Ss. Peter & Paul Faith Formation Registration

2017-2018 Faith Formation Registration Form - Ss. Peter & Paul

Thank you for your interest in Faith Formation! Please complete the form below - one form per child - and we will contact you shortly with any questions and to confirm your child's enrollment.

Registration fee

► $175 up to July 1st (per family, no matter how many children)

▶︎ $300 after July 1st (per family, no matter how many children)

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* 1. Child's First Name

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* 2. Child's Last Name

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* 3. Child's Birthdaate

Date

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* 4. Address and Contact Information

Street Address:

City:

State:

Zip Code:

Phone:

Email:

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* 5. Parent Full Names

Mother's First:

Mother's Last:

Father's First:

Father's Last:

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* 6. Grade entering in 2017-2018

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* 7. Name of school your child attends:

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* 8. Emergency Contact Information

First Name:

Last Name:

Relationship:

Phone Number:

Physician's Name:

Name of Physician's Office:

Physician's Phone Number:

List of special medical information:

List of allergies:

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* 9. Which sacraments do you wish your child to receive this year? (Please check all that apply)

Baptism

First Communion and Reconciliation

Confirmation

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* 10. Sacraments Received: (please leave blank if not applicable)

Baptism
(please list Year and Parish Name):

Reconciliation
(please list Year and Parish Name):

Communion
(please list Year and Parish Name):

Confirmation
(please list Year and Parish Name):

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* 11. How many years has this child been in the program?

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* 12. In which grade did your child begin Faith Formation?

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* 13. Interested in Volunteering?

Yes

No, not at this time