Faith Formation Registration 2024-2025 (entering grades PK thru 5th grade)

Thank you for registering your child for CCD for the 2024-2025 school year!
Registration fee: $40.00 for one child
$45.00 for two children
$50.00 for three or more

This registration is for grades PreK thru 5th Grade Only!

Father's Full Name REQUIRED Please fill out this field. Please enter valid data.

Father's Cell Number REQUIRED Please fill out this field. Please enter valid data.

Cell Phone Provider REQUIRED Please fill out this field.

Father's Email Address REQUIRED Please fill out this field. Please enter valid data.

Mother's Full name (including Maiden) REQUIRED Please fill out this field. Please enter valid data.

Mother's Cell Number REQUIRED Please fill out this field. Please enter valid data.

Cell Phone Provider REQUIRED Please fill out this field.

Mother's Email Address REQUIRED Please fill out this field. Please enter valid data.

Physical Address (Street Number and Name) REQUIRED Please fill out this field. Please enter valid data.

City and State and Zip REQUIRED Please fill out this field. Please enter valid data.

Child's Full Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.

Date of Birth (ex. 01/01/2000) REQUIRED Please fill out this field. Please enter valid data.

Age REQUIRED Please fill out this field. Please enter valid data.

School Attending REQUIRED Please fill out this field. Please enter valid data.

Grade for the 2023-2024 School year REQUIRED Please fill out this field.

Is the child Baptized? REQUIRED Yes No Please fill out this field.

If so, Where? Please list the church, city and state. REQUIRED Please fill out this field. Please enter valid data.

Has the child received First Confession? REQUIRED Yes No Please fill out this field.

Has the child received First Communion? REQUIRED Yes No Please fill out this field.

Has the child received Confirmation? REQUIRED Yes No Please fill out this field.

Who is the child living with? REQUIRED Please fill out this field.

If you have another child to register, please proceed.
However, if you do not, please scroll to the bottom of the registration and read the important message.
After reading, please "sign" your name and hit "submit".
You will then be redirected to the payment page.
Please do not submit the registration infomation twice.
The registration will be received once you hit the "SUBMIT" button.

Child's Full Name Please enter valid data.

Date of Birth (ex. 01/01/2000) Please enter valid data.

Age Please enter valid data.

School Attending Please enter valid data.

Grade for the 2023-2024 School year

Is the child Baptized? Yes No

If so, Where? Please list the church, city and state. Please enter valid data.

Has the child received First Confession? Yes No

Has the child received First Communion? Yes No

Has the child received Confirmation? Yes No

Who is the child living with?