Faith Formation On-Line Registration

Family Name & Envelope#

Father's Name & Religion

Mother's Name (including Maiden name & Religion

Home Address

Phone

Email

If divorced , who has custody

Mother

Father

Who to send mail to in a divorced situation

Mother

Father

Other Address

Child's Name #1

Birth Date and Grade Level in September

School

Public School

Catholic School

Other (Home Schooling, etc..)

Special Needs Information

New Student's Only: Please submit a copy of Baptism Certificate

Upload File (Or bring a copy in)

First Reconciliation Date & Place (if already completed)

First Communion Date & Place (if already completed)

Child's name #2

Birth Date and Grade Level in September

School

Public School

Catholic School

Other (Home schooling, etc..)

Special Needs Information

New Student's Only: Please submit a copy of Baptism Certificate

Upload File (Or bring a copy in)

First Reconciliation Date & Place (if completed)

First Communion Date & Place (if completed)

Child's Name #3

Birth Date and Grade Level in September

New Field:

School

Public School

Catholic School

Other (Home schooling, etc..)

Special Needs Information

New Student's Only: Please submit a copy of Baptism Certificate

Upload File (Or bring in a copy)

First Reconciliation Date & Place (if completed)

First Communion Date & Place (if completed)

Child's Name #4

Birth Date and Grade Level in September

School

Public School

Catholic School

Other (Home schooling, etc)

Special Needs Information

New Student's Only: Please submit a copy of Baptism Certificate

Upload File (Or bring in a copy)

First Reconciliation Date & Place (If completed)

First Communion Date & Place (If completed)

Pictures/Video Permission: Pictures of Faith Formation students may be taken during the school year for use in class art projects, displays on the St. Peter Parish website, and for use in the church bulletin; At no time will children’s names be published in connection with photos. If you check “NO” below, your child will be asked to leave the photography scene before photo is taken.

Yes, my child’s picture may be taken.

No, my child’s picture may not be taken

Parents Digital Signature for above picture permission release (Please type full name of parent)

Free Text

Emergency Contact

In case of emergency and parent(s) cannot be reached at the phone number provided; the following may be called.

New Field:

Parishioner Registration Fee

One Child- $80.00

Two Children- $110.00

Three or more Children- $140.00

Non-Parishioner Fee- $125.00 per Child

Total Due

Free Text

Please make the check payable to 'St. Peter RC Parish' and either drop it off or mail it to the rectory, Attn: Faith Formation, as soon as the form is submitted along with a copy of any New Student's Baptism Certificate (unless uploaded with the registration form)

St. Peter Faith Formation On-Line Registration Form