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Faith Formation Registration Form

- Faith Formation
  - Faith Formation
    
    Faith Formation Registration Form
    
    Faith Formation Medical Form
    Faith Formation Team
    Middle School Youth Ministry

Faith Formation Registration Form

New Students: Please complete the registration form below. Our Coordinator of Religious Education, Mike Steich will be in touch soon.

Returning Students: Please complete the registration form below. Even though your youth was registered this year, we still you to complete a Registration Form for next school year, as diocesan policy requires an annual registration for youth in Faith Formation.
The maximum number of form submissions has been reached. This form is currently not available.
- Family Information
  
  Family Surname 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.
  
  Who is responsible for religious education? REQUIRED Please fill out this field.
  
  Who is to receive correspondence regarding religious education? REQUIRED Please fill out this field.
  
  Marital Status of Parents REQUIRED Please fill out this field.
- Father's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Street 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.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Are you a registered member of Saint Jude? REQUIRED Yes No Please fill out this field.
  
  If no, what parish? Please enter valid data.
- Mother's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Street 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.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Are you a registered member of Saint Jude? REQUIRED Yes No Please fill out this field.
  
  If no, what parish? Please enter valid data.
- Guardian's Information (if applicable)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Email Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Street Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Occupation Please enter valid data.
  
  Religion Please enter valid data.
  
  Are you a registered member of Saint Jude? Yes No
  
  If no, what parish? Please enter valid data.
- Number of Children to Enroll in Religious Education REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sex REQUIRED Please fill out this field.
  
  School Grade REQUIRED Please fill out this field.
  
  Religious Ed Grade REQUIRED Please fill out this field.
  
  Please enter the address where the student resides
  
  Street 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.
  
  Previous Year Religious Education Program REQUIRED
  Class grade Kindergarten through 7th in which your youth was enrolled the previous year
  Please fill out this field. Please enter valid data.
  
  My child has my permission to leave the building: REQUIRED Please fill out this field.
  
  Sacrament Information
  
  Baptismal certificate is required to be submitted to the parish office or Mike Steich after registering for faith formation classes.
  
  Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Church and Address REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter a date.
  
  First Communion Church and Address Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church and Address Please enter valid data.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sex REQUIRED Please fill out this field.
  
  School Grade REQUIRED Please fill out this field.
  
  Religious Ed Grade REQUIRED Please fill out this field.
  
  Please enter the address where the student resides
  
  Street 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.
  
  Previous Year Religious Education Program REQUIRED
  Class grade Kindergarten through 7th in which your youth was enrolled the previous year
  Please fill out this field. Please enter valid data.
  
  My child has my permission to leave the building: REQUIRED Please fill out this field.
  
  Sacrament Information
  
  Baptismal certificate is required to be submitted to the parish office or Mike Steich after registering for faith formation classes.
  
  Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Church and Address REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter a date.
  
  First Communion Church and Address Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church and Address Please enter valid data.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sex REQUIRED Please fill out this field.
  
  School Grade REQUIRED Please fill out this field.
  
  Religious Ed Grade REQUIRED Please fill out this field.
  
  Please enter the address where the student resides
  
  Street 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.
  
  Previous Year Religious Education Program REQUIRED
  Class grade Kindergarten through 7th in which your youth was enrolled the previous year
  Please fill out this field. Please enter valid data.
  
  My child has my permission to leave the building: REQUIRED Please fill out this field.
  
  Sacrament Information
  
  Baptismal certificate is required to be submitted to the parish office or Mike Steich after registering for faith formation classes.
  
  Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Church and Address REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter a date.
  
  First Communion Church and Address Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church and Address Please enter valid data.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sex REQUIRED Please fill out this field.
  
  School Grade REQUIRED Please fill out this field.
  
  Religious Ed Grade REQUIRED Please fill out this field.
  
  Please enter the address where the student resides
  
  Street 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.
  
  Previous Year Religious Education Program REQUIRED
  Class grade Kindergarten through 7th in which your youth was enrolled the previous year
  Please fill out this field. Please enter valid data.
  
  My child has my permission to leave the building: REQUIRED Please fill out this field.
  
  Sacrament Information
  
  Baptismal certificate is required to be submitted to the parish office or Mike Steich after registering for faith formation classes.
  
  Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Church and Address REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter a date.
  
  First Communion Church and Address Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church and Address Please enter valid data.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sex REQUIRED Please fill out this field.
  
  School Grade REQUIRED Please fill out this field.
  
  Religious Ed Grade REQUIRED Please fill out this field.
  
  Please enter the address where the student resides
  
  Street 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.
  
  Previous Year Religious Education Program REQUIRED
  Class grade Kindergarten through 7th in which your youth was enrolled the previous year
  Please fill out this field. Please enter valid data.
  
  My child has my permission to leave the building: REQUIRED Please fill out this field.
  
  Sacrament Information
  
  Baptismal certificate is required to be submitted to the parish office or Mike Steich after registering for faith formation classes.
  
  Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Church and Address REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter a date.
  
  First Communion Church and Address Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church and Address Please enter valid data.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Sex REQUIRED Please fill out this field.
  
  School Grade REQUIRED Please fill out this field.
  
  Religious Ed Grade REQUIRED Please fill out this field.
  
  Please enter the address where the student resides
  
  Street 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.
  
  Previous Year Religious Education Program REQUIRED
  Class grade Kindergarten through 7th in which your youth was enrolled the previous year
  Please fill out this field. Please enter valid data.
  
  My child has my permission to leave the building: REQUIRED Please fill out this field.
  
  Sacrament Information
  
  Baptismal certificate is required to be submitted to the parish office or Mike Steich after registering for faith formation classes.
  
  Baptism Date REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Church and Address REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter a date.
  
  First Communion Church and Address Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church and Address Please enter valid data.
- Emergency Contact Information
  
  In the event of an emergency and the father, mother, or guardian can not be reached, please enter and additional emergency contact for your child(ren).
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Child 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.
- Photo Release Information
  
  I grant permission to have my child/ren's photographs in the following parish communications:
  
  Bulletin REQUIRED Yes No Please fill out this field.
  
  Website REQUIRED Yes No Please fill out this field.
  
  Social Media REQUIRED Yes No Please fill out this field.
- Volunteer Opportunities
- I am interested in volunteering as a: Catechist (Teacher) Help With Activities
- Signature
- Checking this box indicates that you are providing your electronic signature and certify that the information provided above is accurate. Please select this field.
- Date REQUIRED Please fill out this field. Please enter a date.
- Registration Fee Payment Options
  You have the option to pay the registration fee for faith formation classes now or later. If you would like to pay now via credit card, please select the "Pay Now" button. To pay by check, please select the "Pay Later" button. A check should be sent to the parish office at 310 Shady Ave, Pittsburgh, PA, 15206. Attention: Mike Steich.
  
  Registration Fee: $50.00 First Child, $30.00 Second Child, $20.00 each additional child.
- Number of Children
Total:

Submit

Pay Now

Pay Later

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Saint Raphael Church 1106 Chislett Street, Pittsburgh, PA 15206	Sacred Heart Church 310 Shady Ave, Pittsburgh, PA 15206
Phone: 412 661-0187 *	[email protected]