Faith Formation Registration Form

By clicking the submit button below, you hereby certify that the information in the fields is correct and you give permission for that child to be transported in privately owned vehicles for medical emergencies only, and for the release of medical records to an attending health care professional in case of illness.  You understand that every effort will be made to contact the parent or guardian.  If one can not be contacted, you hereby give permission for a qualified physician to secure proper treatment for the child.

Please note that sacrament preparation is separate from religious education classes.  A child must be enrolled for the year he/she anticipates receiving a sacrament as well as excellent attendance in religious education or Catholic School the year prior.  Parish membership is also required to enroll in the religious education or sacrament program.

For further information on sacramental preparation, please visit the sacraments site.

Questions or concerns, please contact:

Director of Faith Formation & Youth Ministry

Please note:  The form below is for one child.  If multiple children need to be signed up, multiple forms need to be submitted.

Book and materials fee:

1 child = $25

2 or more children = $50

After August of this year:

1 child = $30

2 or more children = $60

Paying by Check:

Checks can be made payable to:

Blessed Trinity Parish

or

St. Patrick Parish

Checks can be mailed to the CENTRAL OFFICE at the bottom of this page.

Children's Faith Formation: Pre-K through grade 7

Location: (required)

Child's Name: (required)

Child's Date of Birth (*): (required)

Address: (required)

Home Phone: (required)

Grade Number (as of September 2017): (required)

Father's Name:

Father's Cell Number:

Father's Email:

Mother's Name:

Mother's Cell Number:

Mother's Email:

Who does the child live with: (required)

In case of emergency, please contact: (required)

Emergency contact phone number: (required)

List of names the child can be released to: (required)

Baptism Date (*): (required)

Place of Baptism: (required)

Does your child have any allergies or any other important medical information that we need to know about? (required)

If there are any allergies or medical issues, please list them:

Is your child covered under insurance? (required)

Insurance company:

Policy holder:

Policy number:

Physician's name:

Physician's phone number: (required)

Do we have permission for Blessed Trinity / St. Patrick Parish to make use of the pictures of your child for informational / advertising purposes only for church web site, bulletin boards, and media releases? (required)

If you are interested in volunteering as a catechist in the Faith Formation or Youth Ministry programs, please indicate below.

Name:

Name of Church that you attend:

Please check the age group you prefer:

Phone Number:

What is the best time of day to contact you?

Email address:

Additional comments:



(*) Depending on your browser, the date can be accepted in many ways. Below are a few examples.

Microsoft Internet Explorer: (YYYY-MM-DD)
2016-01-05

Microsoft Edge with Windows 10: (has the ability to click and select a date, but uses MM-DD-YYYY)

Google Chrome: (has the ability to click and select a date, but uses MM-DD-YYYY)

If problems persist, please email the webmaster (email at the bottom of this page) with the browser you are using.