2018-2019 Registration & Payment

- Parish Faith Formation

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- Before filling out this registration form, read the 'must read' documents and have your payment information ready.
  
  This registration will not be considered complete until:
  
  1) payment is made
  2) all information is checked for accuracy
  3) you receive a confirmation email from us
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Home Phone Please enter valid data.
- Contact Email Address REQUIRED Please fill out this field. Please enter an email address.
- Marital Status REQUIRED Please fill out this field.
- Mother - First & Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Mother - Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Mother - Email REQUIRED Please fill out this field. Please enter an email address.
- Mother - Religion REQUIRED Please fill out this field. Please enter valid data.
- Father - First Name REQUIRED Please fill out this field. Please enter valid data.
- Father - Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Father - Email REQUIRED Please fill out this field. Please enter an email address.
- Father - Religion REQUIRED Please fill out this field. Please enter valid data.
- Legal Guardian Name or N/A Please enter valid data.
- Send Mail To - Name REQUIRED Please fill out this field. Please enter valid data.
- Street 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.
- Registered Parish REQUIRED Please fill out this field.
- Church of Saint Leo the Great ONLY, please enter your 4 digit envelope
- Saint Leo's 4 Digit Envelope Number Please enter an integer (number) from 0 to 9999.
- All families in the Faith Formation program are strongly encouraged to devote time in support of their children's religious education. Please select from the following (which are described in detail in the Participation and Volunteering Document: (Please Read)
- Volunteer Opportunities
- The preferred day I would like to
- Volunteer Tuesday Wednesday Thursday
- Our family agrees to all of the items on the
  Family Pledge Form (Please Read)
- Pledge? Yes No
- Important Information Regarding the Health and Safety of Your Child
- Parent/Legal Guardian Affirmation
  In case of accident or serious illness, I request the Office of Parish Faith Formation to contact me. If the Office is unable to reach me, I hereby authorize the Office to call the person(s) indicated below. If it is impossible to contact the person(s) indicated, the Office is authorized to contact emergency medical personnel as deemed necessary.
- Emergency REQUIRED I Agree I Disagree Please fill out this field.
- Please provide information below
- Name of your Local Physician REQUIRED Please fill out this field. Please enter valid data.
- Your Physician's Phone Number REQUIRED Please fill out this field. Please enter valid data.
- LOCAL Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number for Local Emergency Contact REQUIRED Please fill out this field. Please enter a phone number.
- Relationship of Emergency Contact to you REQUIRED Please fill out this field. Please enter valid data.
- If any other adult is authorized to pick up your child(ren), please provide their Name, Cell Number and Relationship
- Authorized Name Please enter valid data.
- Phone Number Please enter valid data.
- Relationship Please enter valid data.
- If there are any custodial arrangements, please explain here.
- Arrangements
- Number of Children Being Registered REQUIRED Please fill out this field.
  
  Child 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Month
  
  Birth Day
  
  Birth Year
  
  School Grade in September REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Other Needs
  
  Please provide the specific nature of your child's needs below
  
  More Information
  
  Please select which program you are interested in for your child.
  
  Catechetical Program REQUIRED Please fill out this field.
  
  If your child is in Grade K through 6, do you have a preferrence whether they attend Tuesday or Wednesday?
  
  Preference? Tuesday Wednesday Thursday (7th and 8th only)
  
  School Attending in September REQUIRED Please fill out this field. Please enter valid data.
  
  I have read the Picture and Video Release Document (Please Read)
  
  Release? Yes No
  
  Please complete the following information ONLY if you are registering your child for Faith Formation for the first time. Otherwise - skip to the Payment Section .
  
  __________________________________________
  
  Information about your child's Baptism
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  A Baptismal Certificate MUST be emailed to the following email address:
  
  faithformation@stleothegreat.com
  
  Registration will not be complete until the Office of Faith Formation receives the Baptismal Certificate.
  
  _________________
  
  Information about your child's First Penance
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  _________________
  
  Information about your Child's Communion
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  Child 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Month
  
  Birth Day
  
  Birth Year
  
  School Grade in September REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Other Needs
  
  Please provide the specific nature of your child's needs below
  
  More Information
  
  Please select which program you are interested in for your child.
  
  Catechetical Program REQUIRED Please fill out this field.
  
  If your child is in Grade K through 6, do you have a preferrence whether they attend Tuesday or Wednesday?
  
  Preference? Tuesday Wednesday Thursday (7th and 8th only)
  
  School Attending in September REQUIRED Please fill out this field. Please enter valid data.
  
  I have read the Picture and Video Release Document (Please Read)
  
  Release? Yes No
  
  Please complete the following information ONLY if you are registering your child for Faith Formation for the first time. Otherwise - skip to the Payment Section .
  
  __________________________________________
  
  Information about your child's Baptism
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  A Baptismal Certificate MUST be emailed to the following email address:
  
  faithformation@stleothegreat.com
  
  Registration will not be complete until the Office of Faith Formation receives the Baptismal Certificate.
  
  _________________
  
  Information about your child's First Penance
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  _________________
  
  Information about your Child's Communion
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  Child 3
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Month
  
  Birth Day
  
  Birth Year
  
  School Grade in September REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Other Needs
  
  Please provide the specific nature of your child's needs below
  
  More Information
  
  Please select which program you are interested in for your child.
  
