Faith Formation Registration 2020

2020-2021 Registration Year

For questions about Faith Formation contact David Humbarger at ffd@sp4c or 860-693-8727 ext 4.

Please fill out online form below.  Copies are also available at each entrance to the church or in the Rectory Office. Please complete the entire form and submit the First Holy Communion fee. 

Faith Formation Fees

First Child:       $100.00
Second Child:   $ 85.00
Third Child:      $70.00

No additional fee for four or more children.  The maximum fee per family will be $255.00 for First Holy Communion.

Family Information
1. Are you a registered member of St. Patrick Church?
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If you answered no, please call the Rectory office to register. The telephone number is 860-764-4423.
2. Number of children being registered
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3. Are persons responsible for children parents or a guardian?
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Skip to GUARDIAN information if you answered GUARDIAN.
4. Family Name
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5. Family Address:
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5. A. Whose address was entered above?
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6. Mother's Name
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7. Mother's Address. Only if different from Family Address:
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8. Mother's Phone Number: --
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9. Mother's Email Address:
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10. Father's Name:
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11. Father's Address. Only if different from Family Address:
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12. Father's Phone Number: --
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13. Father's Email Address:
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14. Guardian's Name
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15. Are you related in any way to the child being registered?
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Please indicate NO if you are not related. If you are, indicate how. For example, Grandmother, Aunt, Cousin, etc.
16. Guardian Telephone Number: --
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Secondary number should be of parents or guardian.
17. Guardian Address:
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18. Guardian Email:
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19. Emergency contact if Parents or Guardian can't be reached:
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19A. Emergency contact telephone number: --
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Payment
20. How will you be paying for your child/children’s Religious Education?
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First Child: $100.00 Second Child: $ 85.00 Third Child: $ 70.00 Maximum Per Family: $255.00 Note 1: You may put your payment for Religious Education in the weekly collection. However, if you do this, please place in a plain white envelope with Faith Formation printed on the outside. Note 2: If you are in need of financial assistance for your children to attend Faith Formation, please our Faith Formation Coordinator at 860-764-4423
Child 1 - ($100.00)
21. I am registering this child for:
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22. Child's Name
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23. Child's Age
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24. What is your child's upcoming school grade?
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This should be grades 1 through 12 only.
25. Child's Birthdate //
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26. Was your child Baptized at St. Patrick?
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Students Only
27. Did your child have First Communion at St. Patrick?
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If you answered No to this question, please provide a copy of your child's First Communion Certificate to the Parish Office if you have not already done so.
28. Does this child have food allergies or other conditions we should know about? If yes, please explain below.
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29. Can this child appear in parish pictures or videos that may appear on parish website and social media pages?
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If you are registering another child, please continue to CHILD 2. Otherwise go to SUBMIT at bottom of this form.
CHILD 2 - $85.00
30. I am registering my child for:
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31. Child's Name
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32. Child's Age
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33. What is your child's upcoming school grade?
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Enter grades 1 through 12 only.
34. Child’s Birthdate: //
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35. Was your child Baptized at St. Patrick ?
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If you answered No to this question, please provide a copy of your child's Baptism certificate to the Parish Office if you have not already done so.
36. Did your child receive First Holy Communion at St. Patrick?
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If you answered No to this question, please provide a copy of your child's First Communion certificate to the Parish Office if you have not already done so.
37. Does this child have food allergies or other conditions we should know about? If yes, please explain below.
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38. Can this child appear in parish pictures or videos that may appear on parish website and social media pages?
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Register more If you are registering another child, please continue to CHILD 3. Otherwise go to SUBMIT at bottom of this form.
CHILD 3 ($70.00)
39. I am registering this child for:
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40. Child's Name:
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41. Child's Age:
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42. What is your child's upcoming school grade?
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Grades 1 through 12 only.
43. What is your child'ls Birthdate? //
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44. Was your child Baptized at St. Patrick ?
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If you answered No to this question, please provide a copy of your child's Baptism certificate to the Parish Office if you have not already done so.
45. Did your child have First Communion at St. Patrick?
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If you answered No to this question, please provide a copy of your child's First Communion Certificate to the Parish Office if you have not already done so.
46. Does this child have food allergies or other conditions we should know about? If yes, please explain below.
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47. Can this child appear in parish pictures or videos that may appear on parish website and social media pages?
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If you are registering another child, please continue to CHILD 4. Otherwise go to SUBMIT at bottom of this form.
CHILD 4 (NO FEE)
48. I am registering my child for
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49. Child's Name:
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50. Child's Age:
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51. What is your child's upcoming school grade?
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52. Was your child's birthdate? //
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53. Was your child Baptized at St. Patrick ?
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If you answered No to this question, please provide a copy of your child's Baptism certificate to the Parish Office if you have not already done so.
54. Did your child have First Communion at St. Patrick?
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If you answered No to this question, please provide a copy of your child's First Communion Certificate to the Parish Office if you have not already done so.
55. Does this child have food allergies or other conditions we should know about? If yes, please explain below.
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56. Can this child appear in parish pictures or videos that may appear on parish website and social media pages?
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If you are registering another child, please continue to CHILD 5. Otherwise go to SUBMIT at bottom of this form.
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