Family Faith Formation 2020-2021

Are you currently a registered parishioner of Christ the King Parish? REQUIRED Yes No Please fill out this field.

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Are you choosing remote learning this year for Family of Faith? REQUIRED Yes No Please fill out this field.

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.

Home Phone Please enter a phone number.

Primary Email REQUIRED Please fill out this field. Please enter an email address.

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

Mother's Cell REQUIRED Please fill out this field. Please enter a phone number.

Mother's Work Please enter a phone number.

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

Father's Cell REQUIRED Please fill out this field. Please enter a phone number.

Father's Work Phone Please enter a phone number.

Children Registering for Family Formation REQUIRED
Select the number of children you will be registering.
Please fill out this field.
Information 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- School Name 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- Grade Level 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- My child has received the following Sacraments (choose all that apply) REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
Information 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- School Name 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- Grade Level 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- My child has received the following Sacraments (choose all that apply) REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
Information 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- School Name 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- Grade Level 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- My child has received the following Sacraments (choose all that apply) REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
Information 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- School Name 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- Grade Level 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- My child has received the following Sacraments (choose all that apply) REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
Information 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- School Name 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- Grade Level 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- My child has received the following Sacraments (choose all that apply) REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
Information 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- School Name 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- Grade Level 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- My child has received the following Sacraments (choose all that apply) REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
Information 7
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- School Name 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- Grade Level 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- My child has received the following Sacraments (choose all that apply) REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
Information 8
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- School Name 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- Grade Level 2020-2021 REQUIRED Please fill out this field. Please enter valid data.
- My child has received the following Sacraments (choose all that apply) REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.

Will your school-aged children stay with our catechists during the adult meetings? REQUIRED Yes No Please fill out this field.

How many children preschool or younger will need childcare? REQUIRED Please fill out this field.
Information 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- Grade (if applicable) REQUIRED Please fill out this field. Please enter valid data.
Information 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- Grade (if applicable) REQUIRED Please fill out this field. Please enter valid data.
Information 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- Grade (if applicable) REQUIRED Please fill out this field. Please enter valid data.
Information 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- Grade (if applicable) REQUIRED Please fill out this field. Please enter valid data.
Information 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- Grade (if applicable) REQUIRED Please fill out this field. Please enter valid data.
Information 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- Grade (if applicable) REQUIRED Please fill out this field. Please enter valid data.
Information 7
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- Grade (if applicable) REQUIRED Please fill out this field. Please enter valid data.
Information 8
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Birth date REQUIRED Please fill out this field. Please enter a date.
- Grade (if applicable) REQUIRED Please fill out this field. Please enter valid data.

Special Circumstances

Please indicate below any special circumstances regarding your child or family. If the allergy is potentially life-threatening, please meet with the Director to discuss. THIS INFORMATION WILL BE TREATED AS CONFIDENTIAL.
Custodial care is with REQUIRED Please fill out this field.
Are there any parental custodial circumstances that might affect your child's attendance? REQUIRED Yes No Please fill out this field.
If yes, please explain. Please enter valid data.
Does your child have a health concerns or special needs? REQUIRED Yes No Please fill out this field.
If yes, please explain. Please enter valid data.
Emergency Contact #1 - Name | Phone | Relationship REQUIRED Please fill out this field. Please enter valid data.
Emergency Contact #2 - Name | Phone | Relationship REQUIRED Please fill out this field. Please enter valid data.
Physician - Name | Phone REQUIRED Please fill out this field. Please enter valid data.

In the event that a parent/guardian cannot be reached, I hereby give my consent to Christ the King Catholic Church to contact the physician listed above, and, if necessary, transport my child to a clinic or hospital REQUIRED I agree I do not agree Please fill out this field.

I hereby give Christ the King Catholic Church permission to publish pictures of my child on the parish website, social media, and/or parish publications. (Please note: No names will be included with pictures). REQUIRED I agree I do not agree Please fill out this field.

Method of payment REQUIRED

If paying online, click the "Pay Online" button below. A new window/tab will open and take you to our Online Giving page.

Please fill out this field.