PLEASE PRINT CLEARLY

St. Joseph Parish

Family Faith Formation Participation Form Gr. 1-8
270 Main Street Kingston, MA 02364
(781) 585-6372

Family Last Name:_________________________

Family Email:_____________________________ Confirm Family Email:__________________________
Home Address:________________________________________________________________________
Home Phone:_____________________________ Emergency Contact:___________________________

Member 1 (Father/Mother)

Birthdate___________________

First:_____________________ Middle:__________________Maiden (required):___________________

Sacraments Received: Baptism___ Catholic?___ Eucharist___ Penance___ Confirmation___

Member 2 (Father/Mother)

Birthdate___________________

First:_____________________ Middle:__________________Maiden (required):___________________

Sacraments Received: Baptism___ Catholic?___ Eucharist___ Penance___ Confirmation___

Child 1 (Son/Daughter)

Birthdate___________________

Grade in Sept______

First:__________________________ Middle:_____________________
Sacraments Received: Baptism___ Catholic?___ Eucharist___ Penance___ Confirmation___
IF NOT BAPTIZED HERE AT ST. JOSEPH, DO WE HAVE A COPY OF BAPTISMAL CERTIFICATE ON FILE?

YES/NO

***IF NO, PLEASE ATTACH A COPY TO REGISTRATION***

Special Needs: (medical, learning, physical)_________________________________________________________________________________

Child 2 (Son/Daughter)

Birthdate___________________

Grade in Sept______

First:__________________________ Middle:_____________________
Sacraments Received: Baptism___ Catholic?___ Eucharist___ Penance___ Confirmation___
IF NOT BAPTIZED HERE AT ST. JOSEPH, DO WE HAVE A COPY OF BAPTISMAL CERTIFICATE ON FILE?

YES/NO

***IF NO, PLEASE ATTACH A COPY TO REGISTRATION***

Special Needs: (medical, learning, physical)________________________________________________________________________________

PLEASE TURN OVER FOR SESSION CHOICES AND ADDITIONAL CHILDREN

Child 3 (Son/Daughter)

Birthdate___________________

Grade in Sept______

First:__________________________ Middle:_____________________
Sacraments Received: Baptism___ Catholic?___ Eucharist___ Penance___ Confirmation___
IF NOT BAPTIZED HERE AT ST. JOSEPH, DO WE HAVE A COPY OF BAPTISMAL CERTIFICATE ON FILE?

YES/NO

***IF NO, PLEASE ATTACH A COPY TO REGISTRATION***

Special Needs: (medical, learning, physical)_________________________________________________________________________________

Child 4 (Son/Daughter)

Birthdate___________________

Grade in Sept______

First:__________________________ Middle:_____________________
Sacraments Received: Baptism___ Catholic?___ Eucharist___ Penance___ Confirmation___
IF NOT BAPTIZED HERE AT ST. JOSEPH, DO WE HAVE A COPY OF BAPTISMAL CERTIFICATE ON FILE?

YES/NO

***IF NO, PLEASE ATTACH A COPY TO REGISTRATION***

Special Needs: (medical, learning, physical)_________________________________________________________________________________

Child 5 (Son/Daughter)

Birthdate___________________

Grade in Sept______

First:__________________________ Middle:_____________________
Sacraments Received: Baptism___ Catholic?___ Eucharist___ Penance___ Confirmation___
IF NOT BAPTIZED HERE AT ST. JOSEPH, DO WE HAVE A COPY OF BAPTISMAL CERTIFICATE ON FILE?

YES/NO

***IF NO, PLEASE ATTACH A COPY TO REGISTRATION***

Special Needs: (medical, learning, physical)_________________________________________________________________________________

FAMILY FEE = $175.00

PLEASE CHOOSE SESSION YOUR FAMILY WOULD LIKE TO ATTEND
Sunday 3:30 5:00

Tuesday 6:00 7:30

Sunday 5:30 7:00

Wednesday 6:00 7:30

Monday 6:00 7:30

SESSIONS WILL BE FILLED ON A FIRST COME-FIRST SERVED BASIS
WE WILL CONFIRM YOUR SESSION VIA EMAIL IN SEPTEMBER
Any Special RequestsWhile we cannot guaranty to meet requests, we will certainly try our best!
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