Faith Formation Returning Student Form

Child's Name*
First Last
Nickname
Date of Birth*
MM
DD
YYYY
Gender*
- Male
- Female
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Cell Phone*
Family Email*
School Attending in September*
Grade Entering in September*
Father's Name*
First Last
Father's Religion
Mother's Name*
First Last
Mother's Religion
Parent comments and/or medical conditions that would assist us in teaching your child. (PLEASE INCLUDE ANY ALLERGIES AND EDUCATIONAL NEEDS).
Emergency Contact
Emergency Contact Name*
First Last
Emergency Contact Phone*
Media Release
Photographs and/or videos of minors are taken periodically for use in parish publications. In checking "I agree" you are acknowledging this and granting permission to Immaculate Conception Faith Formation to use photos and videos of your child and their names in print/electronic publications and displays.*
- I agree.
- I do NOT agree.
School Year 2019-2020
Faith Formation Grade Entering*
Class Requested*
- Weekday
- Sunday
Volunteer Information
We are always in need of additional teachers, substitutes and adult helpers. Please prayerfully consider helping out. Please select one of the ways listed below if you can assist us.
- Teacher
- Aide or Assistant
- Substitute Teacher

Emergency Contact