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Open Registration 2022 - 2023

- Faith Formation, Youth Ministry

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- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Envelope Number REQUIRED Please fill out this field. Please enter valid data.
- Addresss REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Mother's/guardian Name
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Cel Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Religion
  
  Marital Status REQUIRED Please fill out this field.
  
  Child lives with
- Father's/guardian Name
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Cel Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Religion
  
  Marital Status REQUIRED Please fill out this field.
  
  Child lives with
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- NUMBER OF PERSON OTHER THAN PARENT/GUARDIAN PERMITTED TO PICK UP STUDENT EARLY: REQUIRED Please fill out this field. Please enter valid data.
- Person other than parents/guardian permitted to pick up students early REQUIRED Please fill out this field.
  
  Person 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  relationship REQUIRED Please fill out this field.
  
  PERSONS NOT PERMITTED TO PICK UP STUDENTS EARLY Please enter valid data.
  
  Person 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  relationship REQUIRED Please fill out this field.
  
  PERSONS NOT PERMITTED TO PICK UP STUDENTS EARLY Please enter valid data.
  
  Person 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  relationship REQUIRED Please fill out this field.
  
  PERSONS NOT PERMITTED TO PICK UP STUDENTS EARLY Please enter valid data.
- Number of Students to be registered REQUIRED Please fill out this field.
  
  Student 1
  
  When? Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date fo Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Family Name if different Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  School grade 2022-2023 REQUIRED Please fill out this field.
  
  Special Needs Please enter valid data.
  
  SPECIAL HEALTH CONDITIONS, CONCERNS, ALLERGIES, ETC. PLEASE INDICATE SYMPTOMS AND WHAT SHOULD BE DONE:
  
  Was the child baptized? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Has the child done his/her First Reconciliation? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Has the child received his/her First Communion? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  Student 2
  
  When? Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date fo Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Family Name if different Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  School grade 2022-2023 REQUIRED Please fill out this field.
  
  Special Needs Please enter valid data.
  
  SPECIAL HEALTH CONDITIONS, CONCERNS, ALLERGIES, ETC. PLEASE INDICATE SYMPTOMS AND WHAT SHOULD BE DONE:
  
  Was the child baptized? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Has the child done his/her First Reconciliation? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Has the child received his/her First Communion? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  Student 3
  
  When? Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date fo Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Family Name if different Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  School grade 2022-2023 REQUIRED Please fill out this field.
  
  Special Needs Please enter valid data.
  
  SPECIAL HEALTH CONDITIONS, CONCERNS, ALLERGIES, ETC. PLEASE INDICATE SYMPTOMS AND WHAT SHOULD BE DONE:
  
  Was the child baptized? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Has the child done his/her First Reconciliation? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Has the child received his/her First Communion? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  Student 4
  
  When? Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date fo Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Family Name if different Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  School grade 2022-2023 REQUIRED Please fill out this field.
  
  Special Needs Please enter valid data.
  
  SPECIAL HEALTH CONDITIONS, CONCERNS, ALLERGIES, ETC. PLEASE INDICATE SYMPTOMS AND WHAT SHOULD BE DONE:
  
  Was the child baptized? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Has the child done his/her First Reconciliation? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Has the child received his/her First Communion? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  Student 5
  
  When? Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date fo Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Family Name if different Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  School grade 2022-2023 REQUIRED Please fill out this field.
  
  Special Needs Please enter valid data.
  
  SPECIAL HEALTH CONDITIONS, CONCERNS, ALLERGIES, ETC. PLEASE INDICATE SYMPTOMS AND WHAT SHOULD BE DONE:
  
  Was the child baptized? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Has the child done his/her First Reconciliation? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Has the child received his/her First Communion? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  Student 6
  
  When? Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date fo Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Family Name if different Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  School grade 2022-2023 REQUIRED Please fill out this field.
  
  Special Needs Please enter valid data.
  
  SPECIAL HEALTH CONDITIONS, CONCERNS, ALLERGIES, ETC. PLEASE INDICATE SYMPTOMS AND WHAT SHOULD BE DONE:
  
  Was the child baptized? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Has the child done his/her First Reconciliation? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Has the child received his/her First Communion? REQUIRED Please fill out this field.
  
  When? Please enter a date.
  
