| St. Patrick Catholic Church

|||

Facebook Phone YouTube Email Flocknote

- Faith Formation Registration Form PK-12 2021-2022
  
  Thank you for signing-up for our spKids and spStudents Programs.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Family Name REQUIRED Please fill out this field. Please enter valid data.
  
  Home Phone 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.
  
  Email REQUIRED Please fill out this field. Please enter valid data.
  
  Parent 1 Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent 1 Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Parent 2 Name Please enter valid data.
  
  Parent 2 Cell Phone Please enter valid data.
  
  Emergency Contact REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Cell REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Child Please enter valid data.
  
  Children REQUIRED Please fill out this field.
  
  Child 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date, Church, Town, State REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field. Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Sacramental Prep REQUIRED Please fill out this field.
  
  What food allergies does your child have? REQUIRED Please fill out this field. Please enter valid data.
  
  Does your child carry an EpiPen? REQUIRED Please fill out this field. Please enter valid data.
  
  Is there anything we need to know to make your child successful in Faith Formation?
  
  Child 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date, Church, Town, State REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field. Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Sacramental Prep REQUIRED Please fill out this field.
  
  What food allergies does your child have? REQUIRED Please fill out this field. Please enter valid data.
  
  Does your child carry an EpiPen? REQUIRED Please fill out this field. Please enter valid data.
  
  Is there anything we need to know to make your child successful in Faith Formation?
  
  Child 3
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date, Church, Town, State REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field. Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Sacramental Prep REQUIRED Please fill out this field.
  
  What food allergies does your child have? REQUIRED Please fill out this field. Please enter valid data.
  
  Does your child carry an EpiPen? REQUIRED Please fill out this field. Please enter valid data.
  
  Is there anything we need to know to make your child successful in Faith Formation?
  
  Child 4
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date, Church, Town, State REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field. Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Sacramental Prep REQUIRED Please fill out this field.
  
  What food allergies does your child have? REQUIRED Please fill out this field. Please enter valid data.
  
  Does your child carry an EpiPen? REQUIRED Please fill out this field. Please enter valid data.
  
  Is there anything we need to know to make your child successful in Faith Formation?
  
  Child 5
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date, Church, Town, State REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field. Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Sacramental Prep REQUIRED Please fill out this field.
  
  What food allergies does your child have? REQUIRED Please fill out this field. Please enter valid data.
  
  Does your child carry an EpiPen? REQUIRED Please fill out this field. Please enter valid data.
  
  Is there anything we need to know to make your child successful in Faith Formation?
  
  Child 6
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date, Church, Town, State REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field. Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Sacramental Prep REQUIRED Please fill out this field.
  
  What food allergies does your child have? REQUIRED Please fill out this field. Please enter valid data.
  
  Does your child carry an EpiPen? REQUIRED Please fill out this field. Please enter valid data.
  
  Is there anything we need to know to make your child successful in Faith Formation?
  
  Child 7
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date, Church, Town, State REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field. Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Sacramental Prep REQUIRED Please fill out this field.
  
  What food allergies does your child have? REQUIRED Please fill out this field. Please enter valid data.
  
  Does your child carry an EpiPen? REQUIRED Please fill out this field. Please enter valid data.
  
  Is there anything we need to know to make your child successful in Faith Formation?
  
  Child 8
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date, Church, Town, State REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field. Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Sacramental Prep REQUIRED Please fill out this field.
  
  What food allergies does your child have? REQUIRED Please fill out this field. Please enter valid data.
  
  Does your child carry an EpiPen? REQUIRED Please fill out this field. Please enter valid data.
  
  Is there anything we need to know to make your child successful in Faith Formation?
  
  Child 9
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date, Church, Town, State REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field. Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Sacramental Prep REQUIRED Please fill out this field.
  
  What food allergies does your child have? REQUIRED Please fill out this field. Please enter valid data.
  
  Does your child carry an EpiPen? REQUIRED Please fill out this field. Please enter valid data.
  
  Is there anything we need to know to make your child successful in Faith Formation?
  
  Child 10
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date, Church, Town, State REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field. Please enter valid data.
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Sacramental Prep REQUIRED Please fill out this field.
  
  What food allergies does your child have? REQUIRED Please fill out this field. Please enter valid data.
  
  Does your child carry an EpiPen? REQUIRED Please fill out this field. Please enter valid data.
  
  Is there anything we need to know to make your child successful in Faith Formation?
  
  Payment Method REQUIRED Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Thank you for your registration.
  Aileen Lemoine.
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
- Dear Parent or Guardian,
  
  We are so excited to be planning to be back in person classes starting in September of 2021! It has been a long time since we have all been together. Your children have grown and changed and we cannot wait to see them, be with them and pray with them again.
  
  Please check each of the grades your children are in for the most current information. If you have any questions, please email Aileen@mystpatricks.com.
  
  If you are enrolling your child in grades 2 or 11, we must have a copy of your child's Baptismal Certificate on record unless your child was baptized at St. Patrick's, than you are all set.
  
  Tuition: To pay with cash or check you can pay at the rectory in person of via mail. Payment Plan is available as well.
  
  We accept electronic payment for your convenience.
  
  Preschool and Kindergarten: $45.00 per child
  
  Registration plus retreat (Grades 2, 9, 10 and 11): $105.00 per child
  
  Grades 1,3,4,5,6,7, and 8: $65.00 per child
  
  PAY ONLINE
  Peace and God Bless,
  Aileen Lemoine
  Director of Student Ministries

Faith Formation Registration Form PK-12 2021-2022

PAY ONLINE