Faith Formation Registration

Company

This field is for validation purposes and should be left unchanged.

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Family Information

Father's Name

First Last

Father's Phone

Mother's Name

First Last Maiden

Mother's Phone

Status of Parents*

Are parents registered at St. Alphonsus?*

Yes
No

At what parish are the parents registered?

Name(s) of person(s) to receive mailed information*

Click the ‘+’ to add more

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Name(s) of person(s) to receive Electronic information*

Click the ‘+’ to add more

Name	Email	Text Message Address

Emergency Contact Name*

First Last

Relationship to Child*

Contact's Phone Number*

Family Registration Fee

St. Alphonsus Parishioner – $15.00
Non-Parishioner – $25.00

Tuition Per Child

1 child – $50.00
2 children – $95.00
3 or more children – $135.00

Family Fee*

Parishioner
Non-Parishioner

Tuition*

1 Child
2 Children
3+ Children

Total

Student Information

If your child is entering Grade 1 or is new to our program, we need to have a copy of his/her Baptismal Certificate unless he/she was Baptized at St. Alphonsus

Student Information

Name	Grade	Baptism Date & Parish (City, ST)	Eucharist Date & Parish (City, ST)

Do any of the students have any medical conditions we need to know?

Please include the name of the student and medical condition if applicable