2023/2024 Faith Formation Registration

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Albany Diocese Churches of Sacred Heart, Cairo, Our Lady of Knock, East Durham, St. John the Baptist, Greenville, and St. Theresa of the Child Jesus, Windham

Email *

Parish *

Family Last Name:
*

Father's Name

Father's Cell / Work

Mother's Name

Mother's Cell / Work

Mother's Maiden

Primary Adult Contact and Phone Number *

Home Phone

Home Address *

Emergency Contact and Emergency Phone
*

Student's Name *

Student's Date of Birth
*

YYYY

Child's School and Grade Entering 2023 *

Sacraments Received

Baptism

First Reconciliation (Confession)

First Holy Eucharist (Communion)

Confirmation

Baptism Church and Date

List and explain any food allergies, drug allergies, medical/behavioral conditions or medications student is taking that FF adults need to know about - or type 'none'
*

List any adults that are allowed to pick up your student. NOTE: students K-4 will be returned to an adult/older sibling in church. Students in 5-12th grade may be released to leave the building when class is complete.

If there is a custody/court document that prohibits certain people from picking up your student, please list those names here - and provide hard copy of information as soon as possible.

Is there a way your family would like to support the FF program? Check all that apply.

Catechist

Catechist Helper (assist catechist during class)

Substitute Catechist

Program Helper (support during class time outside of class)

Door Monitor/Gate Keeper/Hallway Monitor

Music

Weekday Assistant for paperwork or class setup

Baking or donating store-baked goods and/or drinks when needed

Donating office supplies and/or school supplies (accepted anytime)

Not at this time

Other:

Signature giving permission for FF staff and volunteers to take photos of my student that may be used in the Church Newsletters, FB pages or Intagram
*

Yes

If a child needs emergency care, a representative of the Faith Formation program will notify parents/guardians.
In the event a parent/guardian cannot be reached, the parent or legal guardian signing this form authorizes the employees, representatives and chaperons of Sacred Heart, Cairo/Our Lady of Knock, East Durham/St. John the Baptist, Greenville/St. Theresa of the Child Jesus, Windham to obtain emergency medical treatment, should it become necessary.
*

Understood and agree

Need more information.

I consent and give permission for my child’s participation and attendance in the faith formation program including our Safe Environment session.
*

Yes

There is a program cost for 5th-12th Grade:

$35 for 1 child, $65 for 2 children, $90 for 3 children, $100 max for family

Please mark if you agree to pay this or if there are any hardships and you are unable to.

(Please remember there are scholarships available, and NO ONE should miss out due to financial hardships! Please do not let this stop you from registering.)

Agree to cost

Unable at this time

Staff/Program Volunteer (no cost)

Other:

Required

Electronic Signature
*

Send me a copy of my responses.

Submit

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