Youth Faith Formation Registration 13-Aug-2019 19:06:28

Please Complete ASAP

Welcome to the Our Lady of the Hills Faith Formation Program for students in Grades 1 through 11. 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
  •  
Grade in Fall
  •  
School Attending
  •  
Gender
  •  
Other
  •  
Important Info (i.e. allergies, disabilities, etc.)
Student #3 Information
Name
  •  
Grade in Fall
  •  
School Attending
  •  
Gender
  •  
Other
  •  
Important Info (i.e. allergies, disabilities, etc.)
Home Parish
Home Parish
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If Other:
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1st Communion Students
(For those baptized at another parish, please call that rectory and request that the Baptismal Certificate be sent to Our Lady of the Hills)
Parish Where Baptized:
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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
  •  
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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Notes/Comments
(please list any allergies or learning challenges here by student name)
Text (Multiple Lines)
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*REGISTRATION FEE - $20/child; $50/Family
Checks should be made payable to: Our Lady of the Hills with "Faith Formation-name of student(s)" in memo and mailed to the Parish Office at 173 Main St, Haydenville, MA 01039 or placed in Collection basket at Mass in separate envelope indicating "Youth Faith Formation".
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 #:_____________