Faith Formation Form

Family Last Name *

Home Address *

City *

Zip Code *

Parish Where You Are Registered *

Mother’s Information

Mother’s Name

Mother’s Maiden Name

Mother’s Religion

Mother’s Phone

Mother’s E-mail

Father’s Information

Father’s Name

Father’s Religion

Father’s Phone

Father’s E-mail

Guardian Information

Name, Address, Phone and Email of Legal Guardian, if different from above

Session Choice

Please select one option (unless more than 1 child is attending and you want different sessions for each). Sacramental preparation and Sacramental years (Grades 1, 2, 7 and 8) must attend onsite.

Select a Session *

Monday 5:00pm-6:00pm

Wednesday 6:00pm-7:00pm

Home Faith Formation

Please Note Any Concerns or Comments

Child #1

Name (First & Last) *

Gender *

Male

Female

Date of Birth *

Birth Place (City, State) *

Grade Child Will Enter in September *

Is your child baptized? *

Yes

(If YES, supply the date and parish of baptism. If child is a NEW student, or this is a sacramental year (i.e., 2nd or 8th grade), a copy of baptismal certificate must be presented.)

Has your child celebrated the sacrament of Holy Eucharist? *

Yes

Does your child have special needs? If yes, please explain:

Does your child have an allergy we need to be aware of? If yes, please explain:

Child #2

Add another child?

Yes

Child #3

Add another child?

Yes

Emergency Medical Authorization

Family (Last Name) *

In the event that reasonable attempts to contact me at the following phone number(s) have been unsuccessful, I hereby give my consent for my child to obtain emergency medical treatment at the closest medical emergency facility.

Emergency Phone *

Emergency Phone (Other Parent or Guardian)

Photo Release Form

Give St. Simon Stock Parish permission to print my child’s photo in the church bulletin? *

Yes

Please be sure to click the Submit Form button below.

PLEASE NOTE: There is a $150 tuition for one child and $275 for two or more children. Kindly make check payable to St. Simon Stock Parish.

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St. Simon Stock 2024 - 2025 Faith Formation Registration