Family Faith Formation Registration
Welcome to our new model of formation at Ascension Catholic Parish! We welcome the entire family to a monthly gathering for fellowship, food, and formation on our Catholic faith.
Family Last Name
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
#2 Phone Number
Please enter a valid phone number.
Primary Email
example@example.com
Alternative Email
example@example.com
Are you a registered member of Ascension Catholic Parish?
Yes
No
Which Mass does your family most often attend at Ascension
Saturday 4:00PM
Sunday 8:30AM
Sunday 10:30AM
We do not attend Mass at Ascension
Parent Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
#2 Parent Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Would you need or be interested in on campus childcare if we offered childcare for families with children 5 and under?
Yes
No
Custodial Care is with:
Please Select
Both Parents
Father
Mother
Other
Child's Name
First Name
Last Name
Child's Date of Birth
-
Month
-
Day
Year
Date
School Attending 2022-2023
Grade 2022-2023
Does your child have a medical condition, food allergies, or behavioral problems we should be aware of?
Yes
No
If yes, please explain so we can accommodate your family as best as possible:
Do you need to register another child?
Yes
No
Back
Next
Child's Registration and Information Form
Child's Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Attending 2022-2023
Grade 2022-2023
Does your child have a medical condition, food allergies, or behavioral problems we should be aware of?
Yes
No
If yes, please explain so we can accommodate your family as best as possible:
Do you need to register another child?
Yes
No
Back
Next
Child's Registration and Information Form
Child's Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Attending 2022-2023
Grade 2022-2023
Does your child have a medical condition, food allergies, or behavioral problems we should be aware of?
Yes
No
If yes, please explain so we can accommodate your family as best as possible:
Do you need to register another child?
Yes
No
Back
Next
Child's Registration and Information Form
Child's Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Attending 2022-2023
Grade 2022-2023
Does your child have a medical condition, food allergies, or behavioral problems we should be aware of?
Yes
No
If yes, please explain so we can accommodate your family as best as possible:
Do you need to register another child?
Yes
No
Back
Next
Child's Registration and Information Form
Child's Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Attending 2022-2023
Grade 2022-2023
Does your child have a medical condition, food allergies, or behavioral problems we should be aware of?
Yes
No
If yes, please explain so we can accommodate your family as best as possible:
Do you need to register another child?
Yes
No
Back
Next
Family Medical Information & Family Media Consent
Emergency Contact (not parent)
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Family Medical Information--Insurance Co.
Policy No.
Family Physician
Medical Release: As the parent or legal guardian of the above named child, I hereby authorize Ascension Faith Formation Personnel to permit any necessary examination, anesthetic, medical diagnosis, surgery or treatment, and/or hospital care to be rendered to said child under the general or special supervision and on the advice of any physician licensed to practice medicine in the state of Kentucky.
Publication Permission Form for Photographing, Printing, and Publishing:I, the undersigned, give permission to the Director of Family Formation and/or members on the staff of Ascension Catholic Parish to take and publish photographs of my child for use/publication in parish bulletins, parish bulletin boards, parish/diocesan newsletters, parish/diocesan internet websites, and the diocesan newspaper.
Date
-
Month
-
Day
Year
Date
Thank you! Please proceed to our WeShare page for the registration fee of $60. If you are in need of financial assistance, please contact the Director of Family Formation.
Submit
Should be Empty: