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Family Faith Formation - Minors K-8th Grade

Preparation of Families with Children (K - 8th Grade) to receive Holy Communion

Contact Maureen at 818-341-3680 x 117
[email protected]
Resources: Children's Liturgy of the World
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- Registration Form
  *Please complete one registration form per child.
  *Copy of Birth Certificate & Baptism Certificate must be submitted to complete enrollment. Please email copies to [email protected] or drop off at the parish office.
- Student's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Student's First Name REQUIRED Please fill out this field. Please enter valid data.
- Students Middle Name (If Any) Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Birth Place (City, State) REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Age REQUIRED Please fill out this field.
- Baptism Date REQUIRED Please fill out this field. Please enter valid data.
- Place of Baptism (Name of Church) REQUIRED Please fill out this field. Please enter valid data.
- Location of Church (City & State) REQUIRED Please fill out this field. Please enter valid data.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Current Grade REQUIRED Please fill out this field. Please enter valid data.
- Residence (Home 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.
- Father's First Name, Middle Name (if any) REQUIRED Please fill out this field. Please enter valid data.
- Father's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Mother's First Name, Middle Name (if any) REQUIRED Please fill out this field. Please enter valid data.
- Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Parishioner Information
- Is the family registered at St. John Eudes Church? REQUIRED Yes No Please register our family. Please fill out this field.
- Emergency Contact (other than parents) 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.
- If your child has any allergies, please list here REQUIRED Please fill out this field. Please enter valid data.
- I hereby authorize any employee of St. John Eudes to provide my child with all emergency care recommended by a validly licensed physician while I am away. To save the life or wellbeing of my dependent, this care may be provided under any circumstances. REQUIRED I Agree Please fill out this field.
- Photo Release: Please check the box below as your authorization for St. John Eudes Church to use your child's image for the church bulletin or website, as it pertains to Religious Education. REQUIRED I Give My Permission I Do Not Give My Permission Please fill out this field.
- St. John Eude's Religious Education Ministry presents "Empowering God's Children and Young People Safety Program", developed by the Office of Safeguard the Children. It is taught by a trained instructor and is age appropriate. For more information visit the VIRTUS online website at www.virtus.org.
- I allow my child to participate in "Empowering God’s Children and Young People Safety Program on the topic of "The Five Body Safety Rule". I specifically request that St. John Eudes CCD/Confirmation present the program to my child REQUIRED Yes No Please fill out this field.
- Additional Information Please enter valid data.
- Registration payments are now only being accepted in person in the office. First year classes are full at this time.
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Family Faith Formation - Minors K-8th Grade

Registration Form