Battenkill Catholic Lifelong Faith
Home
Ordinary Time
Prayer and Worship
Adults
Teens
Families
Sacraments
Registration - Family Faith Formation
*
Indicates required field
Please select your parish:
*
Holy Cross Church, Salem
Immaculate Conception Church, Hoosick Falls
St. Patrick's Church, Cambridge
Name of Parent or Guardian #1
*
First
Last
[object Object]
Name of Parent or Guardian #2
*
First
Last
Child #1
*
First
Last
Date of Birth
*
Date and Place of Baptism
*
School
*
Grade
*
Child #2
*
First
Last
Date of Birth
*
Date and Place of Baptism
*
School
*
Grade
*
Child #3
*
First
Last
School
*
Date of Birth
*
Date and Place of Baptism
*
Grade
*
Please list names and ages of any additional children.
*
Home Address
*
Line 1
Line 2
City
State
Zip Code
Country
Parent/Guardian #1 Email
*
Parent/Guardian #2 Email
*
Home Phone Number
*
Parent/Guardian #1 Cell Phone Number
*
Parent/Guardian #2 Cell Phone Number
*
Emergency Contact
*
First
Last
Phone Number
*
Please list any allergies or medical needs.
*
Please explain any custody issues that we should know about in order to serve your family.
*
Please list any special learning needs or anything else we need to know about any of your children to improve their experience in Faith Formation.
*
Parent or Guardian would like to volunteer to help with the faith formation program by:
*
Bringing snack on special occasions.
Helping to prepare materials for an occasional craft project.
Serving as a gatekeeper. (Unlock, meet and greet.)
Serving as a substitute teacher.
Taking photos of program events.
Other special skill (Please describe in the Comment box below.
Comment
*
Permission to participate in group video calls (Zoom).
*
I hereby give my permission for my child to participate in group video calls (Zoom).
Permission for Photographs/Videotapes/Films
*
I hereby authorize and give my consent for the taking of pictures (moving or still) of my child and further give my permission for their reproduction for teaching purposes, news release, publication, or community awareness programs.
Is there any other way we can be of assistance to your child or family?
*
Date
*
Signature
*
Submit