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Faith Formation Registration

Contact Information
Registered in this parish?
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Mother's Name
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Mother's Address
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Mother's Primary Phone --
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Mother's Secondary Phone --
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Mother's Email
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Father's Name
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Father's Address
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Father's Primary Phone --
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Father's Secondary Phone --
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Father's E-mail
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Emergency Contact Name
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Emergency Contact Relationship
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Emergency Phone Number --
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Child 1
Child's Name
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Address If Different Than Mother's
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Birth Date //
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Gender
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Grade
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Sacraments Completed
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School Attending
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Child 2
Child's Name
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Address If Different Than Mother's
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Birth Date //
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Gender
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Grade
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Sacraments Completed
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School Attending
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Child 3
Child's Name
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Address If Different Than Mother's
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Birth Date //
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Gender
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Grade
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Sacraments Completed
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School Attending
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Child 4
Child's Name
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Address If Different Than Mother's
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Birth Date //
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Gender
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Grade
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Sacraments Completed
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School Attending
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Additional Details
Special Needs/Medication
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Please list child's name & needs. Send procedure plan to parish office if needed.
Was each child registered here in Faith Formation last year?
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If No, who, where & grade?
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Parent Signature
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