Registration Form

Faith Formation 2021-2022 Registration

* Indicates required field

Family Last Name *

Email Address (Please enter a complete, valid email address, as this will be used for all communications from Faith Formation.)Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Mother's Name (Include Maiden Name) *

Father's Name *

Guardian (if different) *

Photo Release Statement - I hereby GRANT/DO NOT GRANT permission for my child/children to be photographed and/or recorded during Sacred Heart Faith Formation activities and events; and for the resulting photograph's and/or video to be edited, if necessary, and then published or broadcast for the purpose of promoting Sacred Heart Church. Child's name will not be published. *

Parent / Guardian Volunteer Options *

Emergency Contact Information

Emergency Contact #1 *

First

Last

Relation to child *

Phone Number *

Emergency Contact #2 *

First

Last

Relation to child *

Phone Number *

Student Information

Child 1 Name *

First

Last

Gender *

Date of Birth (Month/Day/Year) *

Faith Formation Grade for 2021-2022 *

Program Option *

My child needs to catch up on missed curriculum or sacraments *

Missed Curriculum Sacraments Both

Sacrament to be received this year *

Baptism Penance & Reconciliation / First Eucharist Confirmation

Allergies *

Child 2 Name *

First

Last

Gender *

Date of Birth (Monday/Day/Year) *

Faith Formation Grade for 2021-2022 *

Program Option *

My child needs to catch up on missed curriculum or sacraments *

Missed Curriculum Sacraments Both

Sacrament to be received this year *

Baptism Penance & Reconciliation / First Eucharist Confirmation

Allergies *

Child 3 Name *

First

Last

Gender *

Date of Birth (Month/Day/Year) *

Faith Formation Grade for 2021-2022 *

Program Option *

My child needs to catch up on missed curriculum or sacraments *

Missed Curriculum Sacraments Both

Sacrament to be received this year *

Baptism Penance & Reconciliation / First Eucharist Confirmation

Allergies *

Faith Formation 2021-2022 Registration

Emergency Contact Information

Student Information

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