Parish Wide Faith Formation Registration

Emergency Contact Information
Does your child/children have any serious health concerns that we should be aware of for our sessions?

YesNoOther
In the unlikely event of an emergency situation occurring during our session, who should we use as the emergency contact?*

Parent/Contact 1Parent/Contact 2Other
Emergency Contact Name*

First NameLast Name
Relationship to the Student*
Please specify relationship.*
Phone Number*
Please describe your child's health condition and the best way for us to respond in case of an emergency:*

Signature
I affirm that the information provided is true, correct and complete, to the best of my knowledge and belief. This electronic signature below and its related fields are treated by St. Anthony of Padua like a handwritten signature on a paper form,*

Yes
Your Name*

First NameLast Name
Parent/Guardian Signature*

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Today's Date*
mm/dd/yyyy
Please enter the preferred email address at which to receive emails from St Anthony.*
example@example.com
Please verify that you are human*

Volunteer - 1st Sunday evening of each month. October-May

How would you like to volunteer at our monthly gatherings on the 1st Sunday of each month, Oct-May?
How would you like to help serve at our monthly gatherings?

classroom leaderclassroom helperpick up pizzaset up the hallclean up the hall1st communion team
Payment link
Payment Page

Please go to St Anthony web page and submit payment
Payment Link for Family Formation
Should be Empty:

St. Anthony Family Based Faith Formation Registration Form