Registration for TEENS Faith Formation HNJ 2025-26

Registration for TEENS Faith Formation 2025-26

Holy Name of Jesus-St. Gregory the Great Parish 207 W 96 St New York, NY 10025
Is this your first time registering your teen (candidate)?
Please select the number of teens (candidates) you are registering:
Who would be the primary contact for the candidate?
Mother's name

First NameMiddle NameLast Name
Mother's age
Mother's country of origin
Ex: Haiti, Domican Republic, Mexico,
Please select the language(s) Mother speaks (if other please indicate the language)

Other
Please enter Mother's religion
Ex: Christian, Muslim, Hindu, Buddhist,
Mother's mobile number
Format: (000) 000-0000.
Mother's e-mail
example@example.com
Please enter the profession/job of the Mother
Ex: Clerk, Chef, Housekeeper, Teacher, etc.
Father's name

First NameMiddle NameLast Name
Father's country of origin
Ex: Haiti, Domican Republic, Mexico,
Father's age
Please select the language(s) Father speaks (if other please indicate the language)

Other
Father's cell number
Format: (000) 000-0000.
Father's e-mail
example@example.com
Please enter the profession/job of the Father
Ex: Clerk, Chef, Housekeeper, Teacher, etc.
Please enter Father's religion
Ex: Christian, Muslim, Hindu, Buddhist,
Home Address

Street Address

(Optional Mailing Address if different from home address)

CityState / Province

Postal / Zip Code
In case of an emergency, please indicate who to contact, relationship and phone number.
Ex: My mother: Maria De Narazeth , 212-999-9999
Parents of the Candidate are:
Since you have selected status as divorced, who would be the best person to contact?

If other, please indicate who?
Since you have selected status as separated, who would be the best person to contact?

If other, please indicate who?
Which weekend Mass time do you most frequently attend?
Candidate #1 Name

First NameMiddle NameLast Name
Candidate #1 Birth Date

MonthDayYear
Candidate #1 Baptism Date

MonthDayYear
Candidate #1 Email
example@example.com
Candidate #1 cell number
Please enter a valid phone number.Format: (000) 000-0000.
Please select the Candidate #1 sex:
Please select the grade Candidate #1 will start by fall 2025:
Candidate #1 attendsName of the School* located in City
Please select the language(s) Candidate #1 speaks: (If selected other, please indicate language.)

Other
Please let us know if Candidate #1 have any special medical conditions: (If not, please type no)
Please select the sacrament you are requesting for Candidate #1:
Please select the best way to provide a copy of Candidate #1 certificate (Birth Certificate, Baptismal Certificate, First Communion Certificate):
Please upload Birth Certificate of Candidate #1

Cancelof
Please upload Baptismal Certificate of Candidate #1

Cancelof
Please upload First Communion Certificate of Candidate #1

Cancelof
Candidate #2 Name

First NameMiddle NameLast Name
Candidate #2 Birth Date

MonthDayYear
Candidate #2 Baptism Date

MonthDayYear
Candidate #2 Email
example@example.com
Candidate #2 Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Please select the Candidate #2 sex:
Please select the grade your Candidate #2 will start by fall 2025:
Candidate #2 attendsName of the School* located in City
Please select the language(s) Candidate #2 speaks: (If selected other, please indicate language.)

Other
Please let us know if Candidate #2 have any special medical conditions: (If not, please type no)
Please select the sacrament you are requesting for Candidate #2:
Please select the best way to provide a copy of Candidate #2 certificate:
Please upload Birth Certificate of Candidate #2

Cancelof
Please upload Baptismal Certificate of Candidate #2

Cancelof
Please upload First Communion Certificate of Candidate #2

Cancelof
Candidate #3 Name

First NameMiddle NameLast Name
Candidate #3 Birth Date

MonthDayYear
Candidate #3 Baptism Date

MonthDayYear
Candidate #3 Email
example@example.com
Candidate #3 Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Please select Candidate #3 sex:
Please select the grade Candidate #3 will start by fall 2025:
Candidate #3 attendsName of the School* located in City
Please select the language(s) Candidate #3 speaks: (If selected other, please indicate language.)

Other
Please let us know if Candidate #3 have any special medical conditions: (If not, please type no)
Please select the sacrament you are requesting for Candidate #3:
Please select the best way to provide a copy of Candidate #3 certificate:
Please upload Birth Certificate of Candidate #3

Cancelof
Please upload Baptismal Certificate of Candidate #3

Cancelof
Please upload First Communion Certificate of Candidate #3

Cancelof
Candidate #4 Name

First NameMiddle NameLast Name
Candidate #4 Birth Date

MonthDayYear
Candidate #4 Baptism Date

MonthDayYear
Candidate #4 Email
example@example.com
Candidate #4 Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Please select Candidate #4 sex:
Please select the grade Candidate #4 will start by fall 2025:
Candidate #4 attendsName of the School* located in City
Please select the language(s) Candidate #4 speaks: (If selected other, please indicate language.)

Other
Please let us know if Candidate #4 have any special medical conditions: (If not, please type no)
Please select the sacrament you are requesting for Candidate #4:
Please select the best way to provide a copy of the Candidate #4 certificate:
Please upload Birth Certificate of Candidate #4

Cancelof
Please upload Baptismal Certificate of Candidate #4

Cancelof
Please upload First Communion Certificate of Candidate #4

Cancelof
Candidate #5 Name

First NameMiddle NameLast Name
Candidate #5 Birth Date

MonthDayYear
Candidate #5 Baptism Date

MonthDayYear
Candidate #5 Email
example@example.com
Candidate #5 Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Please select Candidate #5 sex:
Please select the grade Candidate #5 will start by fall 2025:
Candidate #5 attendsName of the School* located in City
Please select the language(s) Candidate #5 speaks: (If selected other, please indicate language.)

Other
Please let us know if Candidate #5 have any special medical conditions: (If not, please type no)
Please select the sacrament you are requesting for Candidate #5
Please select the best way to provide a copy of Candidate #5 certificate:
Please upload Birth Certificate of Candidate #5

Cancelof
Please upload Baptismal Certificate of Candidate #5

Cancelof
Please upload First Communion Certificate of Candidate #5

Cancelof
Candidate #6 Name

First NameMiddle NameLast Name
Candidate #6 Birth Date

MonthDayYear
Candidate #6 Baptism Date

MonthDayYear
Candidate #6 Email
example@example.com
Candidate #6 Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Please select Candidate #6 sex:
Please select the grade Candidate #6 will start by fall 2025:
Candidate #6 attendsName of the School* located in City
Please select the language(s) Candidate #6 speaks: (If selected other, please indicate language.)

Other
Please let us know if Candidate #6 have any special medical conditions: (If not, please type no)
Please select the sacrament you are requesting for Candidate #6:
Please select the best way to provide a copy of Candidate #6 certificate:
Please upload Birth Certificate of Candidate #6

Cancelof
Please upload Baptismal Certificate of Candidate #6

Cancelof
Please upload First Communion Certificate of Candidate #6

Cancelof
Name of the Candidate(s), their current grade & the sacrament they are preparing for:
Ex: First Name, Last Name, 9th grade, First Communion
Please add any additional information you would like for us to know.
We use Flocknotes to communicate with families in the program. Which parent would like to receive Flocknotes emails?
Signature
Thank you parents for registrating your teens to our faith formation program in our parish. To complete the registration please visit the Faith Formation Office to sign documents, provide the necessary certificates and pick up materials.
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Registration for TEENS Faith Formation 2025-26