SCB_FaithFormation

You will receive a schedule and more information shortly after filling out this form.

*Please fill out one form per child. Follow the instructions below on how best to pay. Contact our director Cheryl Codd or the office for clarification.

Registration is for

Student's Name*

First NameLast Name

Male/Female:

Birth Date*

MonthDayYear

Grade as of this Sept 1st*

Current School*

Church of Baptism*

Please email the baptism certificate to Cheryl Codd, FaithForm@saintcharles.com as soon as possible.

Are you registering your child for: (check all that apply)

ReconciliationFirst Holy Communion

Previous Religious Ed / Faith Formation?*

YESNO

If "YES" Where

Additonal comments: (Allergies, medical specifications, needs,etc.)*

YESNO

If "YES" Please Explain:

Father/Guardian

First NameLast Name

Mother / Guardian

First NameLast Name

Father/Guardian Cell Phone

Mother/Guardian Cell

Main Contact Email*

example@example.com

Are any of the parents currently serving in the military?

If yes, add who, rank and branch

Either parent currently serving in the military?

YESNO

If "YES" please list WHICH parent

RANK

BRANCH

Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Is the family registered at St Charles*

YESNO

I, Parent/legal guardian, authorize the Elementary Faith Adventures, Saint Charles Borromeo Parish, the Diocese of San Diego, its representatives or volunteers, to photograph or record (audio and/or visual) the above-named minor for the sole purpose of showcasing and documenting activities and events for furthering the mission of the Elementary Faith Adventures, the Saint Charles Borromeo. I understand that any and all photos or videos will solely be used for the parish and ministry websites, social media, and other forms of ministerial publicity and will not be used for any commercial purpose whatsoever. I therfore herby waive any kind and all rights I may have for remuneration of any kind that could otherwise accrue for the uses of such photos and/or video recordings.

I grant permission*

YesNo

In the event of an emergency, I herby grant permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be adviced prior to any further treatment administered by the hospital or doctor. In the event it comes to the attention of the parish, the Diocese of San Diego; its officers, directors, agents, volunteers, chaperones, and representatives associated with the activity that my child becomes ill with symptoms such as headavhe, vomiting, sore throat, fever or diarrhea, I want to be contacted.

I Agree*

YesNo

I would like to Volunteer in

First Reconciliation/Communion Prep: Continuation Student:

1 Child $100 1 child $75

2 children $150 2 Children $100

(each additional $55) (each additional $25

I choose to pay*

Invoice