Children&#039;s Faith Formation Registration Form 2023-2024

Sacred Heart of Mary - St. Rita
Children's Faith Formation
Registration Form 2023-2024

Family Parish REQUIRED Please fill out this field.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Gender Male Female

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.

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

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

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

Mother's Name & Phone REQUIRED Please fill out this field. Please enter valid data.

Father's Name & Phone REQUIRED Please fill out this field. Please enter valid data.

Are Parents Married? REQUIRED Yes No Please fill out this field.

If yes, were they married in the church? Yes No

Sacramental Information

Please provide the sacraments your child has received, the date received, church and city, along with the Minister information
Will your child receive a Sacrament this year? Yes No
There is an additional supply fee of $50 for each Sacrament
Was your child enrolled in Faith Formation last year? Yes No
If yes, where? Maximum 200 characters Please enter valid data.
Enrollment Fee: 1 child $75
2 Children $110
3 or more $140

Pastorate of Sacred Heart of Mary & St. Rita