Faith Formation Registration

MARY, MOTHER OF MANKIND CHURCH

FAITH FORMATION REGISTRATION FORM

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When complete either mail this form to the Parish, or drop it off to the Rectory.

                                                                        Reg.  ____   Paid ____

 

  MARY, MOTHER OF MANKIND CHURCH     

FAITH FORMATION REGISTRATION FORM

 

 

FULL NAME:

________________________________________________________________________________________________________________________________________________________________________________________________

First                                                                                        Last                                                                                         Middle

ADDRESS:

_______________________________________________________________________________________________________________________________________________________________________________________________

Street                                                                                      City/Town                                                State                        Zip

 

TELEPHONE:

__________________________________________________________________________________________________________________________________________________________________________________________________

Home                                                                                      Work                                                       Cell

 

E-MAIL(S):

____________________________________________________________________________________

FATHER/GUARDIAN

Name:              _______________________________________________________________________

Occupation:     _______________________________________________________________________

Religion:          _______________________________________________________________________

MOTHER/GUARDIAN

Name:              _____________________________________ Maiden: __________________________

Occupation:     _______________________________________________________________________

Religion:          _______________________________________________________________________

Are the parents living in the same household:                 ☐  Yes            ☐  No

If No, contact information for other parent/guardian in case of emergency (optional):

____________________________________________________________________________________

____________________________________________________________________________________

 

STUDENT

Birthdate:                  ________________________        Place:  ________________________________

Baptism Date:          ________________________        Place:  ________________________________

Penance Date:          ________________________        Place:  ________________________________

Communion Date:    ________________________         Place:  ________________________________

School Attending:    ___________________________________________________________________

 

Photos of my child can be used on the parish website:     ☐     Yes          ☐     No

Signature:   __________________________________________________________________________

Behavior/Learning Disabilities, Allergies, Medications, Other:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

 

 

PAYMENT INFORMATION:

Please do not fill out this part of the form. This section is for office use only

$40.00 – One student                $70.00 – Two or more students

GRADE LEVEL                     YEAR                     PAID                                                  

______________                      _______________                                                              

______________                      _______________          ☐                                                                 

______________                      _______________          ☐

______________                      _______________          ☐

______________                      _______________          ☐

______________                      _______________         ☐

______________                      _______________         ☐

______________                      _______________         ☐

______________                      _______________         ☐

     

 

Dates of Sacraments are not necessary if they took place at Mary, Mother of Mankind Parish or St. Lawrence.  Otherwise, a hard copy must be submitted for verification.  NO EXCEPTIONS.

 

If one (or more) grade level(s) was completed at another parish, we need verification from the Director of Religious Education that the grade level(s) were successfully completed.

 

GRADES 1, 2, 3, 4, 5 & 6                     EVERY SUNDAY                     9:00 A.M.  -  10:00 A.M.                                                                                  

GRADES 7, 8 & 9, 10                          EVERY SUNDAY                    11:30 A.M.  – 12:30 P.M.             

 

Signature:   __________________________________________________________________________