: Parish & Date
First Communion: Parish & Date
Confirmation:Parish & Date
Grade/Grado
School Name/Nombre del la Escuela
Jr High/ High School Youth Phone Number (optional)
Please enter a valid phone number.
Jr High/High School Youth Email (optional)
example@example.com
Any Medical Information needed:
2nd Youth's Full Name/Nombre del Estudiante
D.O.B/Fecha de Nacimiento
Returning Youth (please skip Sacrament Information) New Youth (please fill out Sacrament Information Below)
Baptism: Parish & Date
First Communion: Parish & Date
Confirmation:Parish & Date
Grade/Grado
School Name/Nombre del la Escuela
Jr High/ High School Youth Phone Number (optional)
Please enter a valid phone number.
Jr High/High School Youth Email (optional)
example@example.com
Any Medical Information needed:
3rd Youth's Full Name/Nombre del Estudiante
Returning Youth (please skip Sacrament Information) New Youth (please fill out Sacrament Information Below)
Baptism: Parish & Date
First Communion: Parish & Date
Confirmation:Parish & Date
D.O.B/Fecha de Nacimiento
Grade/Grado
School Name/Nombre del la Escuela
Jr High/ High School Youth Phone Number (optional)
Please enter a valid phone number.
Jr High/High School Youth Email (optional)
example@example.com
Any Medical Information needed:
4th Youth's Full Name/Nombre del Estudiante
Returning Youth (please skip Sacrament Information) New Youth (please fill out Sacrament Information Below)
Baptism: Parish & Date
First Communion: Parish & Date
Confirmation:Parish & Date
D.O.B/Fecha de Nacimiento
Grade/Grado
School Name/Nombre del la Escuela
Jr High/ High School Youth Phone Number (optional)
Please enter a valid phone number.
Jr High/High School Youth Email (optional)
example@example.com
Any Medical Information needed:
Should be Empty:

St. Joseph & St. Paul Youth Faith Formation

OFFICE USE ONLY

***Child Protection Education Component

***Photograph & Digital Media Release