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Family Faith Formation
1st Year Registration

- The maximum number of form submissions has been reached. This form is currently not available.
  
  This is for first year families beginning their formation for First Reconciliation and First Communion.
  
  Which day and time are you signing up for? REQUIRED Please fill out this field.
  
  Child's Information
  
  Children 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.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade in 2023-2024 REQUIRED Please fill out this field.
  
  Has your child been Baptized? REQUIRED Please fill out this field.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  
  Name & Address of Church of Baptism 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.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade in 2023-2024 REQUIRED Please fill out this field.
  
  Has your child been Baptized? REQUIRED Please fill out this field.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  
  Name & Address of Church of Baptism 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.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade in 2023-2024 REQUIRED Please fill out this field.
  
  Has your child been Baptized? REQUIRED Please fill out this field.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  
  Name & Address of Church of Baptism 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.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade in 2023-2024 REQUIRED Please fill out this field.
  
  Has your child been Baptized? REQUIRED Please fill out this field.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  
  Name & Address of Church of Baptism 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.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade in 2023-2024 REQUIRED Please fill out this field.
  
  Has your child been Baptized? REQUIRED Please fill out this field.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  
  Name & Address of Church of Baptism REQUIRED Please fill out this field.
  
  Father's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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.
  
  Father's Religion REQUIRED Please fill out this field.
  
  Father's Martial Status REQUIRED Please fill out this field.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mother's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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.
  
  Mother's Religion REQUIRED Please fill out this field.
  
  Mother's Martial Status REQUIRED Please fill out this field.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Emergency Information
  
  Emergency Contact Name (Cannot be the Child's Parent) REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Relationship with the Child REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Health Insurance Provider REQUIRED Please fill out this field. Please enter valid data.
  
  Health Insurance Policy Number REQUIRED Please fill out this field. Please enter valid data.
  
  Name of Family Pediatrician REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Please provide any special Medical History, Allergies, Dietary Restrictions, or Information applicable to your Child REQUIRED Please fill out this field.
  
  Acknowledgements
  
  By checking the following boxes, you provide your consent for the following statements:
  
  I am aware that the teachings of the Catholic Church will be covered in formation for First Reconciliation and First Communion REQUIRED Acknowledgement Please fill out this field.
  
  I authorize members of Saint Kateri to communicate with us via email and phone for ministerial purposes REQUIRED Acknowledgement Please fill out this field.
  
  I am aware that my Child will be presented the "Empowering God's Children Program" from the Archdiocese. More information is available upon request REQUIRED Acknowledgement Please fill out this field.
  
  I am aware that I will need to sign the Archdiocese's Youth Activity Permission Form in order to participate in Family Faith Formation REQUIRED Acknowledgement Please fill out this field.
  
  I am aware that I will need to sign the Archdiocese's Parent Image Release for Minors so that members of Family Faith Formation can take photos and videos throughout the process (retreat videos etc.) for internal purposes only REQUIRED Acknowledgement Please fill out this field.
  
  I am aware that in order to complete all administrative requirements for Family Faith Formation after registration I must: REQUIRED Pay the Family Faith Formation Fee of $95 Sign Required Archdiocesan Permission Forms Submit a Copy of My Child's Baptismal Certificate to the Faith Formation Office Please fill out this field.
  
  Submit
  
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- Links
  
  Pay Here
  
  Archdiocesan Permission Form
- Questions? Contact Us
  
  Mindy Irwin
  
  Coordinator of Family Faith Formation
  
  661-296-6945 x7903
  mirwinsaintkateriparish-scv.org
  
  Lori Hanlon
  
  Faith Formation Secretary & Liturgical Event Coordinator
  
  661-296-3180 X 7901
  lhanlonsaintkateriparish-scv.org

Family Faith Formation 1st Year Registration

Family Faith Formation
1st Year Registration