Children &amp; Youth Faith Formation Registration

Family Information

Father:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Cell Phone Number Please enter valid data.

Mother:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Family Contact Information:

Mailing Address 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.

Emergency Contact

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 Please fill out this field. Please enter a phone number.

Relationship to Child REQUIRED Please fill out this field. Please enter valid data.

Child Information

Number of Children Registering REQUIRED Please fill out this field.
Child 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Current School Please enter valid data.
- Current Grade
- Sacramental Information
- Check all Sacraments Received ? (Click all that apply) REQUIRED Baptism (Yes) Baptism (No) 1st Communion (Yes) 1st Communion (No) Confirmation (Yes) Confirmation (No) Please fill out this field.
- If Yes to any of the above - Where? Please enter valid data.
- Students receiving the sacraments of First Reconciliation, First Communion or Confirmation, unless baptized at St. Anthony's, must furnish a copy of their baptismal certificate.
- Did your child attend Christian Formation in this parish last year? Yes No
- If, yes, what grade or class Please enter valid data.
- If, no, did he/she attend somewhere else? Yes No
- If, yes, where did he/she attend? Please enter valid data.
- Allergies
- Class type REQUIRED Please fill out this field.
Child 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Current School Please enter valid data.
- Current Grade
- Sacramental Information
- Check all Sacraments Received ? (Click all that apply) REQUIRED Baptism (Yes) Baptism (No) 1st Communion (Yes) 1st Communion (No) Confirmation (Yes) Confirmation (No) Please fill out this field.
- If Yes to any of the above - Where? Please enter valid data.
- Students receiving the sacraments of First Reconciliation, First Communion or Confirmation, unless baptized at St. Anthony's, must furnish a copy of their baptismal certificate.
- Did your child attend Christian Formation in this parish last year? Yes No
- If, yes, what grade or class Please enter valid data.
- If, no, did he/she attend somewhere else? Yes No
- If, yes, where did he/she attend? Please enter valid data.
- Allergies
- Class type REQUIRED Please fill out this field.
Child 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Current School Please enter valid data.
- Current Grade
- Sacramental Information
- Check all Sacraments Received ? (Click all that apply) REQUIRED Baptism (Yes) Baptism (No) 1st Communion (Yes) 1st Communion (No) Confirmation (Yes) Confirmation (No) Please fill out this field.
- If Yes to any of the above - Where? Please enter valid data.
- Students receiving the sacraments of First Reconciliation, First Communion or Confirmation, unless baptized at St. Anthony's, must furnish a copy of their baptismal certificate.
- Did your child attend Christian Formation in this parish last year? Yes No
- If, yes, what grade or class Please enter valid data.
- If, no, did he/she attend somewhere else? Yes No
- If, yes, where did he/she attend? Please enter valid data.
- Allergies
- Class type REQUIRED Please fill out this field.
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Current School Please enter valid data.
- Current Grade
- Sacramental Information
- Check all Sacraments Received ? (Click all that apply) REQUIRED Baptism (Yes) Baptism (No) 1st Communion (Yes) 1st Communion (No) Confirmation (Yes) Confirmation (No) Please fill out this field.
- If Yes to any of the above - Where? Please enter valid data.
- Students receiving the sacraments of First Reconciliation, First Communion or Confirmation, unless baptized at St. Anthony's, must furnish a copy of their baptismal certificate.
- Did your child attend Christian Formation in this parish last year? Yes No
- If, yes, what grade or class Please enter valid data.
- If, no, did he/she attend somewhere else? Yes No
- If, yes, where did he/she attend? Please enter valid data.
- Allergies
- Class type REQUIRED Please fill out this field.
Child 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Current School Please enter valid data.
- Current Grade
- Sacramental Information
- Check all Sacraments Received ? (Click all that apply) REQUIRED Baptism (Yes) Baptism (No) 1st Communion (Yes) 1st Communion (No) Confirmation (Yes) Confirmation (No) Please fill out this field.
- If Yes to any of the above - Where? Please enter valid data.
- Students receiving the sacraments of First Reconciliation, First Communion or Confirmation, unless baptized at St. Anthony's, must furnish a copy of their baptismal certificate.
- Did your child attend Christian Formation in this parish last year? Yes No
- If, yes, what grade or class Please enter valid data.
- If, no, did he/she attend somewhere else? Yes No
- If, yes, where did he/she attend? Please enter valid data.
- Allergies
- Class type REQUIRED Please fill out this field.

Photography/Video Waiver

I, we understand that video or pictures maybe taken of our child/children and used for advertising, promotions and public relations purposes. Example being but not limited to bulletin boards, flyers, videos, slide shows, Facebook, Twitter, Instagram and web site of St. Anthony's Parish. First names only will be posted on the web site. I, we further understand that we are not entitled to any compensation if a picture is used. Please sign below stating you do or do not give permission for the use of your child's/children's pictures.

Photo/Video Waiver REQUIRED Please fill out this field.

Safe Environment Training

I, we understand that the Safe Environment training will be held during regular Faith Formation classes and the attendance is optional; however, it is recommended by the Diocese of Amarillo. The material discussed in the training helps teach the child how to stay safe and what to do if he/she is put in a bad situation. Parents may attend this class with your child and you are encouraged to do so.

Safe Environment Training Waiver REQUIRED Please fill out this field.

Volunteer Opportunities

Child and Youth Ministry cannot function or continue to grow without the efforts and talents of a community of people. We ask that you pray and reflect on the gifts God has given you and your family and consider where you can best share your time and talents with the youth of our parish.

Please check one if your are interested in volunteering Catechist Catechist Helper Substitute

If so, please give your name and phone number Please enter valid data.

After completing this form, please take to the parish office a copy of your child/children's Baptismal certificate (s), unless you have already done so, and payment of registration by Sept. 30th.

I realize by enrolling my child/children in this formal Catechetical process that it is my resposibility to work with the directors and catechist to witness my Catholic Faith, to reinforce the teaching of the Catholic Church in our home, and attend Sunday Mass weekly.

Registered Parish Family REQUIRED Yes No (If No, please come by the parish office and register) Please fill out this field.

Date REQUIRED Please fill out this field. Please enter a date.

I Agree Please select this field.

St Anthony of Padua
Catholic Church

Dalhart, TX

Children & Youth Faith Formation Registration