Faith Formation Registration

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Please Use this form to register children ages 5 through 19; all others please use OCIA registration form.

FAITH FORMATION REGISTRATION FORM

FAITH FORMATION

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Faith Formation Registration

Child's First Name

Child's Last Name

Address:

City/State

Zip Code

Father's Name

Mother's Name

Where Do You Attend School?

Grade

Child's Date Of Birth

Phone:

Parent's Email:

Is this your child's FIRST year in Faith Formation

YES, This is my child's first year in Faith Formation

NO, my child has attended before

If NO, please tell us the last grade attended

Are you a registered member of our parish?

Yes

If No, Please tell us where you are registered

Has Your Child Been Baptized Catholic?

Yes

If Yes, What Church Was Your Child Baptized?

Has Your Child Made First Holy Communion?

Yes

If Yes, Where Was The Sacrament Received?

Do You Give Permission For Your Child To Be Photographed?

Yes

Do You Give Permission For Your Child To Receive Emergency Treatment?

Yes

Name and Phone Number of Your Doctor

Emergency Contact Name & Phone Number

Field label

Yes, I want my child to participate in Circle Of Grace

NO, I do NOT want my child to participate in Circle of Grace

Thank you for contacting us.

Please Bring A Copy Of Your Child's

Birth Certificate and Baptism Certificate to the office.

REGISTRATION IS NOT COMPLETE UNTIL THE REGISTRATION HAS BEEN PAID:

$65 PER CHILD OR $130 PER FAMILY.

Credit/Debit Cards are available for your convenience.

Please Come By The Office.

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Our Location

532 Avenue M NW
Winter Haven, FL 33881

863-294-3144

Office Hours

Monday–Thursday: 8:00 am – 4:00 pm

Friday: 8:00 am – 3:00 pm

Closed For Lunch: Noon until 1 pm.

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