Faith Formation Registration

Parent's First Names REQUIRED

Please enter first and last names of both parents.

Please fill out this field. Please enter valid data.

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

Mailing 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.

Family Email REQUIRED Please fill out this field. Please enter an email address.

Home Phone REQUIRED Please fill out this field. Please enter valid data.

Cell Phone Please enter valid data.

Work Phone Please enter valid data.

Family Parish REQUIRED

Please select the parish at which your family is registered

St. Bartholomew St. John & Holy Cross St. Maximilian Kolbe Other Please fill out this field.

Emergency Contact Name and Relationship REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone REQUIRED Please fill out this field. Please enter valid data.

Photo Release Statement REQUIRED

REQUIRED I agree to allow my child(ren) to be photographed or videoed during class time or special events for parish use only (website or other publication)

Please fill out this field.

Cost is $75 per child with a Family cap of $150....Payment Type REQUIRED

Please enter the method of payment for faith formation programs.

Credit Card via "We Share" Online Payment Check payable to my parish- mailed to the Parish Faith Formation Office Scholarship- Will contact parish catechetical leader to apply Please fill out this field.

The Roman Catholic Communities

of Cluster 22

Faith Formation Registration