Registration forms are completed annually for accurate family information. Please complete this form in its entirety.
Date (mm/dd/yyyy)
Family Last Name
Address
Father's Full Name
Email
Phone (xxx-xxx-xxxx)
Religion
Mother's Full Name
Email
Phone (xxx-xxx-xxxx)
Religion
Child 1 Information Full Name
Date of Birth (mm/dd/yyyy)
Sex
Baptized
Church of Baptism
City/State
Other Sacraments Received
2025/2026 Grade in School
Last Grade and Year of Faith Formation Completed
Child 2 Information Full Name
Date of Birth (mm/dd/yyyy)
Sex
Baptized
Church of Baptism
City/State
Other Sacraments Received
2025/2026 Grade in School
Last Grade and Year of Faith Formation Completed
Child 3 Information Full Name
Date of Birth (mm/dd/yyyy)
Sex
Baptized
Church of Baptism
City/State
Other Sacraments Received
2025/2026 Grade in School
Last Grade and Year of Faith Formation Completed
Child 4 Information Full Name
Date of Birth (mm/dd/yyyy)
Sex
Baptized
Church of Baptism
City/State
Other Sacraments received
Last Grade and Year of Faith Formation Completed
2025/2026 Grade in School
Child 5 Information Full Name
Date of Birth (mm/dd/yyyy)
Sex
Baptized
Church of Baptism
City/State
Other Sacraments Received
2025/2026 Grade in School
Last Grade and Year of Faith Formation Completed
Health/Educational Considerations Please list any special health, safety or educational considerations: food allergies, medications, history of seizures, allergies, IEP/learning needs. Name of child(ren) and considerations
Emergency Contact This person must be someone other than parent/guardian
Full Name
Phone Number (xxx-xxx-xxxx)
Relationship to child
Other Approved Pick Up Person-Full Name
Phone Number (xxx-xxx-xxxx)
Relationship to Child
Acknowledgements I acknowledge that by typing my name in each of the concurrence boxes below, that it has the same effect/authority as my signature.
Drop-off / Pick- up I acknowledge that my child will only be released to me or to my approved pick-up person (above) at the end of each session and that I will drop-off and pick-up my child in the Parish Hall.
I Agree (place your name in the box below)
Student Driver:
Name of Youth Driver
I Agree (place your name in the box below)
Medical Release As parent/guardian, I give my permission to the Adult Advisors or their designees to request usual and customary medical/safety services for my child(ren) if needed at any Faith Formation/Youth Ministry activity in which my child(ren) participates with the understanding that I will cover all such emergency costs not covered by my insurance.
I Agree (place your name in the box below)
Photo/Video Permission As Parent/guardian, I understand that I need to notify the Faith Formation Office in writing that I DO NOT WANT PICTURES/VIDEOS (individual or group) of my child taken during sessions or parish events throughout their enrollment in SEAS Faith Formation/Youth Ministry/Parish Activities.
I Agree (place your name in the box below)
Name of Parent/Guardian who completed this form
Volunteer Opportunities Would you be interested in volunteering for any of the following roles?
Check any areas of interest
