2021/22 Prince of Peace Faith Formation
Please fill out the following form to register your student(s) for faith formation for ALL grades. If you have questions or trouble, please contact Amy Lowe at 308.236.9171 or faithformation@kearneyprinceofpeace.org.

Registration Fees:  
$45.00/student  
$100.00 max/family
Scholarships are available.
                                             
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The parish we are registered at is: *
Parent/Guardian Name *
Address *
Please include City, State and Zip Code
Parent/Guardian 1 Phone Number *
Email Address *
If no email address, please enter 'none'.
Parent/Guardian 2 Name
Parent/Guardian 2 Address
If different from above.
Parent/Guardian 2 Phone Number
Email Address
Emergency Contact if parents cannot be reached *
Please include name, relationship to child and phone number.
I am interested in volunteering:
If interested, please list name and contact info.
Do you have a middle school or high school aged child that would like to volunteer?
List their name and contact below:
I grant permission for Prince of Peace to publish photos of my student(s) in the church's various forms of publications or the church's website. *
Required
Student 1 Registration *
Please include student's first and last name.
Does student 1 have allergies or medical concerns? *
Please list children's name along with allergies, or other important information (Dyslexia, ADD, extra sensitivities, etc.). Please leave blank if none. Children's Doctor Information Please include doctor name, clinic and phone number.
Class Choice Student 1 Elementary (K-5) *
Class Choice Student 1 Middle/High School *
Grade for 2021-2022 Year *
Gender
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What sacraments has your child received? *
Required
Where was your child baptized?  ***PLEASE submit a copy of the baptismal certificate IF baptized outside of Kearney.
Church, City, State
Do you have another student to enter? *
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