Youth Faith Formation Registration 2021-2022

Please Complete ASAP

Welcome to the Our Lady of the Hills Faith Formation Program for students in Grades K through 11 (K-1 is a child/parent, or guardian, class). We instruct any student interested in learning more about the Catholic Faith. Please reach out if you have any questions (413-268-4045 ~ Please leave a message).

Student #1 Information
Name
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Grade in Fall
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School Attending
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Gender
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Other
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Important Info (i.e. allergies, disabilities, etc.)
Student #2 Information
Name
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Grade in Fall
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School Attending
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Gender
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Other
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Important Info (i.e. allergies, disabilities, etc.)
Student #3 Information
Name
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Grade in Fall
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School Attending
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Gender
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Other
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Important Info (i.e. allergies, disabilities, etc.)
Student #4
Name
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Grade in Fall
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School Attending
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Gender
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Other
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Important Info (i.e. allergies, disabilities, etc.)
Home Parish
Home Parish
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If Other:
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1st Communion & Confirmation Students
Parish Where Baptized (inc. City, State):
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*Confirmation Students
Parish received 1st Communion (inc. City, State):
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Parent/Guardian #1 Contact Information
Name
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List (Single Choice)
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If other:
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Address
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Phone --
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Phone #2 --
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E-mail
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Parent/Guardian #2 Contact Information
Name
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List (Single Choice)
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If Other:
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Address
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Phone --
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Phone #2 --
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E-mail
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Other Contact
(please note anyone else who may be contacted in case of emergency)
Name
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Relationship
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Phone --
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BEST CONTACT FOR CLASS INFO:
(E-Mail, Cell/Text, House Phone, etc.)
Best One Way to Contact (E-Mail, Cell/Text, House Phone, etc.)
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Notes/Comments
Use this space for anything else you would like to add.
Text (Multiple Lines)
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*REGISTRATION FEE* 2021-2022
Message *Registration Fee: $20/child; $50/family (Make check payable to: Our Lady of the Hills with “Faith Formation-name of student/s” in memo and mail to the Parish Office at: 173 Main Street, Haydenville, MA 01039-9768, or put in an envelope marked “Faith Formation” to place in the mass collection basket.) *Families who are unable to help defray cost of program should speak with the Pastor or Director – no child will be refused instruction due to financial difficulties. Feel free to comment in the notes section if you’d like to speak with someone about this or be in touch in a way convenient to you.
NOTE
*Families who are unable to help defray cost of the program should speak with the Pastor or Director - no child will be refused instruction due to financial difficulties. Feel free to comment in the notes section if you prefer.
Office purposes only:
Message Date Rec'd:___________ Check #:_____________
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