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faith formation registration
family information
*
Indicates required field
Parent 1: Name
*
First
Last
Parent 1: Email
*
Parent 1: Phone
*
Parent 2: Name
*
First
Last
[object Object]
Parent 2: Email
*
Parent 2: Phone
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
children information
Child 1: Name
*
First
Last
Program You Are Enrolling Your Child In?
*
Elementary Faith Formation
Middle School (MSAT)
High School Confirmation
Child 1: Male / Female
*
Male
Female
Child 1: Date of Birth
*
Child 1: School
*
Child 1: Grade In School
*
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child 1: Has Your Child Been Baptized?
*
Yes
No
Child 1: Has Your Child Received 1st Eucharist?
*
Yes
No
Child 1: Has Your Child Received 1st Reconciliation?
*
Yes
No
Child 1: Has You Child Been Confirmed?
*
Yes
No
Child 2: Name
*
First
Last
[object Object]
Program You Are Enrolling Your Child In
*
Elementary Faith Formation
Middle School (MSAT)
High School Confirmation
Child 2: Male/Female
*
Male
Female
Child 2: Date of Birth
*
Child 2: School
*
Child 2: Grade In School
*
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child 2: Has Your Child Been Baptized?
*
Yes
No
Child 2: Has Your Child Received 1st Eucharist?
*
Yes
No
Child 2: Has Your Child Received 1st Reconciliation?
*
Yes
No
Child 2: Has You Child Been Confirmed?
*
Yes
No
Child 3: Name
*
First
Last
Program You Are Enrolling Your Child In
*
Elementary Faith Formation
Middle School (MSAT)
High School Confirmation
Child 3: Male/Female
*
Male
Female
Child 3: Date Of Birth
*
Child 3: School
*
Child 3: Grade In School
*
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child 3: Has Your Child Been Baptized?
*
Yes
No
Has Your Child Received 1st Eucharist?
*
Option 1
Option 2
Option 3
Child 3: Has Your Child Received 1st Reconciliation?
*
Yes
No
Child 3: Has You Child Been Confirmed?
*
Yes
No
Additional Information
Have the children attended a religious education program elsewhere?
*
Yes
No
f so, please provide additional details about the program i.e. Program Name & Location.
*
Parental Permission & Health Authorization
Persons other than parents authorized to be notified and/or to pick up my/our child(ren) in case of emergency:
Name
*
First
Last
Phone Number
*
I/We, parents/guardians of the above-named child(ren) hereby give our permission for their participation in any and all Faith Formation/Youth Ministry activities. I/We agree to direct child(ren) to cooperate/conform with directions/instructions of Faith Formation/Youth Ministry personnel responsible for Faith Formation/Youth Ministry activities. I/We agree that in the event my/our child(ren) are injured as a result of their participation in Faith Formation/Youth Ministry activities, including transportation to/from these activities, whether or not caused by the negligence of the parish Faith Formation/Youth Ministry program, or any of its agents or employees, recourse for payment of any resulting hospital, medical or related costs and expenses will first be had against any accident, hospital or medical insurance, or any available benefit of mine/ours.
In the event we cannot be reached in an emergency, I/We give permission for my child(ren)/s teacher/adult leader to authorize by his/her signature whatever medical treatment may be necessary by the attending physician for my/our child(ren).
Family Physician Name
*
Family Physician Phone Number
*
SIGNATURE
*
Please type your full name
If you do not want medical care given to your child(ren), please state reasons:
*
special needs
Does any child have any special needs (Learning Disabilities, Physical Disabilities, Medical Issues, Allergies)
*
Yes
No
Please provide any additional details i.e. nature of special needs, child's name.
*
Video & Photo Release
Assumption Parish has my permission to use my child’s image, in either photograph or video formation, publically to for information and promotion of Assumption Parish. I understand that the images and/or video may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
SIGNATURE
*
Please type your full name.
Submit
Home
Flocknote
Mass Times
Welcome To Our Parish
Parish History
Faith Formation
Faith Formation Registration
Children's Liturgy Of The Word
Elementary School (Holy Communion)
Youth Ministry & High School Confirmation
Adult Faith Formation
Rite Of Christian Initiation Of Adults (RCIA)
Pastor's Recommendations
Our Faith
Audio
Bible Study
Catholic Web Resources
Lecture Series
A Word From The Pastor
Parish Life
News & Events
Calendar Of Events
Photo Albums
Finance Council
Pastoral Council
Ministries
Assumption Groups & Boards
CYO
Cursillo
Dad's Club
Hospital & Homebound
Hospitality
Liturgical Ministries
Parish School & Ministries
Parish Outreach Groups
Spiritual Direction
St. Vincent de Paul
Tuesdays With Larry
Giving
Bulletin
Contact Us
