CFF Student Registration Form 2022-2023

CFF | Student Registration Form

Starts Fall 2022- to June 2023
Student Name

First Name Middle Name Last Name
Gender
Birth Date

Month Day Year
Grade Level
Check all the Sacraments that this child has already COMPLETED *

Baptism 1st Reconciliation 1st Communion Confirmation Year 1
Sacrament Program to be completed this year

Baptism 1st Communion / 1st Reconciliation Confirmation Year 1 Confirmation Year 2 New student (He/she has never been in St. Agnes Program)
Parent 1 Name

First Name Last Name
Parent 2 Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Primary Email Contact
example@example.com
House Number
Parent's emergency contacts - list the 2 best ways to reach you quickly and please be specific. For example: Roger (Dad) best to text at 415-555-6789; Gina (Mom) best to call her mobile 650-555-1234. *
Please inform us if your child has any special needs. Ex: allergies, medications, learning differences, request for emotional or behavioral support, or physical limitations.
Baptism Certificate Copy (Only needed if the child is completing a sacrament this year).

Cancel of
Registration Payment - NOTE!!!* If you wish to pay by check, leave all the following check boxes on the form empty, click submit and just send your check directly to the Parish.*If paying online with PayPal, please select the payment amount for the number of children you are enrolling. Select the appropriate boxes for sacramental fees and/or non-parishioner rate if applicable. PayPal will open upon submitting. You do not need a PayPal account to pay through this resource, a credit or debit card will work.
Sacraments Registration Fees
Additional Comments
Should be Empty:

CFF | Student Registration Form