  Catechetical Program REQUIRED Please fill out this field.
  
  If your child is in Grade K through 6, do you have a preferrence whether they attend Tuesday or Wednesday?
  
  Preference? Tuesday Wednesday Thursday (7th and 8th only)
  
  School Attending in September REQUIRED Please fill out this field. Please enter valid data.
  
  I have read the Picture and Video Release Document (Please Read)
  
  Release? Yes No
  
  Please complete the following information ONLY if you are registering your child for Faith Formation for the first time. Otherwise - skip to the Payment Section .
  
  __________________________________________
  
  Information about your child's Baptism
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  A Baptismal Certificate MUST be emailed to the following email address:
  
  faithformation@stleothegreat.com
  
  Registration will not be complete until the Office of Faith Formation receives the Baptismal Certificate.
  
  _________________
  
  Information about your child's First Penance
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  _________________
  
  Information about your Child's Communion
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  Child 4
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Month
  
  Birth Day
  
  Birth Year
  
  School Grade in September REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Other Needs
  
  Please provide the specific nature of your child's needs below
  
  More Information
  
  Please select which program you are interested in for your child.
  
  Catechetical Program REQUIRED Please fill out this field.
  
  If your child is in Grade K through 6, do you have a preferrence whether they attend Tuesday or Wednesday?
  
  Preference? Tuesday Wednesday Thursday (7th and 8th only)
  
  School Attending in September REQUIRED Please fill out this field. Please enter valid data.
  
  I have read the Picture and Video Release Document (Please Read)
  
  Release? Yes No
  
  Please complete the following information ONLY if you are registering your child for Faith Formation for the first time. Otherwise - skip to the Payment Section .
  
  __________________________________________
  
  Information about your child's Baptism
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  A Baptismal Certificate MUST be emailed to the following email address:
  
  faithformation@stleothegreat.com
  
  Registration will not be complete until the Office of Faith Formation receives the Baptismal Certificate.
  
  _________________
  
  Information about your child's First Penance
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  _________________
  
  Information about your Child's Communion
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  Child 5
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Month
  
  Birth Day
  
  Birth Year
  
  School Grade in September REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Other Needs
  
  Please provide the specific nature of your child's needs below
  
  More Information
  
  Please select which program you are interested in for your child.
  
  Catechetical Program REQUIRED Please fill out this field.
  
  If your child is in Grade K through 6, do you have a preferrence whether they attend Tuesday or Wednesday?
  
  Preference? Tuesday Wednesday Thursday (7th and 8th only)
  
  School Attending in September REQUIRED Please fill out this field. Please enter valid data.
  
  I have read the Picture and Video Release Document (Please Read)
  
  Release? Yes No
  
  Please complete the following information ONLY if you are registering your child for Faith Formation for the first time. Otherwise - skip to the Payment Section .
  
  __________________________________________
  
  Information about your child's Baptism
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  A Baptismal Certificate MUST be emailed to the following email address:
  
  faithformation@stleothegreat.com
  
  Registration will not be complete until the Office of Faith Formation receives the Baptismal Certificate.
  
  _________________
  
  Information about your child's First Penance
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  _________________
  
  Information about your Child's Communion
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  Child 6
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Month
  
  Birth Day
  
  Birth Year
  
  School Grade in September REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Other Needs
  
  Please provide the specific nature of your child's needs below
  
  More Information
  
  Please select which program you are interested in for your child.
  
  Catechetical Program REQUIRED Please fill out this field.
  
  If your child is in Grade K through 6, do you have a preferrence whether they attend Tuesday or Wednesday?
  
  Preference? Tuesday Wednesday Thursday (7th and 8th only)
  
  School Attending in September REQUIRED Please fill out this field. Please enter valid data.
  
  I have read the Picture and Video Release Document (Please Read)
  
  Release? Yes No
  
  Please complete the following information ONLY if you are registering your child for Faith Formation for the first time. Otherwise - skip to the Payment Section .
  
  __________________________________________
  
  Information about your child's Baptism
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  A Baptismal Certificate MUST be emailed to the following email address:
  
  faithformation@stleothegreat.com
  
  Registration will not be complete until the Office of Faith Formation receives the Baptismal Certificate.
  
  _________________
  
  Information about your child's First Penance
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
  
  _________________
  
  Information about your Child's Communion
  
  Church Please enter valid data.
  
  Month
  
  Day
  
  Year
- ________________________________________________
- Payment Section
- Your child's registration is not complete until payment is made in full. If not making payment online by credit/debit card, full payment must be made within 30 days. Please mail or bring payment to the Office of Faith Formation, 550 Newman Springs Road, Lincroft, NJ 07738. No child will be admitted to the Program in September without full payment or payment arrangements having been made through Saint Leo's Parish Finance Office. If you need to make payment arrangements, please contact the Parish Bursar immediately at (732) 747-5466.
- Are you Parishioners of the Church of Saint Leo the Great?
- Parishioners? REQUIRED Please fill out this field.
- Payment REQUIRED Please fill out this field.
Total: $

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