St. Anthony Family Based Faith Formation Registration Form
Family Formation is a family-based catechetical program that helps families grow in the transforming love of God by understanding and living the Catholic Faith.
Household Information
Parent/Contact 1
Parent/Contact 1 Name
*
Prefix
First Name
Last Name
Relationship to the Student(s)
*
Please Select
Mother
Father
Grandmother
Grandfather
Aunt
Uncle
Other
Not enrolling students
Email
*
example@example.com
Mobile Number
*
Format: (000) 000-0000.
Preferred Method of Contact:
*
Phone Call
Email
Text
Sacraments MOTHER has received:
*
Baptism
Reconciliation/Confession
First Communion
Confirmation
Matrimony
I was married by a CATHOLIC PRIEST
none yet
Parent/Contact 2
Parent/Contact 2 Name
Prefix
First Name
Last Name
Relationship to the Student(s)
Please Select
Mother
Father
Grandmother
Grandfather
Aunt
Uncle
Other
Not enrolling students
Email
example@example.com
Mobile Number
Format: (000) 000-0000.
Preferred Method of Contact:
Phone Call
Email
Text
Sacraments FATHER has received:
Baptism
Reconciliation/Confession
First Communion
Confirmation
Matrimony
I was married by a CATHOLIC PRIEST
none yet
Family Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is mailing address different than residential address?
*
Yes
No
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you receive religious education last year?
Please Select
St. Anthony RE program
Home school
Catholic school
Nothing formal
Other
Primary Language Spoken at Home
Please Select
English
Spanish
Other
What language would you prefer TAKE HOME material
Please Select
English
Spanish
Bi-lingual (if available)
Are you a registered parishoner at St. Anthony of Padua?
yes
no
not yet, please send me information
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Family Information
1st Student's Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Boy
Girl
Grade Level
*
Please Select
Baby
1yo
2yo
3yo
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
Year
Sacraments child has ALREADY received in the Catholic Church:
*
baptism
1st confession
1st communion
confirmation
none
This child will be preparing for 1st Communion or Confirmation this year:
*
1st Communion
Confirmation
neither
Are you enrolling any additional children today?
*
Yes
No
2nd Student's Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Boy
Girl
Grade Level
*
Please Select
baby
1yo
2yo
3yo
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
Year
Sacraments child has ALREADY received in the Catholic Church:
*
baptism
1st confession
1st communion
confirmation
none
This child will be preparing for 1st Communion or Confirmation this year
*
1st Communion
Confirmation
neither
Are you enrolling any additional children today?
*
Yes
No
Third Student's Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Boy
Girl
Grade Level
*
Please Select
baby
1yo
2yo
3yo
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
Year
Sacraments child has ALREADY received in the Catholic Church:
*
baptism
1st confession
1st communion
confirmation
none
This child will be preparing for 1st Communion or Confirmation this year
*
1st Communion
Confirmation
Neither
Are you enrolling any additional children today?
*
Yes
No
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4th Student's Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Boy
Girl
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
Year
Grade Level
*
Please Select
baby
1yo
2yo
3yo
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Sacraments child has ALREADY received in the Catholic Church:
*
baptism
1st confession
1st communion
confirmation
none
This child will be preparing for 1st Communion or Confirmation this year
*
1st Communion
Confirmation
neither
Are you enrolling any additional children today?
*
Yes
No
5th Student's Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Boy
Girl
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
Year
Grade Level
*
Please Select
baby
1yo
2yo
3yo
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Sacraments child has ALREADY received in the Catholic Church:
*
baptism
1st confession
1st communion
confirmation
none
This child will be preparing for 1st Communion or Confirmation this year
*
1st Communion
Confirmation
neither
Are you enrolling any additional children today?
*
Yes
No
6th Student's Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Boy
Girl
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
Year
Grade Level
*
Please Select
baby
1yo
2yo
3yo
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Sacraments child has ALREADY received in the Catholic Church:
*
baptism
1st confession
1st communion
confirmation
none
This child will be preparing for 1st Communion or Confirmation this year
*
1st Communion
Confirmation
neither
Are you enrolling any additional children today?
*
Yes
No
7th Student's Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Boy
Girl
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
Year
Grade Level
*
Please Select
baby
1yo
2yo
3yo
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Sacraments child has ALREADY received in the Catholic Church:
*
baptism
1st confession
1st communion
confirmation
none
This child will be preparing for 1st Communion or Confirmation this year
*
1st Communion
Confirmation
neither
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Emergency Contact Information
Does your child/children have any serious health concerns that we should be aware of for our sessions?
Yes
No
Other
In the unlikely event of an emergency situation occurring during our session, who should we use as the emergency contact?
*
Parent/Contact 1
Parent/Contact 2
Other
Emergency Contact Name
*
First Name
Last Name
Relationship to the Student
*
Please Select
Not registering a student
Mother
Father
Stepmother
Stepfather
Grandmother
Grandfather
Aunt
Uncle
Family Friend
Other
Please specify relationship.
*
Phone Number
*
Format: (000) 000-0000.
Please describe your child's health condition and the best way for us to respond in case of an emergency:
*
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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 Name
Last Name
Parent/Guardian Signature
*
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
*
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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 leader
classroom helper
clean up the hall/classes
1st communion/reconciliation team
middle school ministry team
high school ministry team
Payment Page
Follow link, click GIVE NOW, use drop down menu to select Religious Ed, and enter 60.00 https://giving.myparishsoft.io//app/giving/WeShare-20001163?tab=home
Submit
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