Saint Paul of the Cross and South Hills Catholic Academy Faith Formation
2021-2022 Registration Form
Family Information
*
We are registered members of Saint Paul of the Cross Parish
We are registered members of a different parish (please list) and we have obtained the required permission from our parish to participate in this Faith Formation program.
Guardian Information
Guardian 1 Name
*
First Name
Last Name
Guardian 1 Relationship to Child
*
Guardian 1 Phone Number
*
Please enter a valid phone number.
Guardian 1 Email
*
example@example.com
Guardian 2 Name
First Name
Last Name
Guardian 2 Relationship to Child
Guardian 2 Phone Number
Please enter a valid phone number.
Guardian 2 Email Address
example@example.com
Street Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
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Student Information and Registration
Student 1
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
Male
Female
School District
*
Grade in Fall 2021
*
Choose a Session
*
Mondays 5:00pm-6:00pm
Home School Program
Check if this student will be preparing for First Communion (typically 2nd grade) or Confirmation (typically 8th grade) during the 2021-2022 school year. More information about the sacraments will be distributed in the fall.
First Communion
Confirmation
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Additional Student(s) Information and Registration
Proceed to next page if not registering additional students
Click to Add Student 2
Student 2 Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
School District
Grade in Fall 2021
Choose a Session
Mondays 5:00pm-6:00pm
Home School Program
Check if this student will be preparing for First Communion (typically 2nd grade) or Confirmation (typically 8th grade) during the 2021-2022 school year. More information about the sacraments will be distributed in the fall.
First Communion
Confirmation
Click to Add Student 3
Student 3 Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
School District
Grade in Fall 2021
Choose a Session
Mondays 5:00pm-6:00pm
Home School Program
Check if this student will be preparing for First Communion (typically 2nd grade) or Confirmation (typically 8th grade) during the 2021-2022 school year. More information about the sacraments will be distributed in the fall.
First Communion
Confirmation
Click to Add Student 4
Student 4 Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
School District
Grade in Fall 2021
Choose a Session
Mondays 5:00pm-6:00pm
Home School Program
Check if this student will be preparing for First Communion (typically 2nd grade) or Confirmation (typically 8th grade) during the 2021-2022 school year. More information about the sacraments will be distributed in the fall.
First Communion
Confirmation
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Photography Permission
I DO give permission for my child(ren)'s picture to be used in media publicizing Saint Paul of the Cross and South Hills Catholic Academy's Faith Formation program. Such presentations may include captions identifying the activity and the child by first name.
I DO NOT give permission for my child(ren)'s picture to be used in media.
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Payment and Verification
Class fees help our program pay for textbooks, supplies, and other materials. Please choose the appropriate option below, this helps us plan our budget for the year. Payment will be collected when classes begin on September 20, 2021. Home school payments will be collected when materials are distributed. Checks can be made payable to South Hills Catholic Academy. Scholarships are available, contact our office to learn more.
*
One Child ($80)
Two or More Children ($120)
Requesting Scholarship or Payment Plan
I hereby verify that the information provided in this form is accurate to the best of my knowledge.
*
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