Faith Formation Registration

Faith Formation Registration

PSR (K-8th Grade)
Family Information and Parent Contacts
Family Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Full Name

First NameLast Name
Mother's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mother's Email
example@example.com
Father's Full Name

First NameLast Name
Father's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Father's Email
example@example.com
Preferred cell phone for communication
Please enter a valid phone number.Format: (000) 000-0000.
Preferred email for communication
example@example.com

General Information
Child/Children live with:

Other
Date of Baptism for 2nd Graders receiving First Sacraments
Place of Baptism for 2nd Graders receiving First Sacraments
Church Name, City, State
***Please provide a copy of the child's Baptismal Certificate if receiving Sacraments*** (unless Baptized at Holy Trinity, Springfield)
FEES: (please bring payment to the Parish Office) $20 per child for all but 2nd grade

- $30 per 2nd grade child (for sacramental supplies) -
Other Notes:

The Diocese of Springfield-Cape Girardeau

Please sign this form ONLY if you DO NOT want your child's photograph/video to be used in diocesan/parish/school materials and campaigns as well as other media initiatives; i.e.: newsletter, websites, fund development efforts, newspapers and television.

2026-2027 Student Exclusion Form

(Denies news media contact for interviews/photos)

At this time, I do not want photographs/videos of ____________________ (the below designated child/children) to be used without my prior permission. I understand this waiver applies only for the current school year, 2026-2027. I also understand this does not apply to photographs or video images taken at public events.
Please designate the full name of each child to be placed under this waiver:*
*(If you do not need this waiver for any child, you may skip to the bottom and click Submit)
Signature (Parent/Guardian)
Date

MonthDayYear
Date
Should be Empty:

Family Information and Parent Contacts