Registration for Faith Formation <div> 2019-2020 </div>

Primary Contact Name REQUIRED Please fill out this field. Please enter valid data.

Primary Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Primary Contact Email REQUIRED Please fill out this field. Please enter an email address.

Primary Contact's Relationship to child REQUIRED Please fill out this field.

Secondary Contact Name Please enter valid data.

Secondary Contact Phone Number Please enter valid data.

Secondary Contact E-mail Please enter valid data.

Secondary Contact's Relationship to child

Home Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Children Live With: Both Parents Father Mother Father and Step Parent Mother and Step Parent Split between both Mother and Father Grandparent Other (Please fill in situation below)

Please fill in if you selected other above: Please enter valid data.

Number of Children Registering REQUIRED Please fill out this field.
Child 1
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Grade/Class Kindergarten 1 2 1st Communion & 1st Reconciliation Preparation 3 4 5 6 7 8 9 (Confirmation Year 1 Prep) 10 (Confirmation Year 2 Prep)
- Age Please enter valid data.
- Birthday REQUIRED Please fill out this field. Please enter valid data.
- School to Attend REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received Baptism 1st Reconciliation 1st Eucharist
- Allergies, medication, or other specific relevant needs: Please enter valid data.
Child 2
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Grade/Class Kindergarten 1 2 1st Communion & 1st Reconciliation Preparation 3 4 5 6 7 8 9 (Confirmation Year 1 Prep) 10 (Confirmation Year 2 Prep)
- Age Please enter valid data.
- Birthday REQUIRED Please fill out this field. Please enter valid data.
- School to Attend REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received Baptism 1st Reconciliation 1st Eucharist
- Allergies, medication, or other specific relevant needs: Please enter valid data.
Child 3
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Grade/Class Kindergarten 1 2 1st Communion & 1st Reconciliation Preparation 3 4 5 6 7 8 9 (Confirmation Year 1 Prep) 10 (Confirmation Year 2 Prep)
- Age Please enter valid data.
- Birthday REQUIRED Please fill out this field. Please enter valid data.
- School to Attend REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received Baptism 1st Reconciliation 1st Eucharist
- Allergies, medication, or other specific relevant needs: Please enter valid data.
Child 4
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Grade/Class Kindergarten 1 2 1st Communion & 1st Reconciliation Preparation 3 4 5 6 7 8 9 (Confirmation Year 1 Prep) 10 (Confirmation Year 2 Prep)
- Age Please enter valid data.
- Birthday REQUIRED Please fill out this field. Please enter valid data.
- School to Attend REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received Baptism 1st Reconciliation 1st Eucharist
- Allergies, medication, or other specific relevant needs: Please enter valid data.
Child 5
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Grade/Class Kindergarten 1 2 1st Communion & 1st Reconciliation Preparation 3 4 5 6 7 8 9 (Confirmation Year 1 Prep) 10 (Confirmation Year 2 Prep)
- Age Please enter valid data.
- Birthday REQUIRED Please fill out this field. Please enter valid data.
- School to Attend REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received Baptism 1st Reconciliation 1st Eucharist
- Allergies, medication, or other specific relevant needs: Please enter valid data.
Child 6
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Grade/Class Kindergarten 1 2 1st Communion & 1st Reconciliation Preparation 3 4 5 6 7 8 9 (Confirmation Year 1 Prep) 10 (Confirmation Year 2 Prep)
- Age Please enter valid data.
- Birthday REQUIRED Please fill out this field. Please enter valid data.
- School to Attend REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received Baptism 1st Reconciliation 1st Eucharist
- Allergies, medication, or other specific relevant needs: Please enter valid data.

By checking the below "I agree" box I hereby authorize and give full consent, without limitation or reservation, to the Church of St. John the Evangelist, to publish any photograph or video in which my child(ren), named above, appear(s) while participating in any program associated with St. John's. There will be no compensation for use of any photograph or video at the time of publication or in the future.

I Agree Please select this field.

We always are looking for more volunteers! Please indicate any areas that may interest you below: Childcare volunteer Children's Liturgy of the Word volunteer K-5 Catechist 6-8 Grade Catechist Pre-K Volunteer Room Assistant I'm up for anything!

Payment:

$50 – Preschool-8th Grade Faith Formation for 1 Child

$80 – Preschool-8th Grade Faith Formation for 2 Children

$110 – Preschool-8th Grade Faith Formation for 3+ Children

$50 – 1st Communion & First Reconciliation Prep (In Addition to Faith Formation Cost)

$50 – 9th Grade Confirmation

$60 – 10th Grade Confirmation

$0 – Catechist/Small Group Leader

$0 – Tuition Assistance Requested (we will follow up with you)

Co-Cathedral of

St. John the Evangelist

Registration for Faith Formation
2019-2020

Registration for Faith Formation 2019-2020

Registration for Faith Formation
2019-2020