Registration

Are you a registered member of Ss Peter and Paul Catholic Church? REQUIRED Yes No Please fill out this field.

Parent or Guardian #1 Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Mailing Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Phone Number to best reach you Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
Religious Denomination REQUIRED Please fill out this field. Please enter valid data.

Parent or Guardian #2 Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Mailing Address if different from above Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
Phone Number to best reach you Please enter a phone number.
Email Please enter an email address.
Religious Denomination Please enter valid data.

Child/ren live with: Father & Mother Father & Step Parent Mother & Step Parent Father Only Mother Only Grandparents Legal Guardian Other

Child #1

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter valid data.
Grade Please enter valid data.
School Attending Please enter valid data.

Programs Registering For

Child #2

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter valid data.
Grade Please enter valid data.
School Attending Please enter valid data.

Programs Registering For

Child #3

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter valid data.
Grade Please enter valid data.
School Attending Please enter valid data.

Programs Registering For

Child #4

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter valid data.
Grade Please enter valid data.
School Attending Please enter valid data.

Programs Registering For

Child #5

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter valid data.
Grade Please enter valid data.
School Attending Please enter valid data.

Programs Registering For

Parent Photo Authorization REQUIRED Yes, I give permission for my child/ren's photos to be shared through the parish bulletin, web site, social media, newspaper, or parish displays No, I do not give permission for my child's picture to be taken or shared and acknowledge that this includes not being a part of the Sacramental Preparation group photos. Please fill out this field.

Payment may be made on-line or at the Church. Please indicate which method of payment is best for you. REQUIRED Full payment at beginning of program September 2018 Half payments - first in September 2018 and second in February 2019 8 Monthly Payments September 2018 - April 2019 I'm in need of a partial scholarship and will discuss with the Director of Faith Formation Please fill out this field.

To make a payment on-line, go to Online Giving on the Home Page