2025-26 K-12 Registration Form

Complete this form to register your children for any of our PreK-12 faith formation and youth ministry programs at St. Patrick, including Catechesis of the Good Shepherd, Sacramental Preparation, and Youth Ministry (Ignite & Young Church).
Before you register your child(ren) for their specific programs, please provide the following information and contact preferences for your family:

Communication Preference & Primary Contact_Section
Communication Preference
When it comes to communication about the programs you're registering for, who should we send all email and text communications to?*

Just one parent/guardianTwo parents/guardians
Primary Parent/Guardian Contact
Primary Parent Contact*

First NameLast Name
Primary Email Address*
example@example.com
Primary Phone Number*
Please enter a valid phone number.

Emergency Contact_Section
Emergency Contact:

Please list someone OTHER than one of the parents listed above. In case of an emergency, we will always try to contact a parent first. The emergency contact is needed in case where we cannot get ahold of a parent.
Emergency Contact Name*
This name should be different from any of the parent names provided above.
Emergency Contact Number*
Again, this should be different from one of the parent phone numbers we already have on file.
Relation to Your Children*
Ex: Neighbor, Aunt, Family friend

Home Address & Parish_Section
Home Address:

If you family consists of multiple households, please enter the address of your children's primary residence.
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parish:
Is your family registered at St. Patrick?*

YesNo
Welcome! We look forward to having your child(en) join us this year for faith formation and/or youth ministry at St. Patrick!
What parish do you belong to (or where do you attend Mass, most often)?
Ex: St. Joseph, Howell
Would you mind sharing why you've decided to bring your children to St. Patrick this year?
Permission & Release:
Road Crossing Release*
Road Crossing Release: I give permission for my child(ren) to cross Rickett Rd to go to the Church on occasion under the supervision of program leaders/catechists*

Yes
Medical Release: In case of emergency, I hereby give permission to transport my child(ren) to the nearest hospital/emergency center for emergency medical or surgical treatment. I will be contacted as soon as possible and will be advised prior to any further treatment by the hospital or doctor.*

Yes
Photo Release: I give permission for pictures of my child(ren) to be taken and used on the website and/or parish social media accounts.*

YesNo

Child Name, DOB, & Grade_Section
Child's Information:
Child First Name:*
Child Last Name:*
Date of Birth: *

MonthDayYear
MM/DD/YYYY
Grade (2025-26 School Year):*
Where Do They Go to School?*
Please provide the name and/or school district they attend:
Would you mind sharing a recent photo of your child with us?

This is completely optional, but it helps our parish staff, catetechists, and volunteers establish a welcoming environment by learning and remembering their name more quickly and identifying them while taking attendance at the program you are regisering them for. Any photos provided to us will not be used or shared beyond the purpose stated above.
Photo of Child:

Sacraments Received_section
What Sacraments Has {child-firstname} Received?
Select any that apply:*

BaptismReconciliationFirst CommunionConfirmationNone of the Above
Name of Church (including City and State) where Baptized:
Name of Church (including City and State) where First Communion received:
Name of Church (including City and State) where Confirmation received:

Health Information
Health Information for {child-firstname}:

If any field does not apply, you may leave it blank.
Does your child have any physical health conditions or limitations that we should be aware of?
Does your child have any mental health conditions, cognitive limitations, or behavioral concerns that we should be aware of?
Current Medications:
Dietary Restrictions:
Allergies:
Will you be registering any more children today?*

YesNo
Great! You will be able to fill out additional registration form(s) after you submit the current one. Payment for all children in your family will be collected on the final registration form that you complete.

To proceed with registering additional children...
- Click the "Submit Form" button below.
- On the Thank You page that appears, select the button that says"Click Here to Register Another Child In Your Family".
- This will generate a new form with your family information pre-filled in the top section.

Enter coupon