CFF - Faith Formation 2026/27 New Students Registration

New Family Registration

PBVM CFF 2026-2027
Child's Full Name

First NameMiddle NameLast Name
Grade in 2026/27 calendar
Gender
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit year
City of Birth
State of Birth
A copy of the Sacramental Records must be on file at the Faith Formation Office!
Which Sacraments has your child received?
Baptism Date
MM-DD-YYYY
Baptism - Parish, City and State
First Eucharist Date
MM-DD-YYYY
First Eucharist - Parish,, City and State
Confirmation - Date
MM-DD-YYYY
Confirmation - Parish, City and State
Father's Name:

First NameLast Name
Cell Phone #

Area CodePhone Number
Text?:
Mother's Name:

First NameLast NameMaiden Name
Cell Phone #
Text?:
Family Email:
Address

Street Address

Street Address Line 2

City

Zip Code
Emergency Contact if different than parents:
Relation to Student:
Cell Phone #
Adults allowed to pick-up student:
Include all adults and contact number

ALLERGIES-CONDITIONS - To better serve your child, please list any known conditions and/or allergies that we should be made aware of:
I.E. Learning Disabilities, Allergies, Medications, Medical, Physical, Emotional, Behavioral, etc.
Primary Doctor's Name:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Insurance Company:
Card and/or Group #
Phone Number

Area CodePhone Number
I consent that my child(ren)'s photo may be taken during programming events at PBVM and that they may be used in the bulletin or on the website:
CIRCLE OF GRACE PERMISSION: The Bishops’ Charter for the Protection of Children and Youth and the Safe Environment Policies of the Diocese of Sacramento require that all children in our schools and faith formation programs be given Safe Environment training that is age-appropriate and in accord with Catholic moral principles. The Diocese of Sacramento provided this training through the Circle of Grace curriculum.
Circle of Grace Permission:
By signing below, I request the above-named participant be allowed to attend church realted activites with Presentation of the Blessed Virgin Mary Catholic Church. I, the parent/guardian of the above named student do hereby give permission for him/her to attend Faith Formation/Sacramental Preparation classes and to be treated for a medical emergency in my absence while participating in the Faith Formation program. The adult supervisor may act as an agent in my absence.
Signature of Parent/Guardian:

Registration Cost

One Child$85.00

Quantity

Holy Eucharist Sacrament Fee $35.00

per child in First Eucharist II (year 2)

Confirmation Sacrament Fee$35.00

per child in Confirmation II (year 2)

Enter coupon

Total $0.00

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New Family Registration

Registration Cost