Faith Formation Registration&lt;br&gt;

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Primary Email REQUIRED Please fill out this field. Please enter valid data.

Church Registration Status REQUIRED Please fill out this field.

Child/ren live with REQUIRED Please fill out this field.

If child/ren live with a guardian, provide name: Please enter valid data.

Father name REQUIRED Please fill out this field. Please enter valid data.

Father's Address REQUIRED Please fill out this field. Please enter valid data.

Father's Phone REQUIRED Please fill out this field. Please enter valid data.

Father's Email Please enter valid data.

Mother's Name Please enter valid data.

Mother's Phone REQUIRED Please fill out this field. Please enter valid data.

Mother's Email REQUIRED Please fill out this field. Please enter valid data.

Mother's Address (if different) Please enter valid data.

In event of emergency and parents/legal guardian cannot be reached contact: Provide name and phone number REQUIRED Please fill out this field.

Who is authorized to pick child(ren) up from faith formation: (Provide names) REQUIRED Please fill out this field.

Number of children registered for Faith Formation REQUIRED Please fill out this field.
Child 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Age of Child as of Sept. 15, 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School Please enter valid data.
- Grade in School (23/24 school year) REQUIRED Please fill out this field. Please enter valid data.
- My Child needs Sacramental Preparation for this year REQUIRED None Baptism First Reconcilliation/Eucharist Confirmation Please fill out this field.
- Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconcilliation ( Confession) First Communion Please fill out this field.
- Name & address of church where child was baptized. REQUIRED
  Copy of Baptism Certificate is also Required
  Please fill out this field.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- If received First Reconcilliation, at which church? Please enter valid data.
- If received First Holy Communion, at which church? Please enter valid data.
- If child received Confirmation, what church? Please enter valid data.
- Please provide a copy or email a photo of your child's completed sacraments to [email protected]
- Did child previously complete 1st grade of above in Faith Formation classes LAST school year? If yes, where? REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? (allergies, medical, physical)
- Do you give permission for your child to be included in such publicity releases/photos/videos?
- Promotional Media Release
  During the Faith Formation Program Year, St. Peter the Apostle Catholic Church may participate in videotape, motion picture, audio recording or still photograph productions that involve the use of students’ names, likenesses or voices. Such productions may be used for educational or exhibition purposes by St. Peter the Apostle Catholic Church in perpetuity and may be copied, copyrighted, edited and distributed by St. Peter the Apostle Catholic Church in perpetuity unless said consent is revoked in writing.
  
  News media, including representatives of television, radio, newspapers and magazines, also often are permitted on parish property and may take notes, still, photos, sound recordings and/or moving pictures that may include your child. These items may appear or be used in news or feature stories by print, television or radio media.
  You have the right to object to the use of your child’s name, picture or voice in these productions and may do so by completing the form below and returning it to the Parish Director of Faith Formation for St. Peter the Apostle Catholic Church.
  
  If you have any questions, please contact the Faith formation office at:
  727-264-8968 / [email protected]. Please return this form by September 18, 2023.
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Age of Child as of Sept. 15, 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School Please enter valid data.
- Grade in School (23/24 school year) REQUIRED Please fill out this field. Please enter valid data.
- My Child needs Sacramental Preparation for this year REQUIRED None Baptism First Reconcilliation/Eucharist Confirmation Please fill out this field.
- Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconcilliation ( Confession) First Communion Please fill out this field.
- Name & address of church where child was baptized. REQUIRED
  Copy of Baptism Certificate is also Required
  Please fill out this field.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- If received First Reconcilliation, at which church? Please enter valid data.
- If received First Holy Communion, at which church? Please enter valid data.
- If child received Confirmation, what church? Please enter valid data.
- Please provide a copy or email a photo of your child's completed sacraments to [email protected]
- Did child previously complete 1st grade of above in Faith Formation classes LAST school year? If yes, where? REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? (allergies, medical, physical)
- Do you give permission for your child to be included in such publicity releases/photos/videos?
- Promotional Media Release
  During the Faith Formation Program Year, St. Peter the Apostle Catholic Church may participate in videotape, motion picture, audio recording or still photograph productions that involve the use of students’ names, likenesses or voices. Such productions may be used for educational or exhibition purposes by St. Peter the Apostle Catholic Church in perpetuity and may be copied, copyrighted, edited and distributed by St. Peter the Apostle Catholic Church in perpetuity unless said consent is revoked in writing.
  