  Where? (Name of the Church) Please enter valid data.
- Please indicate 1st, 2nd and 3rd choices of day & time according to availablity of your child(ren)'s desired class.
- First Choice REQUIRED Sunday at 8:45 AM to 10:00 AM Available Classes are : K, 1, 2, 4, 5, 6, RCIC 1 & 2 Monday 4:30 - 5:45 PM Available classes are: K, 4, 5, Confirmation 1, Confirmation 2 Monday 6:15 -7:30 PM Available classes are: 1, 2, 4, 5, 6, Confirmation 1 & 2, RCIC 1 & 2, High School 1 & 2 Wednesday 4:40 - 5:45 PM Available classes are: 1, 2, 4, 5, 6, Confirmation 1 & 2 Wednesday 6:15 - 7:30 PM Available classes are: 1, 2, 3, 4, 5, 6, Confirmation 1 & 2, RCIC 1 OR RCIC2 Home Study: Levels 1, 4, 5 and 6 only (NO SACRAMENTAL YEARS) Please fill out this field.
- Second Choice REQUIRED Sunday at 8:45 AM to 10:00 AM Available Classes are : K, 1, 2, 4, 5, 6, RCIC 1 & 2 Monday 4:30 - 5:45 PM Available classes are: K, 4, 5, Confirmation 1, Confirmation 2 Monday 6:15 -7:30 PM Available classes are: 1, 2, 3, 4, 5, 6, Confirmation 1 & 2, RCIC 1 & 2, High School 1 & 2 Wednesday 4:40 - 5:45 PM Available classes are: 1, 2, 4, 5, 6, Confirmation 1 & 2 Wednesday 6:15 - 7:30 PM Available classes are: 1, 2, 3, 4, 5, 6, Confirmation 1 & 2, RCIC 1 OR RCIC2. Home Study Levels: 1, 4, 5 & 6 Home Study: Levels 1, 4, 5 and 6 only (NO SACRAMENTAL YEARS) Please fill out this field.
- Third Choice REQUIRED Sunday at 8:45 AM to 10:00 AM Available Classes are : K, 1, 2, 4, 5, 6, RCIC 1 & 2 Monday 4:30 - 5:45 PM Available classes are: K, 4, 5, Confirmation 1, Confirmation 2 Monday 6:15 -7:30 PM Available classes are: 1, 2, 3, 4, 5, 6, Confirmation 1 & 2, RCIC 1 & 2, High School 1 & 2 Wednesday 4:40 - 5:45 PM Available classes are: 1, 2, 4, 5, 6, Confirmation 1 & 2 Wednesday 6:15 - 7:30 PM Available classes are: 1, 2, 3, 4, 5, 6, Confirmation 1 & 2, RCIC 1 OR RCIC2. Home Study Levels: 1, 4, 5 & 6 Home Study: Levels 1, 4, 5 and 6 only (NO SACRAMENTAL YEARS) Please fill out this field.
- PARENT/GUARDIAN ACKNOWLEDGMENT FORM
  
  I, as Parent or Legal Guardian, acknowledge that I have read the entire content of the Parent- Student Handbook and understand the consequences of any violations of the rules and policies of the Faith Formation Ministry. I agree to cooperate with the Faith Formation Ministry's interpretation and enforcement of the policies outlined in the handbook. I also understand that the Faith Formation Ministry has the ultimate authority over the administration of the ministry and the interpretation of the ministry's rules and policies. Moreover, I further understand that all the ministry's policies whether written or verbal are only guidelines and are subject to change at the sole discretion of the ministry with or without the sole discretion of the ministry with or without notice.
  
  Click here to read the Parent - Student Handbook
  
  By Clicking the checkbox I certify that I have read and agree to the terms in the Parent - Student Handbook
  I Agree Please select this field.
- Date REQUIRED Please fill out this field. Please enter a date.
- Mother's/Guardian email REQUIRED Please fill out this field. Please enter an email address.
- Father's/Guardian email REQUIRED Please fill out this field. Please enter an email address.
- Remarks I, as the parent/guardian, and my child agree to abide by the rules of Mary Help of Christians Faith Formation as outlined in the Family Handbook. By checking this box, I hereby grant Mary Help of Christians Church the right to use my child's photographic likeness for parish publications and distribution. I acknoledge that registration will not be processed until we have your child (ren)'s sacraments certificates and a working email and phone number of the parent/guardian.
- Name of parent/Guardian signing REQUIRED Please fill out this field. Please enter valid data.
- PARENT/GUARDIAN ACKNOWLEDGEMENT FORM.
  I, as Paent or Legal Guardian, acknolwledge that I have read th entire contents of the Parent-Student Handbook and understand the consecuences of any violations of the rules and policies of the Faith Formation Ministry. I agree to cooperate with the Faith Formation Ministry's interpretation and enforcement of the policies outlined in the handbook. I also understand that the Faith Formation Ministry has the ultimate authority over the administration of the ministry and the interpretation of the ministry's rules and policies. Moreover, I furthe understand that all the ministry's policies wheter written or verbal are only guidelines and are subject to change at the sole discretion of the ministry with or without notice.
  
  I have read and do accept the rules and regulations as printed in the handbook.
  I Agree Please select this field.
- Verify your email REQUIRED Please fill out this field. Please enter an email address.
- I Agree Please select this field.
Submit

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Open Registration 2022 - 2023

Please indicate 1st, 2nd and 3rd choices of day & time according to availablity of your child(ren)'s desired class.