Parent 1/Guardian *

First Name

Last Name

Parent 2/Guardian

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary/ Emergency Phone Number (cell) *

(###)

###

####

Secondary Phone Number

(###)

###

####

I have additional email addresses (student emails etc.)

Yes

Checkbox *

I am registering my child(ren)/family for (check all that apply):

Faith Journeys: K-8/ family-guided faith formation

Level 2: First Reconciliation/First Communion Class--2nd or 3rd grade students who completed the Level 1 Class last year.

Children's Catechumenate: Students in 3rd grade or higher who have not completed the Level 1 Class and have not yet received their First Reconciliation/First Communion.

PRE-Confirmation: 9th, 10th, 11th grade students who have not yet completed the PRE-Confirmation class requirement.

Confirmation: 10th, 11th, 12th grade students who have completed the PRE-Confirmation class requirement.

High School Faith Fellowship: (Not a substitute for confirmation prep)

Love Ed** Level 1: (Recommended for ages 9-12).

Love Ed** Level 2: (Recommended for ages 12-15).

Child 1 Name *

First Name

Last Name

Child 1 Date of birth *

MM

DD

YYYY

Child 1 has received the following sacraments: *

*Check all that apply

Baptism

First Reconciliation/ First Communion

Confirmation

None of the Above

Child 2 Name

First Name

Last Name

Child 2 Date of Birth

MM

DD

YYYY

Child 2 has received the following sacraments

*Check all that apply

Baptism

First Reconciliation/First Communion

Confirmation

None of the Above

Child 3 Name

First Name

Last Name

Child 3 Date of Birth

MM

DD

YYYY

Child 3 has received the following sacraments:

*Check all that apply

Baptism

First Reconciliation/First Communion

Confirmation

None of the Above

Child 4 Name

First Name

Last Name

Child 4 Date of Birth

MM

DD

YYYY

Child 4 has received the following sacraments

*Check all that apply

Baptism

First Reconciliation/Confirmation

Confirmation

None of the Above

Child 5 Name

First Name

Last Name

Child 5 Date of Birth

MM

DD

YYYY

Child 5 has received the following sacraments

*Check all that apply

Baptism

First Reconciliation/Confirmation

Confirmation

None of the Above

Child 6 Name

First Name

Last Name

Child 6 Date of Birth

MM

DD

YYYY

Child 6 has received the following sacraments

*Check all that apply

Baptism

First Reconciliation/Confirmation

Confirmation

None of the Above

Faith Formation Registration Fee is $100 per family. There is an additional Sacramental Fee of $50 for each child registered in Level 2, Children's Catechumenate, and/or Confirmation. No one will be turned away due to financial limitations. Scholarships are available. Please indicate below how you will pay. *

Cash (pay at the office)

Check (pay at the office "Saint Elizabeth Ann Seton Church")

Online (click the Pay Online box at the end of this form--Faith Formation Fees)

Contact me about scholarships

I am signing up for the Saint Elizabeth Ann Seton School Family Enrichment Program

SEAS School Family? *

I have children who attend Saint Elizabeth Ann Seton School

Yes

No