Faith Formation Form

Berlin, NJ

St. Simon Stock 2021 - 2022 Faith Formation Registration

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Family Last Name *

Home Address *

City *

Zip Code *

Parish Where You Are Registered *

Mother’s Information

Mother’s Name

Mother’s Maiden Name

Mother’s Religion

Mother’s Phone

Mother’s E-mail

Father’s Information

Father’s Name

Father’s Religion

Father’s Phone

Father’s E-mail

Guardian Information

Name, Address, Phone and Email of Legal Guardian, if different from above

Session Choice

Please select one option (unless more than 1 child is attending and you want different sessions for each). Sacramental years (2nd and 8th grade) must attend onsite.

Select a Session *

Monday 5:00pm-6:00pm

Wednesday 6:00pm-7:00pm

Home Faith Formation

Please Note Any Concerns or Comments

Child #1

Name (First & Last) *

Gender *

Male

Female

Date of Birth *

Birth Place (City, State) *

Grade Child Will Enter in September *

Is your child baptized? *

Yes

(If YES, supply the date and parish of baptism. If child is a NEW student, or this is a sacramental year (i.e., 2nd or 8th grade), a copy of baptismal certificate must be presented.)

Has your child celebrated the sacrament of Holy Eucharist? *

Yes

Does your child have special needs? If yes, please explain:

Does your child have an allergy we need to be aware of? If yes, please explain:

Child #2

Add another child?

Yes

Child #3