REGISTRATION FORM
REGION 2 FAITH FORMATION / GRADES K - 5
One Child
Two or more Children
Family Information



(if different from Family Name)


(or person child/children live with if different from above)

Student Information
(Include last name if different from family name)
Check Sacraments Received
Baptism
Penance
Eucharist
Confirmation
Check who this child lives with.
Mother
Father
Shared Custodial Parent
Please include helpful information about learning difficulties, allergies and immediate treatment, physical or health needs, separation/divorce or other family circumstances of which you feel we should be made aware. These considerations are only shared with faith formation staff and teachers.
(ie: internet access, laptop or tablet, etc.)
Payer Information
A receipt will be e-mailed to this address.
ALL MAJOR CREDIT CARDS ACCEPTED
All Major Credit Cards
Please Note:
You may pay with a credit or debit card at the PayPal screen even if you don't have an account.

Please click Proceed to Confirmation below to pay with a credit card on the next page. No PayPal account is required.
Your Payment Information

PayPal

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