  News media, including representatives of television, radio, newspapers and magazines, also often are permitted on parish property and may take notes, still, photos, sound recordings and/or moving pictures that may include your child. These items may appear or be used in news or feature stories by print, television or radio media.
  You have the right to object to the use of your child’s name, picture or voice in these productions and may do so by completing the form below and returning it to the Parish Director of Faith Formation for St. Peter the Apostle Catholic Church.
  
  If you have any questions, please contact the Faith formation office at:
  727-264-8968 / [email protected]. Please return this form by September 18, 2023.
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Age of Child as of Sept. 15, 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School Please enter valid data.
- Grade in School (23/24 school year) REQUIRED Please fill out this field. Please enter valid data.
- My Child needs Sacramental Preparation for this year REQUIRED None Baptism First Reconcilliation/Eucharist Confirmation Please fill out this field.
- Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconcilliation ( Confession) First Communion Please fill out this field.
- Name & address of church where child was baptized. REQUIRED
  Copy of Baptism Certificate is also Required
  Please fill out this field.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- If received First Reconcilliation, at which church? Please enter valid data.
- If received First Holy Communion, at which church? Please enter valid data.
- If child received Confirmation, what church? Please enter valid data.
- Please provide a copy or email a photo of your child's completed sacraments to [email protected]
- Did child previously complete 1st grade of above in Faith Formation classes LAST school year? If yes, where? REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? (allergies, medical, physical)
- Do you give permission for your child to be included in such publicity releases/photos/videos?
- Promotional Media Release
  During the Faith Formation Program Year, St. Peter the Apostle Catholic Church may participate in videotape, motion picture, audio recording or still photograph productions that involve the use of students’ names, likenesses or voices. Such productions may be used for educational or exhibition purposes by St. Peter the Apostle Catholic Church in perpetuity and may be copied, copyrighted, edited and distributed by St. Peter the Apostle Catholic Church in perpetuity unless said consent is revoked in writing.
  
  News media, including representatives of television, radio, newspapers and magazines, also often are permitted on parish property and may take notes, still, photos, sound recordings and/or moving pictures that may include your child. These items may appear or be used in news or feature stories by print, television or radio media.
  You have the right to object to the use of your child’s name, picture or voice in these productions and may do so by completing the form below and returning it to the Parish Director of Faith Formation for St. Peter the Apostle Catholic Church.
  
  If you have any questions, please contact the Faith formation office at:
  727-264-8968 / [email protected]. Please return this form by September 18, 2023.
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Age of Child as of Sept. 15, 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School Please enter valid data.
- Grade in School (23/24 school year) REQUIRED Please fill out this field. Please enter valid data.
- My Child needs Sacramental Preparation for this year REQUIRED None Baptism First Reconcilliation/Eucharist Confirmation Please fill out this field.
- Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconcilliation ( Confession) First Communion Please fill out this field.
- Name & address of church where child was baptized. REQUIRED
  Copy of Baptism Certificate is also Required
  Please fill out this field.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- If received First Reconcilliation, at which church? Please enter valid data.
- If received First Holy Communion, at which church? Please enter valid data.
- If child received Confirmation, what church? Please enter valid data.
- Please provide a copy or email a photo of your child's completed sacraments to [email protected]
- Did child previously complete 1st grade of above in Faith Formation classes LAST school year? If yes, where? REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? (allergies, medical, physical)
- Do you give permission for your child to be included in such publicity releases/photos/videos?
- Promotional Media Release
  During the Faith Formation Program Year, St. Peter the Apostle Catholic Church may participate in videotape, motion picture, audio recording or still photograph productions that involve the use of students’ names, likenesses or voices. Such productions may be used for educational or exhibition purposes by St. Peter the Apostle Catholic Church in perpetuity and may be copied, copyrighted, edited and distributed by St. Peter the Apostle Catholic Church in perpetuity unless said consent is revoked in writing.
  
  News media, including representatives of television, radio, newspapers and magazines, also often are permitted on parish property and may take notes, still, photos, sound recordings and/or moving pictures that may include your child. These items may appear or be used in news or feature stories by print, television or radio media.
  You have the right to object to the use of your child’s name, picture or voice in these productions and may do so by completing the form below and returning it to the Parish Director of Faith Formation for St. Peter the Apostle Catholic Church.
  
