Faith Formation Registration 2024-25

Register for Faith Formation online! If you have any questions, please contact the Faith Formation Office.

"*" indicates required fields

Family Information

Parent 1 Name*

First Last

Parent 2 Name

First Last

Parent 1 Cell Phone*

Parent 2 Cell Phone

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Add another parent who has a different address?

Yes

Parent Name

First Last

Parent Name

First Last

Parent 1 Cell Phone

Parent 2 Cell Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

We are registered parishioners of

Blessed Sacrament

Assumption

St. Brigid

Other

What church do you belong to?

I am interested in volunteering with

Elementary

Middle School

High School

Student Information

Name*

First Last

Student Email (if applicable)

Gender*

Date of birth*

Age*

School in the fall*

Grade*

Please check the programs your child is interested in:

If you are interested in the Youth 2 Youth Team or High School Outreach Team, you will be contacted about sign ups.

Sunday Night Youth Ministry

Youth 2 Youth Retreat Team (must have attended the retreat)

High School Outreach Team

YM Friend Request

Mark Sacraments Needed

Please select all that apply

Baptism

First Eucharist

Confirmation

Reconciliation

Allergies & Other Medical Information

Medicine son/daughter is now taking

List Special Needs

Add another child?

Yes

Name*

First Last

Student Email (if applicable)

Gender*

Date of birth*

Age*

School in the fall*

Grade*

Please check the programs your child is interested in:

If you are interested in the Youth 2 Youth Team or High School Outreach Team, you will be contacted about sign ups.

Sunday Night Youth Ministry

Youth 2 Youth Retreat Team (must have attended the retreat)

High School Outreach Team

YM Friend Request

Mark Sacraments Needed

Please select all that apply

Baptism

First Eucharist

Confirmation

Reconciliation

Allergies & Other Medical Information

Medicine son/daughter is now taking

List Special Needs

Add another child?

Yes

Name*

First Last

Student Email (if applicable)

Gender*

Date of birth*

Age*

School in the fall*

Grade*

Please check the programs your child is interested in:

If you are interested in the Youth 2 Youth Team or High School Outreach Team, you will be contacted about sign ups.

Sunday Night Youth Ministry

Youth 2 Youth Retreat Team (must have attended the retreat)

High School Outreach Team

YM Friend Request

Mark Sacraments Needed

Please select all that apply

Baptism

First Eucharist

Confirmation

Reconciliation

Allergies & Other Medical Information

Medicine son/daughter is now taking

List Special Needs

Add another child?

Yes

Name*

First Last

Student Email (if applicable)

Gender*

Date of birth*

Age*

School in the fall*

Grade*

Please check the programs your child is interested in:

If you are interested in the Youth 2 Youth Team or High School Outreach Team, you will be contacted about sign ups.

Sunday Night Youth Ministry

Youth 2 Youth Retreat Team (must have attended the retreat)

High School Outreach Team

YM Friend Request

Mark Sacraments Needed

Please select all that apply

Baptism

First Eucharist

Confirmation

Reconciliation

Allergies & Other Medical Information

Medicine son/daughter is now taking

List Special Needs

Emergency/Insurance Information

Emergency Contact Name*

Emergency Contact Phone*

Emergency Contact Relationship to child(ren)*

Family Physician*

Physician Phone*

Health Insurance Company*

Policy/Contract Number*

Do any of your children have different insurance information?

Yes

Child(ren)'s Name(s)

Family Physician

Physician Phone

Health Insurance Company

Policy/Contract Number

Medical Release

E-Signature*

By typing your name, you are signing this Form electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Form. By typing your name using any device, means or action, you consent to the legally binding terms and conditions of this Form. You further agree that your signature on this document (hereafter referred to as your “E-Signature”) is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and Blessed Sacrament. You are also confirming that you are the parent/guardian authorized to enter into this Agreement.

Media Release

During the course of the year we will be taking photographs, videotaping, and/or voice taping individuals.*
This form allows you an opportunity to indicate if you do, or do not, want your child photographed, videotaped, and/or voice taped at various activities within the parish or on group outings outside of the parish.

* Pictures may be used by Blessed Sacrament Parish to highlight current events in the following ways: Parish bulletin, website, brochures, and in PowerPoint slide shows.

Please select one:*

Student Name(s)*

Please include the names of all students of your family who are registered for Faith Formation and Youth Ministry

Parent/Guardian E-Signature

Date (This consent must be re-examined and signed each year)

Name

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