St. Aloysius Church

Faith Formation Registration

2009-2010

Please complete one form for each child. Please write legibly.

Last Name ____________________ First _________________ Middle _________________

Preferred Name _________________

Address ____________________________________________________ Apt. __________

City, State, Zip Code ________________________________________________________

Home Phone _________________________ Name of school ________________________

Age _____ Date of Birth _______________ Grade (Fall 2009) ______

Parent/Guardian _________________________________ Home Phone __________________

Cell Phone _______________ Work Phone _______________ E-mail __________________

Contact (if other than parent or guardian) ___________________________________________

Relationship _____________________ Home Phone _______________

Cell Phone ______________ Work Phone _______________ E-mail ____________________

Emergency contact during class time _______________________________________________

Emergency contact number during class time ________________________________________

Please indicate which sacraments student has made: ____Baptism ____First Reconciliation

____First Communion ____Confirmation

Was student baptized at St. Al's? ____Yes ____No (If no, please attach copy of baptismal certificate if not already on file.)

Allergies/Special Medical Conditions _____________________________________________

____________________________________________________________________________

Does your child have any special dietary restrictions? Yes/No

If yes, please specify:___________________________________________________________

Special Notes: _________________________________________________________________

_____________________________________________________________________________

I would like to help with Faith Formation. Please check all that apply: ____Catechist

____Aide ____Substitute ____Art ____Music ____Other