MARY, MOTHER OF MANKIND CHURCH
FAITH FORMATION REGISTRATION FORM
FULL NAME:
______________________________________________________________________________
First _________________________________________________________________________
Last_________________________________________________________________________
Middle______________________________________________________________________
ADDRESS:
______________________________________________________________________________
Street City/Town State Zip
TELEPHONE:__________________________________________________________________
Home Work Cell_______________________________________________________________
EMAIL:_______________________________________________________________________
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:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
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
$35.00 – One student $60.00 – Two or more students
GRADE LEVEL YEAR PAID
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______________ _______________ ☐
______________ _______________ ☐
______________ _______________ ☐
______________ _______________ ☐
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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 & 5 EVERY OTHER SUNDAY 9:00 A.M. - 10:00 A.M.
GRADES 3, 4 & 6 EVERY ALTERNATE SUNDAY 9:00 A.M. - 10:00 A.M.
PRE-CONFIRMATION EVERY OTHER SUNDAY 11:30 A.M. – 12:30 P.M. (GRADES 7 & 8)
CONFIRMATION EVERY ALTERNATE SUNDAY 11:30 A.M. - 12:30 P.M. (GRADE 9)