The Parish of St. Mary 39 Walnut Street, Onconta, New York 13820 607-432-3920 www.smeconeonta.org
Faith Formation Registration Form
CONTACT INFORMATION (Please print legibly) This information is used for the Faith Formation program only and will not be shared with anyone else.
CHILDREN (if more space is needed, please use back of form)
ADDITIONAL ADULTS you would like to have included in digital mailings (e.g., grandparents, extended family members, babysitters, college siblings)
I hereby authorize and give my consent for the taking of pictures (moving or still) of my child/ren
and further give my permission for their reproduction for teaching purposes, news
releases, publication, and/or community awareness programs.
Are there family or educational circumstances that we should be aware of in supporting the family?