Faith Formation Registration Form

1104 N. Alexander St.

Plant City, FL 33563

813-752-8251

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Faith Formation Registration Form

Faith Formation Registration

Faith Formation Registration

Family Last Name:

Father's Full Name:

Mother's Maiden Name:

Child resides with:

Both Parents

Father

Mother

Guardian (Copy of Custody Documents is required)

Home Address:

City

State:

Zip Code:

Cell Phone Number:

Email:

Emergency Contact Name:

Emergency Contact Phone Number:

Consent and Agreement:

I will submit a of my Child's Baptism Certificate

I understand (2) two consecutive years of recent Faith Formation are required before a child can receive a sacrament.

I authorize and give full consent for my child(ren) to be photographed during parish activities and events.

I agree to read and abide by the polices in the Faith Formation Handbook and Safe Environment information.

As the parents and/or guardian of the students below, I commit to taking an active role in my child's Faith development.

I assume all responsibility for their attendance, behavior, and commit to attend all mandatory meetings.

Parent's Signature:

Today's Date:

Child's Full Name (as appears on Birth Certificate):

Date of Birth:

Place of Birth (City and State) :

Is the child baptized?

Yes

No

Name of Baptismal Church :

School Child Attends :

School Grade :

Did child attend Faith Formation classes last year?

Yes

No

Does the student have any medical conditions we should be aware of?

(2) Child's Full Name (as appears on Birth Certificate):

Date of Birth:

Place of Birth (City and State):

Is the child baptized?

Yes

No

Name of Baptismal Church:

School Child Attends:

School Grade:

Did child attend Faith Formation clases last year?

Yes

No

(3) Child's Full Name (as appears on Birth Certificate):

New Field:

Date of Birth:

Place of Birth (City and State):

Is the child baptized?

Yes

No

New Field:

School Child Attends:

School Grade:

Did child attend Faith Formation clases last year?

Yes

No

Does the student have any medical conditions we should be aware of?

(4) Child's Full Name (as appears on Birth Certifcate):

Date of Birth:

Place of Birth (City and State):

Is the child baptized?

Yes

No

New Field:

School Child Attends:

School Grade:

Did child attend Faith Formation clases last year?

Yes

No

Does the student have any medical conditions we should be aware of?

Thank you for registering for our Faith Formation program.

Please contact Cathy in the Parish Office Monday through Friday from 8am to 2pm to submit all required documents.

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Monday–Thursday: 8 am–3 pm

Friday: 8 am–2 pm

Phones are turned off daily

from 12:30–1:30pm for lunch

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1104 N. Alexander St.
Plant City, FL 33563

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St Clement Catholic Church

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