MARY, MOTHER OF MANKIND CHURCH
FAITH FORMATION REGISTRATION FORM
To copy this page clink CTRL and P at the same time.
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:
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First Last Middle
ADDRESS:
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Street City/Town State Zip
TELEPHONE:
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Home Work Cell
E-MAIL(S):
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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):
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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:
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PAYMENT INFORMATION:
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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
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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, 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: __________________________________________________________________________