Faith Formation Registration 2023-2024 Faith Formation Form 2023-2024 Family Last Name* Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Primary Contact InformationPrimary Email*Session communications (updates, reminders, etc.) will be sent to this email" Secondary EmailWill also receive communications Primary Phone*Primary Language of Parents* Is your student/s currently attending Catholic School?*Catholic School students must register when preparing for First Eucharist and Confirmation. For the program box below, write "Sacrament Prep." No tuition is owed but Sacramental fees do apply. Yes No Name of Catholic School Registering StudentsFamily Formation (Pre-K-6th)Weekly lessons in the home. Once a month parent and student sessions with weekly home lessons. Monday 5:00-6:15 PM PRE-K - 2nd grade 6:30-7:45 PM 2nd - 6th grade. (PLEASE NOTE: there are two times available for 2nd grade, 5:00 pm-6:15 pm and 6:30 -7:45 pm) Adaptive Needs (K-12)Will meet twice a month on a Saturday morning. 9:30 AM-10:30 AM Middle School (7th and 8th)Confirmation preparation sessions for 7th & 8th grade students. Students and occasionally parents meet twice monthly on Mondays 7th grade Y1: 6:00-7:30PM in the McCabe Center 8th grade Y2: 6:00-8:00PM in the Parish Center (Must pay Confirmation sacramental fee both years)RCIC ES YEAR 1 and Year 2Once a month parent and student sessions with weekly home lessons. Wednesday 5:30-7:00 PM. RCIC ES Y1 grades 3,4 & 5. For the baptized or unbaptized students who missed 2nd grade First Communion. RCIC ES Y2 grades 4,5 & 6 for students who completed RCIC ES Y1 RCIC MS and HS Sacramental PrepFor the unbaptized and/or students who missed First Communion and/or 8th-grade Confirmation. Meet twice a month on Wednesdays IN ADDITION to Monday evening Confirmation Prep sessions. Additional sessions are also required the year they receive their sacraments. Wednesday 5:30 – 7:00 PM Number of Students*You can put a number more than four, please just write any additional student's information in the comment box after the fourth studentPlease enter a number from 1 to 4.First StudentStudent Full Name* Date of Birth* MM slash DD slash YYYY Grade (Fall 2023)* Gender* Male Female In religion class last year?* Yes No Has the student been baptized?* Yes No Has received First Eucharist* Yes No Indicate the specific program from above list*Catholic School students must register when preparing for First Eucharist and Confirmation. For the program box below, write "Sacrament Prep." No tuition is owed but Sacramental fees do apply. Adaptive NeedsFamily Faith Formation Pre-K-2nd (5:00pm-6:15 pm)Family Faith Formation 2nd-6th (6:30pm-7:45pm)Confirmation Prep 7th - 8th gradeRCIC ES Year 1RCIC ES Year 2Sacrament Prep for MS and HSSecond StudentStudent Full Name* Date of Birth* MM slash DD slash YYYY Grade (Fall 2023)* Gender* Male Female In religion class last year?* Yes No Has the student been baptized?* Yes No Has received First Eucharist* Yes No Indicate the specific program from above list*Adaptive NeedsFamily Faith Formation Pre-K-2nd (5:00pm-6:15 pm)Family Faith Formation 2nd-6th (6:30pm-7:45pm)Confirmation Prep 7th - 8th gradeRCIC ES Year 1RCIC ES Year 2Sacrament Prep for MS and HSThird StudentStudent Full Name* Date of Birth* MM slash DD slash YYYY Grade (Fall 2023)* Gender* Male Female In religion class last year?* Yes No Has the student been baptized?* Yes No Has received First Eucharist* Yes No Indicate the specific program from above list*Adaptive NeedsFamily Faith Formation Pre-K-2nd (5:00pm-6:15 pm)Family Faith Formation 2nd-6th (6:30pm-7:45pm)Confirmation Prep 7th - 8th gradeRCIC ES Year 1RCIC ES Year 2Sacrament Prep for MS and HSFourth StudentStudent Full Name* Date of Birth* MM slash DD slash YYYY Grade (Fall 2023)* Gender* Male Female In religion class last year?* Yes No Has the student been baptized?* Yes No Has received First Eucharist* Yes No Indicate the specific program from above list*Adaptive NeedsFamily Faith Formation Pre-K-2nd (5:00pm-6:15 pm)Family Faith Formation 2nd-6th (6:30pm-7:45pm)Confirmation Prep 7th - 8th gradeRCIC ES Year 1RCIC ES Year 2Sacrament Prep for MS and HSAdditional StudentsAdditional Students InformationFather's InformationFull Name* First Last Cell PhoneReligion If you are Catholic, please check the sacrament the FATHER has received Baptism Eucharist Confirmation Marriage Mother's InformationFull Name* First Last Cell PhoneReligion If you are Catholic, please check the sacrament the MOTHER has received Baptism Eucharist Confirmation Marriage Additional InformationWe have already signed up for Flocknote*If not, please text MSP to 84576 I am signed up for Flocknote I am NOT signed up for Flocknote Is your family registered as members of Mother Seton Parish?* Yes No Envelope Number, if applicable Child(ren) live with* Both Parents, one household Both Parents, two households Father Only Mother Only What language would you like the Family Faith Formation teaching material?