St. John Paul II Regional Faith Formation Program Registration

Registration is $100 per child

Please only use this form if your are paying online using a credit or debit card. To pay by check or cash, you must physically come into the parish office and register in person. Full payment is due at the time of registration.
Current Parish Registered
Student's Father's Name
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Father's Religious Denomination
Father's Cell Phone Father's Cell Phone - ### - ### ####
Father's Email Address
Student's Mother's Name
Mother's Address (Only If Different Than Father's Address) Mother's Address (Only If Different Than Father's Address)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mother's Maiden Name
Mother's Religious Denomination
Mother's Cell Phone Mother's Cell Phone - ### - ### ####
Mother's Email Address
Current Parish
Parish Address Parish Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Does your child/children have use of a computer or tablet?

Does your child/children have use of a computer or tablet? Yes No
Do you have internet service at your residence?

Do you have internet service at your residence? Yes No
Student #1
Name Name First Last
Date of Birth Date of Birth / MM / DD YYYY
Has Student Been Baptized?

Has Student Been Baptized? Yes No
If Yes, Name of Parish
Current School Student Attends (Fall 2020)
Student Homeschooled?

Student Homeschooled? Yes No
Grade (as of Fall 2020)
Did Student Attend Religious Education Last Year?

Did Student Attend Religious Education Last Year? Yes No
If Yes, Where?
Medical Conditions/Allergies (Please be Specific)
Student #2
Name Name First Last
Date of Birth Date of Birth / MM / DD YYYY
Has Student Been Baptized?

Has Student Been Baptized? Yes No
If Yes, Name of Parish
Current School Student Attends (Fall 2020)
Student Homeschooled?

Student Homeschooled? Yes No
Grade (Fall 2020)
Did Student Attend Religious Education Last Year?

Did Student Attend Religious Education Last Year? Yes No
If Yes, Where?
Medical Conditions/Allergies (Please be Specific)
Student #3
Name Name First Last
Date of Birth Date of Birth / MM / DD YYYY
Has Student Been Baptized?

Has Student Been Baptized? Yes No
If Yes, Name of Parish
Current School Student Attends (Fall 2020)
Student Homeschooled?

Student Homeschooled? Yes No
Grade (Fall 2020)
Did Student Attend Religious Education Last Year?

Did Student Attend Religious Education Last Year? Yes No
If Yes, Where?
Medical Conditions/Allergies (Please be Specific)
Student #4
Name Name First Last
Date of Birth Date of Birth / MM / DD YYYY
Has Student Been Baptized?

Has Student Been Baptized? Yes No
If Yes, Name of Parish?
Current School Student Attends (Fall 2020)
Student Homeschooled?

Student Homeschooled? Yes No
Grade (Fall 2020)
Did Student Attend Religious Education Last Year?

Did Student Attend Religious Education Last Year? Yes No
If Yes, Where?
Medical Conditions/Allergies (Please be Specific)
Student #5
Name Name First Last
Date of Birth Date of Birth / MM / DD YYYY
Has Student Been Baptized?

Has Student Been Baptized? Yes No
If Yes, Name of Parish?
Current School Student Attends (Fall 2020)
Student Homeschooled?

Student Homeschooled? Yes No
Grade (Fall 2020)
Did Student Attend Religious Education Last Year?

Did Student Attend Religious Education Last Year? Yes No
If Yes, Where?
Medical Conditions/Allergies (Please be Specific)
Price $ Dollars . Cents
Tuition

Tuition is $75 per child.
$0

Total

St. John Paul II Regional Faith Formation Program Registration

St. John Paul II Regional Faith Formation Program Registration

Registration is $100 per child

Student #1

Student #2

Student #3

Student #4

Student #5

Tuition

$0

Total

$`0`