  If you have any questions, please contact the Faith formation office at:
  727-264-8968 / [email protected]. Please return this form by September 18, 2023.
Child 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Age of Child as of Sept. 15, 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School Please enter valid data.
- Grade in School (23/24 school year) REQUIRED Please fill out this field. Please enter valid data.
- My Child needs Sacramental Preparation for this year REQUIRED None Baptism First Reconcilliation/Eucharist Confirmation Please fill out this field.
- Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconcilliation ( Confession) First Communion Please fill out this field.
- Name & address of church where child was baptized. REQUIRED
  Copy of Baptism Certificate is also Required
  Please fill out this field.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- If received First Reconcilliation, at which church? Please enter valid data.
- If received First Holy Communion, at which church? Please enter valid data.
- If child received Confirmation, what church? Please enter valid data.
- Please provide a copy or email a photo of your child's completed sacraments to [email protected]
- Did child previously complete 1st grade of above in Faith Formation classes LAST school year? If yes, where? REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? (allergies, medical, physical)
- Do you give permission for your child to be included in such publicity releases/photos/videos?
- Promotional Media Release
  During the Faith Formation Program Year, St. Peter the Apostle Catholic Church may participate in videotape, motion picture, audio recording or still photograph productions that involve the use of students’ names, likenesses or voices. Such productions may be used for educational or exhibition purposes by St. Peter the Apostle Catholic Church in perpetuity and may be copied, copyrighted, edited and distributed by St. Peter the Apostle Catholic Church in perpetuity unless said consent is revoked in writing.
  
  News media, including representatives of television, radio, newspapers and magazines, also often are permitted on parish property and may take notes, still, photos, sound recordings and/or moving pictures that may include your child. These items may appear or be used in news or feature stories by print, television or radio media.
  You have the right to object to the use of your child’s name, picture or voice in these productions and may do so by completing the form below and returning it to the Parish Director of Faith Formation for St. Peter the Apostle Catholic Church.
  
  If you have any questions, please contact the Faith formation office at:
  727-264-8968 / [email protected]. Please return this form by September 18, 2023.
Child 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Age of Child as of Sept. 15, 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School Please enter valid data.
- Grade in School (23/24 school year) REQUIRED Please fill out this field. Please enter valid data.
- My Child needs Sacramental Preparation for this year REQUIRED None Baptism First Reconcilliation/Eucharist Confirmation Please fill out this field.
- Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconcilliation ( Confession) First Communion Please fill out this field.
- Name & address of church where child was baptized. REQUIRED
  Copy of Baptism Certificate is also Required
  Please fill out this field.
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- If received First Reconcilliation, at which church? Please enter valid data.
- If received First Holy Communion, at which church? Please enter valid data.
- If child received Confirmation, what church? Please enter valid data.
- Please provide a copy or email a photo of your child's completed sacraments to [email protected]
- Did child previously complete 1st grade of above in Faith Formation classes LAST school year? If yes, where? REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? (allergies, medical, physical)
- Do you give permission for your child to be included in such publicity releases/photos/videos?
- Promotional Media Release
  During the Faith Formation Program Year, St. Peter the Apostle Catholic Church may participate in videotape, motion picture, audio recording or still photograph productions that involve the use of students’ names, likenesses or voices. Such productions may be used for educational or exhibition purposes by St. Peter the Apostle Catholic Church in perpetuity and may be copied, copyrighted, edited and distributed by St. Peter the Apostle Catholic Church in perpetuity unless said consent is revoked in writing.
  
  News media, including representatives of television, radio, newspapers and magazines, also often are permitted on parish property and may take notes, still, photos, sound recordings and/or moving pictures that may include your child. These items may appear or be used in news or feature stories by print, television or radio media.
  You have the right to object to the use of your child’s name, picture or voice in these productions and may do so by completing the form below and returning it to the Parish Director of Faith Formation for St. Peter the Apostle Catholic Church.
  
  If you have any questions, please contact the Faith formation office at:
  727-264-8968 / [email protected]. Please return this form by September 18, 2023.

Please check all that apply. REQUIRED By providing the email address above I consent to email communication from the parish (do not provide if you do not consent.) I have received a copy of the Diocesan Harassment and have read and will comply with the policies as listed. Must download and sign. Email to [email protected] (available on website) I have attached a completed and signed SPTA Parent/Student Parish Faith Formation Policy Acknowledgement Form. I agree and consent to the Promotional Media Release form for each child I have attached a copy of Baptism Certificate if student is receiving a Sacrament By providing the mobile phone number above I consent to receive text messages from the parish (do not provide if you do not consent.) Please fill out this field.