* English Spanish Do any of your children have medical concerns or food allergies? Please list:*If Not, MUST WRITE "NONE"Do any of your children have special learning needs/disabilities? Please list:*If Not, MUST WRITE "NONE"Medical Release AuthorizationIn the event of an emergency, I authorize the staff of Mother Seton Parish and/or the nearest medical facility to administer immediate medical attention to my child(ren) if necessary and only if unable to contact me. Signed:Parent/Legal Guardian Signature* Date* MM slash DD slash YYYY Student Pick-Up AuthorizationIn the event that I am unable to pick up my child(ren) from Faith Formation, the following people have my permission to do so:Name and Phone NumberIf multiple, please put on separate linesRegistration FeesMake checks payable to Mother Seton Parish Faith Formation. Payment plans are available, please contact our office. HiddenTuition Fees*A late fee of $25 per student (registering after Aug 25th) will be added to the total registration cost. One Student only Registration Fee - $175 Two or more student Registration Fee - $245 Pre-K or Adaptive Needs ONLY Registration - $50 Catholic School Student No Sacraments fees apply Tuition Fees* One Student only Registration Fee Two or more student Registration Fee Adaptive Needs Registration Mary of Nazareth Student HiddenSacramental Fees* First Eucharist Fee (2nd Grade and RCIC Yr 2) - $60 Confirmation Fee (7th and 8th) - $130 High School RCIC (YEAR 2 ONLY) Sacramental Fee No Sacraments Fee Apply Sacramental Fees First Eucharist Fee (2nd Grade and RCIC Yr 2) Confirmation Fee (7th and 8th) High School RCIC (YEAR 2 ONLY) Sacramental Fee - $130 No Sacraments Fee Apply Product Name Price: Total $0.00 Volunteers NeededThe success of our programs relies on the generosity of our volunteers. Please check the boxes to indicate your interest and availability to help out.I am available to lend a helping hand… Monthly, preparing materials During class time as a Catechist During class time as a Hall monitor Outside of class time for occasional special events or projects Small Group Leader for Confirmation Prep For the following program(s) Family Formation Adaptive Needs RCIC Year 1 & 2 Middle School/Confirmation High School See program listing for day and timesOther/Notes:Legal and SignatureConsent to participate in the Faith Formation Program*By my signature below, I grant permission for my child/ren, to participate in Mother Seton Faith Formation under the guidance and direction of parish employees and/or volunteers from Mother Seton Parish. As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor(s). I agree on behalf of myself, my child/ren named herein, or our heirs, successors, and assigns, to hold harmless and defend Mother Seton Parish, its officers, directors, employees and agents, and the Archdiocese of Washington, its employees and agents, chaperones, or representatives associated with MSP, from any claim arising from or in connection with my child/children/teen(s) attending programming or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith. I agree to the privacy policy.Permission for Virtual Classes and for use of photographs and/or quotations*By my signature below, I grant permission for my child/ren, to participate in Mother Seton Faith Formation programming. The 2020-21 faith formation year will include sessions offered through an online platform. This activity will take place under the guidance and direction of parish employees and/or volunteers who are subject to the Archdiocese of Washington’s Child Protection and Safe Environment Policy. I will be notified of the sessions and how they will be conducted, including registration links should I want to be present with my child. I understand that, as parent and/or legal guardian, I remain legally responsible for any actions taken by my child (listed below as “participant”). My child agrees to abide by all rules and regulations outlined for participation in the program, including all rules and regulations outlined for any online session(s). I understand and agree that the Office for Catechesis and the Archdiocese of Washington will not be held liable if my child fails to cooperate with said regulations and that any infractions of the rules may result in immediate dismissal from the activity. As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor(s). I agree on behalf of myself, my child/ren named herein, or our heirs, successors, and assigns, to hold harmless and defend Mother Seton Parish, its officers, directors, employees and agents, and the Archdiocese of Washington, its employees and agents, chaperones, or representatives associated with MSP, from any claim arising from or in connection with my child/children/teen(s) attending programming or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith. Permission is hereby granted to Mother Seton to use the photographs of and/or quotations from my son/daughter to assist in community awareness, educational efforts, and related public relations efforts that may include brochures, posters, website, and print media. I agree to this policy.Consent* I am the legal parent or legal guardian of the child(ren) and I certify that the information contained on this form is correct.Full Name of Parent/Legal Guardian* Date Signed MM slash DD slash YYYY CAPTCHANameThis field is for validation purposes and should be left unchanged.
