Please enable JavaScript in your browser to complete this form. 1st Eucharist Faith Formation Registration Form (2nd Grade Only!) 2020-2021 (Sunday Only):$30.00 per student for program (book cost) Taking registrations till October 11th 2020Please Choose 1 (please check one option)Classroom SessionAt Home (internet & email required w/a 30 ZOOM 1x a month )Students Name:Date of Birth:City and State of Birth:Current Address:City:State:zip:Age:School:Language spoken in home:Baptized? YesNoChurch, City and State:Date of Baptism (need copy of certificate):DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Parents Information Father’s Name:Religion:Address (if different from above):Phone:Cell:Mother’s Name: Religion:Address (if different from above):Phone:Cell:Main Language spoken in the home:Main person to contact: father mother both or otherPhoneEmergency contact: Name:PhoneCurrent Email address (required please): *Who may pick up your child (other than parent):Parents Registered at St. Joseph’s Parish? YesNoMay we use your child’s photograph on our websites? YesNoI understand payment is due when registration form is turned in *(Parent signature)(Parent signature)DRE ONLY:*PROGRAM FEE:$30.00 per child PaymentCashCheckSubmit