Faith Formation 2021-2022 Registration Form

***Kindergarten - 12th Grade***

  • Only one registration form per family is required for K-12th grade.
  • You must be a registered family at St. Pius X to register for Faith Formation, or have a letter of permission from your parish where you are registered. However, if you are not registered and are interested in faith formation, please contact our parish office. 

Please complete the information for each of the children who will be attending Religion Education K-12th. This includes Middle and High School youth

Family Contact Information
Is the Family registered at St.Pius X Church?
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FAMILY LAST NAME ON PARISH REGISTRATION
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Address
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Primary Phone --
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FATHER'S INFORMATION
Name
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Father is
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Religion
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E-mail
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Cell phone # --
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MOTHER'S INFORMATION
MAIDEN Name
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Mother is
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Religion
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E-mail
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Cell phone # --
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Emergency Contact
Name
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 Person to be reached during Religious Ed
Relationship to child
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Emergency Phone Number --
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Family Background
Parents are
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Children live with
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Family Ethnicity
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If other
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Permission
I give St. Pius X Church permission to print my child's name in the church bulletin or sacramental booklets
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I give permission for pictures and/or video of my child/children (named in this form) engaged in activities related to RE/YM or parish event to have their pictures posted in St. Pius X publications or websites.
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If no box is checked the Diocese of Richmond and St. Pius X assumes you give permission.
Student 1
New registration of students requires Baptismal Certificate if Baptism was not done at St. Pius X.
The child is a
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Child's Name
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Birth Date //
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Gender
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Current Grade
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School Attending
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Sacraments Completed
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Church, City, State, Country of Child's Baptism
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Special Requests/Needs
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Medical Condition or Allergies
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Youth contact information --
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Youth E-mail
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Student 2
New registration of students requires Baptismal Certificate if Baptism was not done at St. Pius X.
The child is a
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Child's Name
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Birth Date //
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Gender
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Current Grade
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School Attending
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Sacraments Completed
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Church, City, State, Country of Child's Baptism
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Special Requests/Needs
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Medical Condition or Allergies
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Youth contact information --
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Youth E-mail
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Student 3
New registration of students requires Baptismal Certificate if Baptism was not done at St. Pius X.
The child is a
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Child's Name
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Birth Date //
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Gender
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Current Grade
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School Attending
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Sacraments Completed
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Church, City, State, Country of Child's Baptism
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Special Requests/Needs
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Medical Condition or Allergies
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Youth contact information --
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Youth E-mail
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Please Note
THERE IS NO CHARGE FOR ST.PIUS X RELIGIOUS EDUCATION PROGRAMS. Though, we do require you make the following commitments:
I will contribute financially to St. Pius X Parish to the best of my ability.
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Permission
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Name of the Person completing this form
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Parent Signature
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