User Log On

Faith Formation Registration Faith Formation Registration

PhotoPhotoPhotoPhotoPhotoPhotoPhotoPhotoPhoto
PhotoPhotoPhotoPhotoPhotoPhotoPhotoPhotoPhoto
Photo Photo Photo Photo Photo Photo Photo Photo Photo
Are you Registered in the Parish?
IF NOT, fill out a parish registration form and return it with your Faith Formation Registration Form
Yes No
Title
Last (Family) Name*
Father's First Name
Mother's First Name
Mother's Maiden Name
Family Address*
City and Zip Code*
Phone 1*
Phone 2
Email Address *Required**
Emergency Contact Name
In Case of Emergency when parents cannot be reached, call:
Emergency Contact Number
Emergency Contact Address
Emergency Contact Relationship to Child
Student Name
Student Date of Birth
Student Age
Date and Place of Baptism
** Note - Include copies of Baptismal Certificates of children not baptized at St. Brendan on the Lake if they are new to our program.
Student Grade as of 9/2018
School Attending
Has your child received Reconciliation?
Has your child received First Eucharist?
Has your child been Confirmed?
Please list any Disabilities/Learning Accommodations/Special Needs your child has
Has your child attended Religious Education previously?
Yes No
If yes, where?
Student #2 Name
Student #2 Date of Birth
Student #2 Age
Date and Place of Baptism
** Note - Include copies of Baptismal Certificates of children not baptized at St. Brendan on the Lake if they are new to our program.
Student #2 Grade as of 9/2018
Student #2 School Attending
Has Student #2 received Reconciliation?
Has Student #2 received Eucharist?
Has Student #2 been Confirmed?
Please list any Disabilities/Learning Accommodations/Special Needs Student #2 has
Has student #2 attended Religious Education before?
Yes No
If yes, where?
Student #3 Name
Student #3 Date of Birth
Student #3 Age
Date and Place of Baptism
** Note - Include copies of Baptismal Certificates of children not baptized at St. Brendan on the Lake if they are new to our program.
Student #3 Grade as of 9/2018
Student #3 School Attending
Has Student #3 received Reconciliation?
Has student #3 received Eucharist?
Has Student #3 been Confirmed?
Please list any Disabilities/Learning Accommodations/Special Needs Student #3 has
Has Student #3 attended Religious Education before?
Yes No
If yes, where?
Student #4 Name
Student #4 Date of Birth
Student #4 Age
Date and Place of Baptism
** Note - Include copies of Baptismal Certificates of children not baptized at St. Brendan on the Lake if they are new to our program.
Student #4 Grade as of 9/2018
Student #4 School Attending
Has Student #4 received Reconciliation?
Has student #4 received Eucharist?
Please list any Disabilities/Learning Accommodations/Special Needs student #4 has
Has Student #4 attended Religious Education before?
Yes No
If yes, where?