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CCE Registration Individual

Faith Formation Registration Form
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- Student
  
  Name (First & Last) REQUIRED Please fill out this field. Please enter valid data.
  
  Grade in School for 2021-2022 REQUIRED Please fill out this field.
  
  Birthday (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED Please fill out this field.
  
  Student Email Please enter an email address.
  
  School Student Attends REQUIRED
  Enter the name of the school the participant will attend in 2021-2022
  Please fill out this field. Please enter valid data.
  
  Sacraments Needed
  Select which sacraments participant still needs
  Baptism First Communion Confirmation
  
  Baptismal Date (MM/DD/YYYY)
  If the participant is baptized, please provide the date here
  Please enter a date.
  
  Church of Baptism
  If the participant is baptized, provide the name of the Church where they were baptized here
  Please enter valid data.
- For High School Students
  
  Are you wanting to be in a Discipleship Group?
  
  Are you seeking sacramental preparation for Confirmation?
- Parent 1
  
  Name (First & Last) REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mailing 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.
- Parent 2
  
  Name (First & Last) Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Mailing Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- For elementary students list any adults who are authorized to pick up this student
  
  Adult 1 Name (First & Last) Please enter valid data.
  
  Adult 1 Phone Number Maximum 20 characters Please enter a phone number.
  
  Adult 2 Name (First & Last) Please enter valid data.
  
  Adult 2 Phone Number Maximum 20 characters Please enter a phone number.
- Other Information
  
  Emergency Contact 1 Name (First & Last) REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact 1 Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Emergency Contact 2 Name (First & Last) Please enter valid data.
  
  Emergency Contact 2 Phone Number Maximum 20 characters Please enter a phone number.
  
  Student Allergies, Medical Conditions or Special Needs Please enter valid data.
  
  Additional information you'd like us to know about your child Please enter valid data.
  
  If this child attended faith formation for the 2020-2021 year other than St Louis, please list the name, address, and phone number of that Church Please enter valid data.
- Consent/Signatures
  
  Parental Consent REQUIRED
  This confirms that you accept the faith formation expectations and requirements.
  I accept the terms of the Parental Consent Form Please fill out this field.
  
  Click Here to review the Parental Consent Form.
  
  Signatures REQUIRED By clicking here the student and parent are signing the Code of Conduct Please fill out this field.
  
  Click Here to review the Code of Conduct for students of all grades
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- Formation
  - Youth Formation
    
    Youth Formation Overview
    Middle School Youth Ministry
    High School Youth Ministry
    Bishop Louis Reicher Catholic School
    CCE Registration Individual
  - Adult Formation
    
    Becoming Catholic
    The Rescue Project
    Adult Bible Study
    ACTS Retreat
  - Sacraments
    
    Sacramental Prep