User Log On

Faith Formation Registration Faith Formation Registration

PhotoPhotoPhotoPhotoPhotoPhotoPhotoPhotoPhotoPhoto
PhotoPhotoPhotoPhotoPhotoPhotoPhotoPhotoPhotoPhoto
Photo 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?