Children's Faith Formation K-7th Registration Form
Child's Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
School Attends & Grade in School
Emergency Contact Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Any Allergies or Medical Conditions?
Yes
No
Please give details
Date and Place of Baptism (include name of Church and City, State)
Has this participant received the Sacrament of Eucharist
Yes
No
Has this participant received the Sacrament of Confirmation
Yes
No
I agree with the following statements:
If emergency medical care is needed and I am unavailable, I authorize the supervising teacher to seek medical treatment for my child.
I am giving my permission to take my child's pictures for classroom projects and post them on the church website.
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: