Faith Formation Registration (K-12)

Last Name REQUIRED Please fill out this field. Please enter valid data.

Head of Household Male REQUIRED Please fill out this field. Please enter valid data.

Religion (check all that apply) REQUIRED Catholic Non-Catholic Would like information about RCIA Please fill out this field.

Sacraments Received (check all that apply) REQUIRED Baptism First Communion Confirmation Married in the Catholic Church Please fill out this field.

Head of Household Female REQUIRED Please fill out this field. Please enter valid data.

Religion (check all that apply) REQUIRED Catholic Non-Catholic Would like information about RCIA Please fill out this field.

Sacraments Received (check all that apply) REQUIRED Baptism First Communion Confirmation Married in the Catholic Church Please fill out this field.

Address (Street Number/Name, City, State, Zip) REQUIRED Please fill out this field. Please enter valid data.

Preferred Phone REQUIRED Please fill out this field. Please enter valid data.

Preferred Email REQUIRED Please fill out this field. Please enter valid data.

Preferred Language REQUIRED English Spanish Other Please fill out this field.

Child 1

Student Name REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Grade (2019-2020) REQUIRED Please fill out this field. Please enter valid data.

School REQUIRED Please fill out this field. Please enter valid data.

Would you like your child to be placed in our SPRED program for children with special needs? REQUIRED Yes No Please fill out this field.

Sacraments Received (check all that apply) REQUIRED Baptism First Reconciliation First Communion Confirmation Please fill out this field.

Student Speaks REQUIRED English Spanish Other Please fill out this field.

Anything we should know? (Allergies, learning disabilities/limitations, or other concerns/requests)

Child 2

Student Name Please enter valid data.

Gender Male Female

Date of Birth Please enter valid data.

Grade (2019-2020) Please enter valid data.

School Please enter valid data.

Would you like your child to be placed in our SPRED program for children with special needs? Yes No

Sacraments Received (check all that apply) Baptism First Reconciliation First Communion Confirmation

Student Speaks English Spanish Other

Anything we should know? (Allergies, learning disabilities/limitations, or other concerns/requests)

Child 3

Student Name Please enter valid data.

Gender Male Female

Date of Birth Please enter valid data.

Grade (2019-2020) Please enter valid data.

School Please enter valid data.

Would you like your child to be placed in our SPRED program for children with special needs? Yes No

Sacraments Received (check all that apply) Baptism First Reconciliation First Communion Confirmation

Student Speaks English Spanish Other

Anything we should know? (Allergies, learning disabilities/limitations, or other concerns/requests)

Child 4

Student Name Please enter valid data.

Gender Male Female

Date of Birth Please enter valid data.

Grade (2019-2020) Please enter valid data.

School Please enter valid data.

Would you like your child to be placed in our SPRED program for children with special needs? Yes No

Sacraments Received (check all that apply) Baptism First Reconciliation First Communion Confirmation

Student Speaks English Spanish Other

Anything we should know? (Allergies, learning disabilities/limitations, or other concerns/requests)

Other Information

Do you own a Catholic Bible? REQUIRED Yes No Please fill out this field.

Do you own a Catechism of the Catholic Church? REQUIRED Yes No Please fill out this field.

Please select one REQUIRED Yes No Please fill out this field.

Lifelong Formation Opportunities!
Please check all that apply.

I am interested in... REQUIRED ALPHA Book or Bible Study Weekly Adoration Retreats (St. Joseph Retreat Center in Tipton) Prayer Group WOW (Women of Worship) Please fill out this field.

Disciple/Serving Opportunities
Please check all that apply.

I am interested in... REQUIRED Assist with Youth Sessions Serving at Mass Ushering at Mass Gift Bearer at Mass Youth Group RCIA Team Welcome Ministry Greeting before Masses Please fill out this field.

Emergency Contact Information

If a parent is unable to be reached please contact: REQUIRED Please fill out this field. Please enter valid data.

Phone REQUIRED Please fill out this field. Please enter valid data.

In the event of an emergency, I give permission for all parish staff and volunteers to seek medical treatment. I understand that every effort will be made to contact me.

Initial Here REQUIRED Please fill out this field. Please enter valid data.

Media

I give permission for my child(ren)to be photographed during the 2019-20 academic year. I realize that photos/video may be published in the bulletin, newspaper, website, or other publication for informational/educational purposes only. Children will not be identified by name.

Initial Here REQUIRED Please fill out this field. Please enter valid data.

Payment

Faith Formation Fees:
$100 per K-12 student Non-Sacramental year
$125 per K-12 student Sacramental year
$75 per adult/couple w/o kids in Faith Formation
**Financial Assistance Available
**($250 max per family)

Total $ Please enter a positive decimal.

Enter amount to pay now. Payment may also be made via Faith Direct, check (Faith Formation in memo line) or cash in the parish office. If paying with cash, be sure to place in envelope with your name on the outside.

If you do not intend to pay through the website, how will you pay? REQUIRED Faith Direct I need financial assistance I would like to be on a payment plan Cash in secure envelope Check Please fill out this field.

We are able to help contribute extra funds for those in need of financial assistance in the amount of Please enter valid data.

This amount is included in our total? Yes No

Family Based Faith Formation

Religious Education/Faith Formation

(K-12th grade)
Faith Formation 2019-2020
Questions? Contact K andi Wessel.

FAith Formation 2019-2020 Information meeting video

Click to view the 2019-2020 Faith formation calendar

2019-2020 Calendar

Faith Formation Registration (K-12)

Child 1

Child 2

Child 3

Child 4

Other Information

Emergency Contact Information

Media

Payment

Family Based Faith Formation

Religious Education/Faith Formation

(K-12th grade) Faith Formation 2019-2020 Questions? Contact Kandi Wessel.

2019-2020 Calendar

Faith Formation Registration (K-12)

Child 1

Child 2

Child 3

Child 4

Other Information

Emergency Contact Information

Media

Payment

(K-12th grade)
Faith Formation 2019-2020
Questions? Contact K andi Wessel.