Faith Formation Registration 2023-2024

Faith Formation Registration Form 2023-2024

Family Name*
Family #
How many children are you enrolling?*
How many of enrolled children will receive communion and/or confirmation?*
How many of these are first time registrants to the program?
Child 1 First Name*
Child 1 Last Name*
Child 1 D.O.B*
MM slash DD slash YYYY
Child 1 M/F*
Child 1 Level*
Child 1 Session – 1st Choice*
Child 1 Session – 2nd Choice*
Child 2 First Name*
Child 2 Last Name*
Child 2 D.O.B*
MM slash DD slash YYYY
Child 2 M/F*
Child 2 Level*
Child 2 Session – 1st Choice*
Child 2 Session – 2nd Choice*
Child 3 First Name*
Child 3 Last Name*
Child 3 D.O.B*
MM slash DD slash YYYY
Child 3 M/F*
Child 3 Level*
Child 3 Session – 1st Choice*
Child 3 Session – 2nd Choice*
Child 4 First Name*
Child 4 Last Name*
Child 4 D.O.B*
MM slash DD slash YYYY
Child 4 M/F*
Child 4 Level*
Child 4 Session – 1st Choice*
Child 4 Session – 2nd Choice*
Child 5 First Name*
Child 5 Last Name*
Child 5 D.O.B*
MM slash DD slash YYYY
Child 5 M/F*
Child 5 Level*
Child 5 Session – 1st Choice*
Child 5 Session – 2nd Choice*
Child 6 First Name*
Child 6 Last Name*
Child 6 D.O.B*
MM slash DD slash YYYY
Child 6 M/F*
Child 6 Level*
Child 6 Session – 1st Choice*
Child 6 Session – 2nd Choice*
Child 7 First Name*
Child 7 Last Name*
Child 7 D.O.B*
MM slash DD slash YYYY
Child 7 M/F*
Child 7 Level*
Child 7 Session – 1st Choice*
Child 7 Session – 2nd Choice*
Parent(s)/Guardian Information
Father Name*
Mother Name*
Address*
Phone:(H)*
(C)*
Email*
Preferred phone to be contacted during class time:*
Emergency Contact other than Parent/Guardian:*
Additional Information (Please indicate child’s name next to Special Consideration and Allergies)
Special Considerations:*
Allergies:*
If your child has an IEP, please include a copy

Faith Formation takes photographs of children at “all events”, including classes, and liturgies for use in various newsletters, presentations, articles, publications and/or parish website.
Untitled*
- I DO give permission for my child’s likeness/name to be included.
- I DO NOT give permission for my child’s likeness/name to be included.
Signature of Parent/Guardian*
Date:*
MM slash DD slash YYYY
1 Student Fee
Price:
2 children Fee
Price:
3 children Fee
Price:
0x Sacramental Fee
Price:
1x Sacramental Fee
Price:
2x Sacramental Fee
Price:
3x Sacramental Fee
Price:
4x Sacramental Fee
Price:
5x Sacramental Fee
Price:
6x Sacramental Fee
Price:
7x Sacramental Fee
Price:
Total
$0.00
* Full payment of fee is required when you submit this Registration Form. Remember, until the payment is received, the registration will be on hold. Please proceed to the next page for payment information and complete the registration. If you are unable to pay now, please contact the Faith Formation Office.

20 Chestnut Street, Centereach, NY 11720

631-585-8760 GIVE

Faith Formation Registration Form 2023-2024

Parent(s)/Guardian Information

OUR PARISH

SACRAMENTS

PEER MINISTRIES

FAITH FORMATION

LITURGY

MINISTRIES

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