Religious Education Registration Form

Are you willing to teach or be an aide for Faith Formation and/or Sacramental Prep classes?

Yes No

If you are not currently registered parisheners of St Anthony of Padua church your child can not be registered in this program.

Parish Affiliation

Registered at St Anthony of Padua Need to register at St Anthony of Padua. (Someone will contact you)

Students Full Name

Child's Gender

Male Female

Fathers Full Name

Mothers Full Name

Mother’s Maiden Name

Guardians Name (if applicable)

Guardians Relationship to Child

Street Address

City

Your Email

State & Zip Code

Main Phone Number

Alternate Phone Number

Child’s Birth Date

(Check only one)

Type of School Child Attends

Catholic Public Home School Private

Current Grade

Special Needs or Allergies

(Enter N/A if not applicable)

Sacramental Documention Requirement

Was your child Baptised and/or made 1st Communion at St Anthony of Padua? If no, a copy of their certificate(s) will need to be provided, if not already on file.

Certificate on File

Yes No, I will provide a copy

Religious Education Attended Last Year

Yes No

Where attended, if not at St Anthony of Padua

Non Catholic School students also see Faith Formation

Sacramental Prep Registration

1st Reconciliation (grade 1, year 1 of 2) 1st Communion (grade 2, 1st Reconciliation required) Confirmation 1 (grade 7, year 1 of 2) Confirmation 2 (grade 8, Confirmation 1 required)

From time to time publicity releases for newspapers, television, website, social media, and other media may be prepared and shared online, in the bulletin, or other sources about events occuring at the parish. These may or may not be accompanied by photos or videos of students. The releases may be prepared by an appointed media representative. Do you give permission for your child to be included in such releases?

Publicity, Photos, Video Release Permission

Yes, I give permission No, I do not give permission

By entering your name in the box constitutes legal signature of this document.

Parent/Guardian Signature

As a parent, I acknowledge the privilege and responsibility I have to pass on the Catholic faith to my child. I will share and model my relationship with Jesus with my child by praying daily with my child, bringing my child to Mass every Sunday, participating regularly in the monthly program for which my child is registered, and by serving others.

By registering my child, I acknowledge that I have read the Code of Conduct and agree to all that it contains. If I am not able to access the Code of Conduct or have questions about Safe Environment, photo release, or any other policy, I will communicate with the Faith Formation office.

The code of Conduct for Children and Youth can be found at https://www.dosp.org/safe-environment/code-of-conduct-for-children/

By entering your name in the box constitutes legal signature of this document and acknowledgement.

Parent/Guardian Signature

Students Name/Acknowledgement

St. Anthony of Padua Catholic Church

Welcoming all as we welcome Christ!

Religious Education Registration Form