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2020-2021 Faith Formation Registration
We are glad you are registering for Faith Formation!
Once you have completed this introductory page, proceed on to the next page. E
ach child's information will appear on a new page generated based on the number of children you are registering. Be sure to fill out the information
on the final page, as well, then hit "Submit."
COST: $50/child
(Faith Formation only - Sacramental Prep fees vary)
Parish Use Only:
Family Information
FAMILY LAST NAME(S):
*
PRIMARY FAMILY EMAIL ADDRESS: Used for Cancellations & Other Important Notifications
This email will be added to our Faith Formation and Parish News email distribution lists.
*
Type email address again:
*
PRIMARY EMERGENCY CONTACT PHONE NUMBER:
This should be a number where you can be reached during Faith Formation sessions.
*
By signing below, I acknowledge that:
*
I am permitted to register the child(ren) below for religious instruction.
I am giving my permission for my child(ren) to participate in Faith Formation programming under the supervision the staff and volunteers of St. Bernadette Parish.
I understand that Sacramental Preparation programs and Youth Ministry events are separate from the Faith Formation program, and may require separate registrations and/or fees.
I understand that my child(ren) may be photographed or videoed and those images may be used in promotional and archival materials, including print and digital media.
I understand that I am responsible for paying the program fee prior to the deadline.
If I am unable to pay, I am aware that this does not prevent my child(ren) from participating in the program. However, I understand that it is my responsibility to request a fee waiver form.
I understand that the Coordinator(s) and volunteer team will attempt to contact me in the unlikely event of an emergency, and that it is my responsibility to ensure I inform the Coordinator(s) of any changes in my contact information.
If applicable, I will complete the Children With Medical Conditions form and, if necessary, meet with the Coordinator(s) to discuss any training or awareness needed for my child to participate safely.
SIGN BELOW:
*
clear
Parent #1 Information
Parent #1 - Full Legal Name
(first, middle, last)
*
Parent #1 - Primary Email
*
Parent #1 - Primary phone number
*
Parent #1 Street Address
*
Parent #1 Address Line 2
Parent #1 City
*
Parent #1 State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Parent #1 Zip Code
*
Parent #2 Information (if applicable)
Parent #2
(if applicable)
- Full Legal Name
(first, middle, last)
Parent #2
(if applicable)
- Primary Email
Parent #2
(if applicable)
- Primary phone number
General Information About Child(ren)
Number of Children Registering for Faith Formation
*
1
2
3
4
5+
Child(ren) reside(s) with:
*
Both Parents
Parent #1 (at address provided)
Other (provide details and address below):
Other (provide details and address below):
At this time, I/we are comfortable with my child(ren) participating:
If your answer varies for each child, please explain on the "other" option.
At this time, Grades 5 and Under will be a hybrid of on line, in-class ( optional) and Live Streaming.
*
In Person (as permitted)
Virtual Only
No preference
Other (please explain):
Other (please explain):
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