(607) 748-7417
(607) 785-6454
701 W Main St, Endicott, NY 13760
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Faith Formation/Religious Education Registration Form
Family Address / Contact Information
Family Last Name
*
Date
MM slash DD slash YYYY
Address
*
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Home/Cell Number
*
Email
*
Father Information
Last Name (if different)
First Name
Home Phone (if different)
Work/Cell Phone Number
Is Father Catholic?
Yes
No
Mailing Address (if different from family address)
Mother Information
Last Name (if different)
Maiden Name
First Name
Home Phone (if different)
Work/Cell Phone Number
Is Mother Catholic?
Yes
No
Mailing Address (if different from family address)
Other Adult (If not mother or father)
Last Name (if different)
First Name
Relationship to Child(ren)
Home Phone (if different)
Work/Cell Phone Number
Is Other Adult Catholic?
Yes
No
Mailing Address (if different from family address)
Emergency Contact
Last Name
*
First Name
*
Relationship to Child(ren)
*
Home/Cell Phone Number
*
With whom does the child/do children reside?
*
Father & Mother
Father
Mother
Other Adult
If other adult, fill out "Other Adult" contact information above.
Person to contact about Religious Education and related activities
*
Father & Mother
Father
Mother
Other Adult
If other adult, fill out "Other Adult" contact information above.
Parish Affiliation
*
OLGC
Other
Please Specify
*
Registration Documentation
IF ANY OF YOUR CHILDREN WERE BAPTIZED OUTSIDE OF OUR PARISH, AND YOU HAVE NOT GIVEN US A COPY OF THE BAPTISMAL CERTIFICATE, YOU NEED TO PROVIDE US A COPY FOR OUR FILES. THIS IS ESPECIALLY IMPORTANT FOR CHILDREN INVOLVED IN A SACRAMENTAL PREPARATION PROGRAM.
*
My child(ren) has/have been baptized through OLGC
My child(ren) has/have been baptized outside of our parish and I have supplied necessary documentation
My child(ren) has/have been baptized outside of our parish and I will be supplying necessary documentation
Student Religious Education Registration Information - Child 1
First Name
*
Last Name (if different)
Sex
*
Birth Date
*
Month
Day
Year
Grade
*
School
*
First Class Choice (day/time)
*
Second Class Choice (day/time)
*
Is this child interested in participating in the 9:30 mass children's choir (grade 2 and up)
*
Yes
No
Select all Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
Special Needs: Medical, physical, or learning disabilities; family situations
Add second child?
*
Yes
No
Child 2
First Name
*
Last Name (if different)
Sex
*
Birth Date
*
Month
Day
Year
Grade
*
School
*
First Class Choice (day/time)
*
Second Class Choice (day/time)
*
Is this child interested in participating in the 9:30 mass children's choir (grade 2 and up)
*
Yes
No
Select all Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
Special Needs: Medical, physical, or learning disabilities; family situations
Add third child?
*
Yes
No
Child 3
First Name
*
Last Name (if different)
Sex
*
Birth Date
*
Month
Day
Year
Grade
*
School
*
First Class Choice (day/time)
*
Second Class Choice (day/time)
*
Is this child interested in participating in the 9:30 mass children's choir (grade 2 and up)
*
Yes
No
Select all Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
Special Needs: Medical, physical, or learning disabilities; family situations
Add fourth child?
*
Yes
No
Child 4
First Name
*
Last Name (if different)
Sex
*
Birth Date
*
Month
Day
Year
Grade
*
School
*
First Class Choice (day/time)
*
Second Class Choice (day/time)
*
Is this child interested in participating in the 9:30 mass children's choir (grade 2 and up)
*
Yes
No
Select all Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
Special Needs: Medical, physical, or learning disabilities; family situations
Religious Education Volunteers
Volunteers make our program work. We need you! Please search your heart and decide where God is calling you to serve. Parents and guardians are asked to volunteer to do at least ONE thing to make this program work. Help is needed in the following areas:
I will help with:
December "Joy" Party
Faithways Activities (grades 6, 7, 8)
Family Fun Night & Covered Dish Dinner
First Communion Reception
Baking
Youth Group Activities
Please Call Me
I will:
Teach - serve as lead teacher for a class
Team Teach - share teaching duties with another teacher
Substitute Teach - Always a need. Lesson plans will be available
Teacher's Aide in Elementary Program - help teacher in a classroom
Hall Monitor in Elementary Program - Rotating Schedule
Adult Leader in Middle School Community Service Program (Selected Events)
Adult Leader in High School Community Service Program (Select Events)
Please provide day, time and grade to teach
Please provide day, time and grade to team teach
Please provide day, time and grade to substitute teach
Please provide day, time and grade to be teacher's aide
Please provide day, time and grade to be hall monitor
Volunteer Name
Best time to Call
Phone
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