Faith Formation Registration

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

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

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.

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 Phone REQUIRED Please fill out this field. Please enter valid data.

Father's religion 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 Maiden Name REQUIRED Please fill out this field. 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.

Emergency contact information. These individuals will also be authorized to pick up your child(ren) from faith formation. REQUIRED Parents/Guardians only Mother only Father only Other: Provide name to Director of Religious Education 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, 2022 REQUIRED Please fill out this field. Please enter an integer (number).
- School Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- My Child needs Sacramental Preparation for this year REQUIRED None 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 or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
- Special Needs? (allergies, medical, physical)
- Do you give permission for your child to be included in such publicity releases/photos/videos?
- Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared bySt. Peter the Apostle or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
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, 2022 REQUIRED Please fill out this field. Please enter an integer (number).
- School Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- My Child needs Sacramental Preparation for this year REQUIRED None 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 or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
- Special Needs? (allergies, medical, physical)
- Do you give permission for your child to be included in such publicity releases/photos/videos?
- Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared bySt. Peter the Apostle or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
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, 2022 REQUIRED Please fill out this field. Please enter an integer (number).
- School Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- My Child needs Sacramental Preparation for this year REQUIRED None 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 or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
- Special Needs? (allergies, medical, physical)
- Do you give permission for your child to be included in such publicity releases/photos/videos?
- Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared bySt. Peter the Apostle or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
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, 2022 REQUIRED Please fill out this field. Please enter an integer (number).
- School Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- My Child needs Sacramental Preparation for this year REQUIRED None 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 or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
- Special Needs? (allergies, medical, physical)
- Do you give permission for your child to be included in such publicity releases/photos/videos?
- Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared bySt. Peter the Apostle or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
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, 2022 REQUIRED Please fill out this field. Please enter an integer (number).
- School Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- My Child needs Sacramental Preparation for this year REQUIRED None 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 or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
- Special Needs? (allergies, medical, physical)
- Do you give permission for your child to be included in such publicity releases/photos/videos?
- Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared bySt. Peter the Apostle or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
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, 2022 REQUIRED Please fill out this field. Please enter an integer (number).
- School Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- My Child needs Sacramental Preparation for this year REQUIRED None 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 or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
- Special Needs? (allergies, medical, physical)
- Do you give permission for your child to be included in such publicity releases/photos/videos?
- Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared bySt. Peter the Apostle or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.

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 COVID 19 Policies, 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 2022– 2023 SPTA Parent/Student Parish Faith Formation Policy Acknowledgement Form. I have attached a completed and signed 2022-2023 Promotional Media Release form for each child I have attached a copy of Baptism Certificate if student is receiving a Sacrament in 2023 OR ____ (Copy previously submitted to SPTA) Please fill out this field.

Sacramental Preparation Programs your child(ren) will be registering this year: (choose all that apply) REQUIRED None First Holy Communion Confirmation RCIA adapted for Children (for children older than age 7 who have not yet been baptized Catholic) Please fill out this field.

Faith Formation Registration

Publicity Release

Publicity Release

Publicity Release

Publicity Release

Publicity Release

Publicity Release