St. Peters Parish Family and Student Programs Registration Form

Sunday Program for Students, Young Adults, and Families (4:00 - 5:30pm)

For everyone together: presentations and recreational time, community activities (community outreach activities such as carolling and food bank assistance, family game time...), weekly time to break into groups for specific classes:

Students (ages 5 to 18): religious education classes and weekly time for art, music, theatre, games...
Parents and young adults (18+): class/discussion/coffee time beginning with a study of relationships and the temperaments.
A program for little ones (2 to 4 years) will be available while their parents enjoy the class!

Monday Program for Students Only (6:00 - 7pm)

• New and engaging religious education classes!

ONCE REGISTERED STUDENTS ARE WELCOME TO ATTEND EITHER DAY. THE STUDENT CLASS MATERIAL WILL BE SIMILAR BOTH DAYS. IF THEY MISS SUNDAY, THEY CAN ATTEND THE FOLLOWING MONDAY FOR THE CLASS PORTION.

NOTE: For Young Adults signing up - just fill in what pertains to you and ignore the rest.

Parent Name or Young Adult signing up*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

What programs are you interested in (choose as many as you like)

Sunday Family Program 4-5:30pmVolunteering on Sundays 4-5:30pmVolunteering on Mondays 6-7pmSpecial Events (food bank drive, family game night, carolling...)To help with theatre playsTo help with with Choir/MusicI/we cannot register now, but please put us on your email list for updates!

Parent/Guardian Name

First NameLast Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

What programs are you interested in (choose as many as you like)

Sunday Family Program 4-5:30pmVolunteering on Sundays 4-5:30pmVolunteering on Mondays 6-7pmSpecial Events (food bank drive, family game night, carolling...)To help with theatre playsTo help with with Choir/Music

Child 1 Name

First NameLast Name

Birth Date

MonthDayYear

What programs are you interested in for this child? (choose as many as you like)

Sunday 4-5:30pmMonday 6-7pmSometimes Sunday, sometimes MondayPreparation for SacramentsSpecial Events (food bank drive, family game night, carolling...)To act or be involved in theatre playsChoirLittle ones program (2 to 4 years) while I attend the class

Child 2 Name

First NameLast Name

Birth Date

Date

What programs are you interested in for this child? (choose as many as you like)

Sunday 4-5:30pmMonday 6-7pmSometimes Sunday, sometimes MondayPreparation for SacramentsSpecial Events (food bank drive, family game night, carolling...)To act or be involved in theatre playsChoirLittle ones program (2 to 4 years) while I attend the class

Child 3 Name

First NameLast Name

Birth Date

Date

What programs are you interested in for this child? (choose as many as you like)

Sunday 4-5:30pmMonday 6-7pmSometimes Sunday, sometimes MondayPreparation for SacramentsSpecial Events (food bank drive, family game night, carolling...)To act or be involved in theatre playsChoirLittle ones program (2 to 4 years) while I attend the class

Child 4 Name

First NameLast Name

Birth Date

Date

What programs are you interested in for this child? (choose as many as you like)

Sunday 4-5:30pmMonday 6-7pmSometimes Sunday, sometimes MondayPreparation for SacramentsSpecial Events (food bank drive, family game night, carolling...)To act or be involved in theatre playsChoirLittle ones program (2 to 4 years) while I attend the class

Please add any additional children here and the information needed for each.

Do you desire to enroll in preparation or want to know more about any Sacraments for your family?*

YesNo

Which Sacraments can we assist you with (Baptism, First Communion, Confirmation, Marriage) and for who? Or do you have a question or concern about any Sacraments?

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please list any of the following for your children: medications, allergies, health concerns, learning disabilities, behavioural issues or anything else you would like to alert us about.

Are there any other details you would like to tell us or questions you have? Are there any other important people involved with your family that you would like to give us contact information for or would like to be part of the Sunday Program (i.e. grandparents that are close to your children)? Also, feel free to contact the coordinator, Sheila, at 902-631-2512.

St. Peter's Parish Family Programs Registration

St. Peter's Parish Hall, Port Hood

Family Information

Current Residence Information

Notes