TK to 12th Grade Faith Formation

TK to 12th Grade Faith Formation

2026-2027 Registration Form
Welcome to St. Joseph the Worker, Loma Linda Faith Formation Program. Each year you will need to complete a current registration form for your family. If you have not yet submited copies of your children's Birth, Baptism or 1st Communion Certificates please use this form to do so or email the Catechetical Office.

If you need to register more than 3 children please fill out an additional form contact the Catechetical Office.
Family Information
Guardian 1 Name

First NameLast Name
Guardian 1 Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Guardian 1 Email
example@example.com
Guardian 1 Relationship to Student (s)
Guardian 2 Name

First NameLast Name
Guardian 2 Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Guardian 2 Email
example@example.com
Guardian 2 Relationship to Student(s)
Family Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your family registered at St. Joseph the Worker? $40 fee for families not registered at our parish
Was your child enrolled in the 25-26 year?
If you student is in grades 2nd to 8th grade, do you prefer Sundays 11am to 12:15pm or Wednesdays 6pm to 7:15pm?
Student Information
Student 1 Name

First NameLast Name
Student 1 Birthdate

MonthDayYear
Date
Student 1 Grade 26-27 year
Please list any food, medication or environmental allergies student 1 has
If none, please type N/A
Please list any physical or mental disabilities student 1 has.
If none, please type N/A
Please select which Sacraments Student 1 has received already.
Please upload copies of Student 1's Sacrament & Birth Certificates

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Student 2 Name

First NameLast Name
Student 2 Birthdate

MonthDayYear
Date
Student 2 Grade 26-27 year
Please list any food, medication or environmental allergies student 1 has
If none, please type N/A
Please list any physical or mental disabilities student 2 has.
If none, please type N/A
Please select which Sacraments Student 2 has received already.
Please upload copies of Student 2's Sacrament & Birth Certificates

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Student 3 Name

First NameLast Name
Student 3 Birthdate

MonthDayYear
Date
Student 3 Grade 26-27 year
Please list any food, medication or environmental allergies student 1 has
If none, please type N/A
Please list any physical or mental disabilities student 2 has.
If none, please type N/A
Please select which Sacraments Student 3 has received already.
Please upload copies of Student 3's Sacrament & Birth Certificates

Cancelof
Emergency Contact
Emergency Contact Name

First NameLast Name
Relationship to student(s)
Emergency Cell
Please enter a valid phone number.Format: (000) 000-0000.
Annual Medical Release 2026-2027

Diocese of San Bernardino
By Submitting this form I agree that I have fully answered this Medical Release Form to the best of my knowledge. I also understand that in the event medical intervention is necessary, every attempt will be made to contact immediately the persons listed on this form. If I cannot be reached in any emergency during Faith Formation Classes, I give my permission to the physican selected by the actvity leader to hospitalize in order to secure medical treatment, anesthesia, or surgery for my child(ren) as deemed necessary.
Name of Medical Insurance Carrier
Name of Policy Holder
Policy #
Group #
Preferred Hospital
Primary Physician
Media Release
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TK to 12th Grade Faith Formation

Family Information

Student Information

Emergency Contact

Annual Medical Release 2026-2027

Media Release