Registration Form 2024-2025

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

Street 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.

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

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

Enroll in text message reminders REQUIRED Please fill out this field.

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

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

Enroll in text message reminders REQUIRED Please fill out this field.

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

Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.

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

I am interested in becoming a Catechist and would like more information. Yes

As parent/guardian, I understand that pictures and videos (individual and group) may be taken during Faith Formation Classes and/or Youth Ministry Activities. I give permission for my child(ren)'s (named above) pictures to be shared on our Sacred Heart Parish website, Facebook page or other church related media.

Video/Photography Consent REQUIRED

Please SIGN and DATE to give permission for your child (ren) to be included in group photos that may be taken during Youth Faith Formation classes or activities and shared on our Sacred Heart Parish website and/or Facebook page.

Please fill out this field.

By signing and dating, you will give permission for your child(ren) to attend Youth Faith Formation classes.

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

Date REQUIRED Please fill out this field. Please enter a date.