Faith Formation Registration

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  Family Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parish REQUIRED Please fill out this field. Please enter valid data.
  
  Primary Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Primary Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mother's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Father's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Emergency Contact Name Please enter valid data.
  
  Emergency Contact Relation to Student REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Children Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of First Communion (if applicable) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Please let us know about any allergies, medical conditions, dietary restrictions, medications, physical accommodations, learning needs or other information that will help us provide a safe and welcoming experience for this child.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of First Communion (if applicable) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Please let us know about any allergies, medical conditions, dietary restrictions, medications, physical accommodations, learning needs or other information that will help us provide a safe and welcoming experience for this child.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of First Communion (if applicable) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Please let us know about any allergies, medical conditions, dietary restrictions, medications, physical accommodations, learning needs or other information that will help us provide a safe and welcoming experience for this child.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of First Communion (if applicable) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Please let us know about any allergies, medical conditions, dietary restrictions, medications, physical accommodations, learning needs or other information that will help us provide a safe and welcoming experience for this child.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of First Communion (if applicable) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Please let us know about any allergies, medical conditions, dietary restrictions, medications, physical accommodations, learning needs or other information that will help us provide a safe and welcoming experience for this child.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of First Communion (if applicable) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Please let us know about any allergies, medical conditions, dietary restrictions, medications, physical accommodations, learning needs or other information that will help us provide a safe and welcoming experience for this child.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of First Communion (if applicable) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Please let us know about any allergies, medical conditions, dietary restrictions, medications, physical accommodations, learning needs or other information that will help us provide a safe and welcoming experience for this child.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of First Communion (if applicable) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Please let us know about any allergies, medical conditions, dietary restrictions, medications, physical accommodations, learning needs or other information that will help us provide a safe and welcoming experience for this child.
  
  Child 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of First Communion (if applicable) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Please let us know about any allergies, medical conditions, dietary restrictions, medications, physical accommodations, learning needs or other information that will help us provide a safe and welcoming experience for this child.
  
  Child 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Date and Location of First Communion (if applicable) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Please let us know about any allergies, medical conditions, dietary restrictions, medications, physical accommodations, learning needs or other information that will help us provide a safe and welcoming experience for this child.
  
  Insurance Information
  
  Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Group Number/ID Number REQUIRED Please fill out this field. Please enter valid data.
  
  Medical Attention REQUIRED YES, we may seek medical attention if the emergency contact listed above cannot be reached. NO, we may NOT seek medical attention if the emergency contact cannot be reached. Please fill out this field.
  
  Please check below to show consent: REQUIRED I give permission for my child(ren)'s pictures to be taken, displayed, shared on the parish website I give permission for my child(ren)'s phots to be shared on the parish FaceBook Page I give permission for LifeTeen child(ren) to participate in "GROUP ME" with their small group leaders I give permission for my Confirmation Teen to receive FLOCKNOTES with updated messages about the program Please fill out this field.
  
  I would be interested in helping at Faith Formation by:
  
  2 Items to Complete your Registration
  1. Complete Payment information & Click Submit.
  2. After submitting your payment, scroll to the bottom of the page and click the Final Submit button to complete your registration.
  Important: Your registration is not complete until you click the Final Submit
  button at the bottom of the page.
  
  PAYMENT OPTIONS: PAYMENT (WILL REMAIN THE SAME AS LAST YEAR:)
  Registered family- one child: $60
  Registered family- two or more children: $80
  
  Sacramental Prep (1st Communion & Confirmation) is an additional $30 per child
  
  Full/Partial Scholarships available: Contact parish office
  
  Click here to pay at St. James/St. Elizabeth
  
  Click here to pay for St. Lawrence/Holy Family
  
  Submit

Catholic Duluth

Catholic Churches of Holy Family and St. Lawrence

Faith Formation Registration