St. Francis de Sales/St. Michael's
Religious Formation
2017-2018 Registration Form
Please list children participating in RF from Youngest to oldest.
Child(ren)'s Name / Birth Date / Grade / School Attending / Sacraments already celebrated*See key below
*Key for Sacramental History B=Baptism R=Reconciliation E-Eucharist C=Confirmation
Write the letter that corresponds to the sacrament that the child has ALREADY celebrated.
Your child is only eligible for a Sacrament if they were in the program last year.
Parent(s) Name(s)______
(Secondary parent information may be filled out on the backside of this form)
Mother's Maiden Name______
Registered Parishioner? St. Francis de Sales____ St. Michael____
Other____Name of Church______
Address______
City Zip code
Home Phone______Cell phone Number______
Emergency Name and Number______Relation to the child______
Father's Business Phone______Mother's Business Phone______
E-mail address______Different from last year? Yes____ No____
Does your child(ren) have any health or learning difficulties we should be aware of?
Yes____ No____ If YES, please fill out form on the backside of this sheet.
Religious Formation Class Schedule
Preschool(4 year old)/Kindergarten - Fifth Grade Sundays from 9:30am to 10:45am
Preschool(4 year old)/Kindergarten - Fifth Grade Tuesday evenings from 6:45 until 8:00pm
Please circle day(s) that apply: SUNDAY TUESDAY
Religious Formation Tuition Fee: $10 per child (For St. Francis or St. Michael parishioners)
* If non-parishioner, $35 for one child, $55 for two children, $65 for three or more children
Date of Registration______Paid____ Cash______Check#______
If you are exempt from fees, list your position______
If you qualify for tuition reduction, list how you plan to help______
St. Francis de Sales/St. Michael's
Religious Formation
2017-2018 Registration Form Continued
Secondary Parent Information-
To be used for parent information who do not reside with the child
Parent(s) Name(s)______
Address______
Home Phone______Cell Phone Number______
Please include in all mailings and newsletters Yes___ No___
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Special Needs Information
You, as a parent or guardian of the child or children listed below, can help us by clearly identifying any special needs or challenges which may need accommodation by the Religious Formation staff. Please be clear and complete in your answers to the following statements. This form and information will remain confidential. Only the DRE and catechist involved with your child will have access to this information. Thank you!
______s an identified learning disability(e.g. Dyslexia, hyperactivity, ADD).
Name
Please specify the learning disability:______
______
Is the child attending any special education classes in his/her regular school? Yes______No_____
How often? (e.g. 1 hour, all day, half day)______
______
______is taking continuing medication for ______
Name Medical condition
Name of Medication:______
______has a medical condition which is currently controlled or not receiving medical attention right now, but could be serious (e.g. bee stings, allergies, asthma etc.)
Please list here:______
Medical Condition
St. Francis de Sales Parish
2929 McCracken St.
Muskegon, MI 49441
(231)755-1953
Photography /Video/Audio Statement of Release
_____Regarding the use of photography and electronic recording (film, video and audio) of my child(ren)______, I hereby grant permission for personnel of St. Francis de Sales/St. Michael to photograph, film, video record and/audio record my child for purposes of parish use (ie: bulletin boards, website, social media pages).
_____I understand there will be no compensation for such use. I also understand that parish employees/volunteers are not responsible when a photograph of my child is 'tagged' by other users on parish social media sites.
_____I certify that I am the parent/legal guardian of the minor child listed above and I agree to the above terms for myself and my minor child.
Media Permission
As the parent/guardian, I allow the following methods of communication with myself and/or my son/daughter regarding my child's participation in programs and activities of St. Francis de Sales/St. Michael the Archangel: ( by checking, I agree)
_____ Email ______Religious Formation Office phone
_____ Monthly newsletter 231-755-1307 ext. 225
Emergency Permission
_____I give full permission for my son/daughter to participate in the St. Francis de Sales/St. Michael's Religious Formation Program. I understand adult supervision will be offered at all religious Formation functions. I fully expect to be notified if my child is disrespectful or uncooperative. If emergency medical treatment is required during the course of the Religious Formation year, I hereby give permission for my son/daughter______to be treated.
______
Parent/Guardian Signature Date
St. Francis de Sales Parish
Religious Formation Family Agreement
Catholic Religious Formation is an investment and commitment on the part of the entire parish community at St. Francis de Sales and St. Michael the Archangel Parishes and carries a special responsibility to support them by our consistent practice. Acknowledging the commitment that my parish is making by investing in Catholic Religious Formation, and affirming the commitment I made at the baptism of my children to form them in our Catholic faith, we take upon ourselves the responsibility to:
1. Support faithfully the Eucharist with our presence and participation on Sundays and Holy Days.
2. Support my parish financially, responsibly and faithfully, using my parish contribution envelopes.
3. Participate, through time and talent, in the community life of my parish.
4. Promote the lines of communication between my family and our parish so as to be more fully active and participating.
5. Pray regularly at home and as a family.
We hold ourselves accountable for the fulfillment of these obligations and recognize that the parish has a responsibility to call people to accountability for the fulfillment of these obligations.
Signed (Parents and students),
Date:______