Registration for Summer Make Up Programs-Eucharist 1 or Confirmation 1

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 Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

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

Father: First, last names Please enter valid data.

Mother: First, maiden, last names Please enter valid data.

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

# of Students enrolling in 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.
- Child lives with: Both Parents Mother Father
- STUDENT EMAIL Please enter an email address.
- STUDENT CELL PHONE Please enter valid data.
- SCHOOL AS OF SEPTEMBER REQUIRED Please fill out this field. Please enter valid data.
- GRADE AS OF SEPTEMBER REQUIRED Maximum 10 characters 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 prior to start of classes) REQUIRED Please fill out this field. Please enter valid data.
- COMMUNION - Date, Church Name, City, State Please enter valid data.
- LAST FAITH FORMATION YEAR ATTENDED REQUIRED Never attended before Other_________________________________________________ Please fill out this field.
- WHAT FAITH FORMATION YEAR ARE YOU REGISTERING FOR (Home based Program with 2 onsite meetings - June and August) REQUIRED Summer Make Up - Eucharist 1 Summer Make Up - Confirmation 1 Please fill out this field.
- COMMENTS: Please let us know of any medical conditions, disabilities or other needs of your child. Please enter valid data.
- Permission for Photography - Occasionally photos may be taken for our website and/or church bulletin.
- Check one REQUIRED YES, permission given NO, permission not given Please fill out this field.
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.
- Child lives with: Both Parents Mother Father
- STUDENT EMAIL Please enter an email address.
- STUDENT CELL PHONE Please enter valid data.
- SCHOOL AS OF SEPTEMBER REQUIRED Please fill out this field. Please enter valid data.
- GRADE AS OF SEPTEMBER REQUIRED Maximum 10 characters 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 prior to start of classes) REQUIRED Please fill out this field. Please enter valid data.
- COMMUNION - Date, Church Name, City, State Please enter valid data.
- LAST FAITH FORMATION YEAR ATTENDED REQUIRED Never attended before Other_________________________________________________ Please fill out this field.
- WHAT FAITH FORMATION YEAR ARE YOU REGISTERING FOR (Home based Program with 2 onsite meetings - June and August) REQUIRED Summer Make Up - Eucharist 1 Summer Make Up - Confirmation 1 Please fill out this field.
- COMMENTS: Please let us know of any medical conditions, disabilities or other needs of your child. Please enter valid data.
- Permission for Photography - Occasionally photos may be taken for our website and/or church bulletin.
- Check one REQUIRED YES, permission given NO, permission not given Please fill out this field.
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.
- Child lives with: Both Parents Mother Father
- STUDENT EMAIL Please enter an email address.
- STUDENT CELL PHONE Please enter valid data.
- SCHOOL AS OF SEPTEMBER REQUIRED Please fill out this field. Please enter valid data.
- GRADE AS OF SEPTEMBER REQUIRED Maximum 10 characters 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 prior to start of classes) REQUIRED Please fill out this field. Please enter valid data.
- COMMUNION - Date, Church Name, City, State Please enter valid data.
- LAST FAITH FORMATION YEAR ATTENDED REQUIRED Never attended before Other_________________________________________________ Please fill out this field.
- WHAT FAITH FORMATION YEAR ARE YOU REGISTERING FOR (Home based Program with 2 onsite meetings - June and August) REQUIRED Summer Make Up - Eucharist 1 Summer Make Up - Confirmation 1 Please fill out this field.
- COMMENTS: Please let us know of any medical conditions, disabilities or other needs of your child. Please enter valid data.
- Permission for Photography - Occasionally photos may be taken for our website and/or church bulletin.
- Check one REQUIRED YES, permission given NO, permission not given Please fill out this field.
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.
- Child lives with: Both Parents Mother Father
- STUDENT EMAIL Please enter an email address.
- STUDENT CELL PHONE Please enter valid data.
- SCHOOL AS OF SEPTEMBER REQUIRED Please fill out this field. Please enter valid data.
- GRADE AS OF SEPTEMBER REQUIRED Maximum 10 characters 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 prior to start of classes) REQUIRED Please fill out this field. Please enter valid data.
- COMMUNION - Date, Church Name, City, State Please enter valid data.
- LAST FAITH FORMATION YEAR ATTENDED REQUIRED Never attended before Other_________________________________________________ Please fill out this field.
- WHAT FAITH FORMATION YEAR ARE YOU REGISTERING FOR (Home based Program with 2 onsite meetings - June and August) REQUIRED Summer Make Up - Eucharist 1 Summer Make Up - Confirmation 1 Please fill out this field.
- COMMENTS: Please let us know of any medical conditions, disabilities or other needs of your child. Please enter valid data.
- Permission for Photography - Occasionally photos may be taken for our website and/or church bulletin.
- Check one REQUIRED YES, permission given NO, permission not given Please fill out this field.
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.
- Child lives with: Both Parents Mother Father
- STUDENT EMAIL Please enter an email address.
- STUDENT CELL PHONE Please enter valid data.
- SCHOOL AS OF SEPTEMBER REQUIRED Please fill out this field. Please enter valid data.
- GRADE AS OF SEPTEMBER REQUIRED Maximum 10 characters 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 prior to start of classes) REQUIRED Please fill out this field. Please enter valid data.
- COMMUNION - Date, Church Name, City, State Please enter valid data.
- LAST FAITH FORMATION YEAR ATTENDED REQUIRED Never attended before Other_________________________________________________ Please fill out this field.
- WHAT FAITH FORMATION YEAR ARE YOU REGISTERING FOR (Home based Program with 2 onsite meetings - June and August) REQUIRED Summer Make Up - Eucharist 1 Summer Make Up - Confirmation 1 Please fill out this field.
- COMMENTS: Please let us know of any medical conditions, disabilities or other needs of your child. Please enter valid data.
- Permission for Photography - Occasionally photos may be taken for our website and/or church bulletin.
- Check one REQUIRED YES, permission given NO, permission not given Please fill out this field.
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.
- Child lives with: Both Parents Mother Father
- STUDENT EMAIL Please enter an email address.
- STUDENT CELL PHONE Please enter valid data.
- SCHOOL AS OF SEPTEMBER REQUIRED Please fill out this field. Please enter valid data.
- GRADE AS OF SEPTEMBER REQUIRED Maximum 10 characters 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 prior to start of classes) REQUIRED Please fill out this field. Please enter valid data.
- COMMUNION - Date, Church Name, City, State Please enter valid data.
- LAST FAITH FORMATION YEAR ATTENDED REQUIRED Never attended before Other_________________________________________________ Please fill out this field.
- WHAT FAITH FORMATION YEAR ARE YOU REGISTERING FOR (Home based Program with 2 onsite meetings - June and August) REQUIRED Summer Make Up - Eucharist 1 Summer Make Up - Confirmation 1 Please fill out this field.
- COMMENTS: Please let us know of any medical conditions, disabilities or other needs of your child. Please enter valid data.
- Permission for Photography - Occasionally photos may be taken for our website and/or church bulletin.
- Check one REQUIRED YES, permission given NO, permission not given Please fill out this field.

Saint Mary

of the Annunciation Parish

Registration for Summer Make Up Programs-Eucharist 1 or Confirmation 1

REGISTRATION SUMMER MAKEUP PROGRAM - EUCHARIST 1 or CONFIRMATION 1 ONLY

2025-2026 TUITION PAYMENT