FAITH FORMATION REGISTRATION

Family Last Name Please enter valid data.

Street Address 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.

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

Father: First , last name and home or cell phone# Please enter valid data.

Mother: First, maiden, last name and home or cell phone# Please enter valid data.

Emergency contact if parent not available: Phone number and relationship Please enter valid data.

# of Students enrolling in Gr. 1-10 Program REQUIRED Please fill out this field.
Student 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 Please enter valid data.
- In-person or home-school learning is available for children in Grades 3-8. Please choose an option. REQUIRED In-person classes Home school learning with some on-site meetings required Please fill out this field.
- Child lives with: Both Parents Mother Father
- Grade as of October 1, 2021 REQUIRED Please fill out this field. Please enter an integer (number) from 0 to 10.
- Sacraments Received:
- BAPTISM - Date/Church Name, City, State (if not St. Mary's, certificate is required ) Please enter valid data.
- FIRST EUCHARIST - Date/Church Name, City, State Please enter valid data.
- COMMENTS: Please let us know of any medical conditions, disabilities or other needs of your child. Please enter valid data.
Student 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 Please enter valid data.
- In-person or home-school learning is available for children in Grades 3-8. Please choose an option. REQUIRED In-person classes Home school learning with some on-site meetings required Please fill out this field.
- Child lives with: Both Parents Mother Father
- Grade as of October 1, 2021 REQUIRED Please fill out this field. Please enter an integer (number) from 0 to 10.
- Sacraments Received:
- BAPTISM - Date/Church Name, City, State (if not St. Mary's, certificate is required ) Please enter valid data.
- FIRST EUCHARIST - Date/Church Name, City, State Please enter valid data.
- COMMENTS: Please let us know of any medical conditions, disabilities or other needs of your child. Please enter valid data.
Student 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 Please enter valid data.
- In-person or home-school learning is available for children in Grades 3-8. Please choose an option. REQUIRED In-person classes Home school learning with some on-site meetings required Please fill out this field.
- Child lives with: Both Parents Mother Father
- Grade as of October 1, 2021 REQUIRED Please fill out this field. Please enter an integer (number) from 0 to 10.
- Sacraments Received:
- BAPTISM - Date/Church Name, City, State (if not St. Mary's, certificate is required ) Please enter valid data.
- FIRST EUCHARIST - Date/Church Name, City, State Please enter valid data.
- COMMENTS: Please let us know of any medical conditions, disabilities or other needs of your child. Please enter valid data.
Student 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 Please enter valid data.
- In-person or home-school learning is available for children in Grades 3-8. Please choose an option. REQUIRED In-person classes Home school learning with some on-site meetings required Please fill out this field.
- Child lives with: Both Parents Mother Father
- Grade as of October 1, 2021 REQUIRED Please fill out this field. Please enter an integer (number) from 0 to 10.
- Sacraments Received:
- BAPTISM - Date/Church Name, City, State (if not St. Mary's, certificate is required ) Please enter valid data.
- FIRST EUCHARIST - Date/Church Name, City, State Please enter valid data.
- COMMENTS: Please let us know of any medical conditions, disabilities or other needs of your child. Please enter valid data.
Student 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 Please enter valid data.
- In-person or home-school learning is available for children in Grades 3-8. Please choose an option. REQUIRED In-person classes Home school learning with some on-site meetings required Please fill out this field.
- Child lives with: Both Parents Mother Father
- Grade as of October 1, 2021 REQUIRED Please fill out this field. Please enter an integer (number) from 0 to 10.
- Sacraments Received:
- BAPTISM - Date/Church Name, City, State (if not St. Mary's, certificate is required ) Please enter valid data.
- FIRST EUCHARIST - Date/Church Name, City, State Please enter valid data.
- COMMENTS: Please let us know of any medical conditions, disabilities or other needs of your child. Please enter valid data.
Student 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 Please enter valid data.
- In-person or home-school learning is available for children in Grades 3-8. Please choose an option. REQUIRED In-person classes Home school learning with some on-site meetings required Please fill out this field.
- Child lives with: Both Parents Mother Father
- Grade as of October 1, 2021 REQUIRED Please fill out this field. Please enter an integer (number) from 0 to 10.
- Sacraments Received:
- BAPTISM - Date/Church Name, City, State (if not St. Mary's, certificate is required ) Please enter valid data.
- FIRST EUCHARIST - Date/Church Name, City, State Please enter valid data.
- COMMENTS: Please let us know of any medical conditions, disabilities or other needs of your child. Please enter valid data.

Saint Mary

of the Annunciation Parish

FAITH FORMATION REGISTRATION

REGISTRATION FOR 2021-2022 YEAR GRADES 1-10

TUITION PAYMENT