Contact Information

Family Name *

Email Address *

Home Phone # *

Address *

City *

State *

Zipcode *

Parish of Registration *

Father First and Last Name

Father Cell Phone #

Mother First and Last Name

Mother Cell Phone #

Emergency Contact Name during FF classes *

Emergency # *

Student Information

Student First and Last Name *

Date of Birth *

Gender *

Faith Formation Session *

Grade *

Sacrament to prepare for in 2019-20 🛈

Baptism	Reconciliation - Grade 2 and up
Eucharist - Grade 2 and up	Confirmation - Grade 10 and up

Sacraments Already Received *

Medical condition, allergies or special needs? *

No

Yes Yes

Student Information

Student First and Last Name

Date of Birth

Gender

Faith Formation Session

Grade

Sacraments Already Received

Sacrament to prepare for in 2019-20 🛈

Baptism	Reconciliation - Grade 2 and up
Eucharist - Grade 2 and up	Confirmation - Grade 10 and up

Medical condition, allergies or special needs?

No

Yes Yes

Student Information

Student First and Last Name

Date of Birth

Gender

Faith Formation Session

Grade

Sacraments Received

Sacrament to prepare for in 2019-20 🛈

Baptism	Reconciliation - Grade 2 and up
Eucharist - Grade 2 and up	Confirmation - Grade 10 and up

Medical condition, allergies or special needs?

No

Yes Yes

Student Information

Student First and Last Name

Date of Birth

Gender

Faith Formation Session

Grade

Sacraments Already Received

Sacrament to prepare for in 2019-20 🛈

Baptism	Reconciliation - Grade 2 and up
Eucharist - Grade 2 and up	Confirmation - Grade 10 and up

Medical condition, allergies or special needs?

No

Yes Yes

Student Information

Student First and Last Name

Date of Birth

Gender

Faith Formation Session

Grade

Sacraments Already Received

Sacrament to prepare for in 2019-20 🛈

Baptism	Reconciliation - Grade 2 and up
Eucharist - Grade 2 and up	Confirmation - Grade 10 and up

Medical condition, allergies or special needs?

No

Yes Yes

Parent/Guardian Information

Volunteer Opportunities: Our program is run entirely by volunteers and we need your support. Please indicate below if you are able to be of assistance. All adults who work with children must have completed the Archdiocesan Child and Youth Protection requirements. Please visit our Child and Youth Protection webpage for details.

Volunteer Name

Comments:

Photo Policy: Parents/guardians are advised that photographs and/or video of participants in various classes/events may be used in publications, websites or other materials produced from time to time by our parish and/or participating parishes. Participants would not be identified, however, without specific written consent. Parents/guardians who do not wish for photos to be used in these medias should notify the parish office in writing. If notified, Holy Family would make every reasonable effort to comply with the wishes of the family. Please note that Holy Family has no control over the use of photographs or video taken by the media or participants of the class/event that may be covering/attending the event in which your child(ren) participate(s). Please enter your name below acknowledging this policy. *

Payment

Tuition 🛈

	# students Grades K-5 ($98.00)
	# students Grades 6-8 ($98.00)
	# students Grades 9-10 ($98.00)
	# students Grades 11-12 (0.00)
	First Eucharist Fee ($25.00)
	First Reconciliation Fee ($25.00)
	Confirmation Fee ($120.00)

Assistant Grades K-5	Nursery/Hall Monitor/Substitute
Chaperone Grades 6-8	Chaperone Grades 9-12
Help with Sacrament Prep - Reconciliation	Help with Sacrament Prep - Eucharist
Help with Sacrament Prep - Confirmation	Help with Family Events
Middle School & High School Catechists	Kitchen Assistance