Family Faith Formation Registration(Grades 1 - 6)*** You will need to register each child individually*** Family Last Name * Address * City * Zip * Home Phone * (###) ### #### Primary Email * Alternate Email Mother's Name Mother's Cell (###) ### #### Mother's Work Phone (###) ### #### Father's Name Father's Cell (###) ### #### Father's Work Phone (###) ### #### Custodial care is with * Both Parents Mother Father Other Student Last Name * Student First Name * * Male Female Birthdate * MM DD YYYY School Name 2025-2026 * Grade Level 2025-2026 * My child has received the following Sacraments (choose all that apply) * Baptism (Catholic) Baptism (Non-Catholic) Reconciliation Eucharist Confirmation Please select a day and time when at least one parent is able to accompany your child(ren). Sessions will be filled on a first come first serve basis. We will do our best to honor your preferences. What is your first choice for class time? * Monday 6:00-7:30 Wednesday 4:00 - 5:30 Wednesday 6:00 - 7:30 Uncertain (Contact the Office by August 1st to Make Your Selection) What is your second choice for class time? * Monday 6:00 - 7:30 Wednesday 4:00 - 5:30 Wednesday 6:00 - 7:30 Uncertain (Contact the Office by August 1st to Make Your Selection) I am interested in being a Family Faith Formation Small Group Mentor * Yes No Possibly, but I would like more information Special Circumstances Please indicate below any special circumstances regarding your child or family. If allergy is potentially life threatening, please meet with the Director to discuss. THIS INFORMATION WILL BE TREATED AS CONFIDENTIAL Are there any parental custodial circumstances that might affect your child's attendance? * Yes No If yes, please explain Does your child have a medical condition, food allergies, or behavioral problems? * Yes No If yes, please explain Emergency Contact #1 - Name | Phone | Relationship * Name | Phone | Relationship Emergency Contact #2 - Name | Phone | Relationship * Name | Phone | Relationship Physician - Name | Phone * Name | Phone In the event that a parent/guardian cannot be reached, I hereby give my consent to St. Charles Borromeo Catholic Church to contact the physician listed above, and, if necessary, transport my child to a clinic or hospital * I agree I do not agree I hereby give St. Charles Borromeo Catholic Church permission to publish pictures of my child on the parish website, social media, and/or parish publications. (Please note: No names will be included with pictures). I agree I do not agree I have had the opportunity to review the St. Charles Borromeo Youth Handbook and agree to abide by the policies of the Handbook. * Click Here to Affirm ***Registration is not complete until you have submitted a payment online by clicking the button below. *** There is a $20 Early Registration Discount for those families that register and pay by May 1st. *Fees are NOT refundable after August 1st* Thank you for Registering for Family Faith Formation!***Please Remember that Registration is not complete until you have submitted a payment either at the parish office or online by clicking the button below. *** Online Payment If you are an adult that would like to help out please fill out the form below! I want to help out!