Faith Formation Registration 2023-2024 Grades 1 - 5

Registration will close at noon on Friday, June 30. All children are welcome into the program regardless of the family's ability to pay the registration fee. Please contact the Faith Formation Office to inquire about financial assistance BEFORE filling out the registration form.

* Required information

Primary Parent/Guardian Information

* Child(ren) reside with:
Please fill in primary parent/guardian first & last name below.
* Name (First & Last):
* Address 1:
* City:
* ZIP Code:
* Phone:

Detailed Parent Information

* Mother's Name (First & Last):
* Mother's Maiden Name:
* Mother's Cell Phone:
Mother's Date of Birth:
* Father's Name (First & Last):
* Father's Cell Phone:
Father's Date of Birth:
* I give permission for photographs of my children to be taken and possibly used for the purposes of St. Agatha publications only. If you would not like to give permission, please submit a written letter via email stating so.
* By completing this registration form, you become/continue to be a registered member of the St. Agatha Parish community. Please let us know if you would like to use the online giving option? To sign-up for online giving, please copy and paste the following link in your browser: https://giving.parishsoft.com/App/Giving/st432227
ENTER YOUR CHILD'S INFORMATION BY CLICKING ON THE BLUE "ADD" BUTTON BELOW. YOU WILL HAVE TO SELECT "ADD ANOTHER" FOR EACH CHILD YOU ARE REGISTERING.

Child Information

You may add a maximum of 5

Remove

* First Name:
* Middle Name:
* Last Name:
* Gender
* Date of Birth
* Baptized at St. Agatha's?
* School (as of Sept. 2023)
* School Grade (as of Sept. 2023)
* Faith Formation Grade (as of Sept. 2023)
Please list any Medical Conditions, Allergies, or Disabilities below (confidential):
characters remaining

Fee

Type	Fee
Registration Fee	$135.00

Faith Formation Information

* Please make sure you have added each of your children by clicking the "add" button above before continuing.

Email Contact

We can only accept one email address per family. Please put the first names of the CHILDREN attending Faith Formation and last name of the CHILDREN in the spaces below.
* First Name:
* Last Name:
* I affirm that the names listed above are the names of the CHILDREN attending Faith Formation in Grades 1 - 5.
* Email Address:
* Confirm Email Address:
To receive the family max discount for GRADES 1 - 5 (3 or more children), please use the following promo codes. PROMO CODES: For 3 registered children, please enter promo code "CHILDREN3." For 4 registered children, please enter promo code "CHILDREN4." For 5 registered children, please enter promo code "CHILDREN5."
Promo Code

Enter Code: Apply

Fee

Type	Fee
Processing Fee	No Charge

Payment

Payment Method

Pay with Credit Card

Payment Summary

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