• Faith Formation Registration Form

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  • Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Both Parents Catholic REQUIRED Yes NO Please fill out this field.
  • Father's Name REQUIRED Please fill out this field. Please enter valid data.
  • Fathers Cell/Work number REQUIRED Please fill out this field. Please enter valid data.
  • Mother's Name REQUIRED Please fill out this field. Please enter valid data.
  • Mothers Cell/Work number REQUIRED Please fill out this field. Please enter valid data.
  • Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  • Address REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Emergency Contact Name: REQUIRED Please fill out this field. Please enter valid data.
  • Emergency Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Student #1 Information
  • Student #1 Catholic REQUIRED Yes NO Please fill out this field.
  • Student #1 Name REQUIRED Please fill out this field. Please enter valid data.
  • Gender: REQUIRED (Select One) Male Female Please fill out this field.
  • Student #1 Birthdate REQUIRED Please fill out this field. Please enter valid data.
  • Student #1 Grade REQUIRED Please fill out this field. Please enter valid data.
  • Student #1 Session REQUIRED Please fill out this field. Please enter valid data.
  • Student #1 Class REQUIRED Please fill out this field. Please enter valid data.
  • Payment Method REQUIRED On-line Check Please fill out this field.

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