Sacramental Formation Sacramental Formation Family Last Name * Mother / Guardian First Name * Mother / Guardian Best Contact Number * Mother / Guardian Email Address * Father / Guardian Fist Name Father / Guardian Best Contact Number Father / Guardian Email Address Child(ren) reside with * Both Parents Mother Father Guardian What is your prefferred email? * Mother / Guardian email Father / Guardian email If none is marked the mother's email will be used Street Address * City, State Zip * Home Phone Number 1st Child Information Child's Full Name (First Middle Last - to be used on certificate) * Child's Nickname or preferred name School child is attending * (i.e. 7th District) Location of Baptism Date of Baptism (Month/Day/Year) Child's Email Address (if teenager) Child's Cell Phone Number (if teenager) Please check which programs you are registering for: First Reconciliation (Confession) - $40 First Eucharist (Communion) - $40 Confirmation Year #1 (non-Catholic HS) - $150 Confirmation Year #2 - $150 2nd Child Information Only needed if signing up more than one child at a time Child's Full Name (First Middle Last - to be used on certificate) Use LAST name only if different from family name. Child's Nickname or preferred name School child is attending (i.e. 7th District) Location of Baptism Date of Baptism (Month/Day/Year) Child's Email Address (if teenager) Child's Cell Phone Number (if teenager) Please check which programs you are registering for: First Reconciliation (Confession) - $40 First Eucharist (Communion) - $40 Confirmation Year #1 (non-Catholic HS) - $150 Confirmation Year #2 - $150 Parent Signature * Please type full name Consent * I agree By submitting this form, I agree that I have read and completed all information. Additionally, I hereby grant permission for my child(ren) to be photographed and/or videotaped during Religious Eduation, and I allow my child(ren) to participate in Family Life/Create to Love. Before you submit this information please add up your total costs because you will need to enter them on the payment page. If you are human, leave this field blank. Submit