Youth Faith Formation

Father's full name REQUIRED Please fill out this field. Please enter valid data.

Mother's full name REQUIRED Please fill out this field. Please enter valid data.

Mailing address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Emergency Phone Number (other than parent) REQUIRED Please fill out this field. Please enter a phone number.

Family email address Please enter valid data.

Number of Children REQUIRED Please fill out this field.
Child 1
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Special needs - Please check below if any of the special needs apply to your child Dietary needs or allergies to food Physical or emotional health concern Significant life event that affects child's life Takes medication on a regular basis Diagnosis of ADD or ADHD Diagnosis of depression, OCD, panic/anxiety order, eating disorder, etc.
Child 2
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Special needs - Please check below if any of the special needs apply to your child Dietary needs or allergies to food Physical or emotional health concern Significant life event that affects child's life Takes medication on a regular basis Diagnosis of ADD or ADHD Diagnosis of depression, OCD, panic/anxiety order, eating disorder, etc.
Child 3
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Special needs - Please check below if any of the special needs apply to your child Dietary needs or allergies to food Physical or emotional health concern Significant life event that affects child's life Takes medication on a regular basis Diagnosis of ADD or ADHD Diagnosis of depression, OCD, panic/anxiety order, eating disorder, etc.
Child 4
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Special needs - Please check below if any of the special needs apply to your child Dietary needs or allergies to food Physical or emotional health concern Significant life event that affects child's life Takes medication on a regular basis Diagnosis of ADD or ADHD Diagnosis of depression, OCD, panic/anxiety order, eating disorder, etc.
Child 5
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Special needs - Please check below if any of the special needs apply to your child Dietary needs or allergies to food Physical or emotional health concern Significant life event that affects child's life Takes medication on a regular basis Diagnosis of ADD or ADHD Diagnosis of depression, OCD, panic/anxiety order, eating disorder, etc.
Child 6
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Special needs - Please check below if any of the special needs apply to your child Dietary needs or allergies to food Physical or emotional health concern Significant life event that affects child's life Takes medication on a regular basis Diagnosis of ADD or ADHD Diagnosis of depression, OCD, panic/anxiety order, eating disorder, etc.
Child 7
- Name REQUIRED Please fill out this field. Please enter valid data.
- Gender
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Special needs - Please check below if any of the special needs apply to your child Dietary needs or allergies to food Physical or emotional health concern Significant life event that affects child's life Takes medication on a regular basis Diagnosis of ADD or ADHD Diagnosis of depression, OCD, panic/anxiety order, eating disorder, etc.

Volunteers
Volunteers may receive full or partial tuition credit. All volunteers in contact with minor students must meet OPCY requirements set by the archdiocese which includes safe environment trainings, a signed code of conduct, and a completed background check.

Number of Volunteers REQUIRED Please fill out this field.
Volunteer 1
- Name Please enter valid data.
- Volunteer Positions
Volunteer 2
- Name Please enter valid data.
- Volunteer Positions
Volunteer 3
- Name Please enter valid data.
- Volunteer Positions
Volunteer 4
- Name Please enter valid data.
- Volunteer Positions

Consent & Release for Pictures & Original Works of Minors
By agreeing below, I authorize that The Churches of St. Mary & St. Henry be permitted to use and publish for general communications the likeness of my child and my child’s original work, including video, photographs, or pictures through parish websites, publications or other social and electronic media, provided that no name is identified. If I choose to rescind my authorization and consent, I agree that I will inform The Churches of St. Mary & St. Henry in writing.

I Agree Please select this field.

Acceptance of Parent Handbook
By agreeing below, I verify that I have received the Faith Formation Program Parent & Student Handbook found on the parish website at www.stmarysthenry.org or a printed copy from the parish office. I agree to abide by the guidelines provided for our family.

I Agree Please select this field.

Church of St. Mary /
Church of St. Henry

165 N. Waterville Ave, LeCenter, MN 56057

Youth Faith Formation

2018-2019
PARENT Forms

Family Newsletters

Confirmation Forms

ONline Registration