Family Information Please register early. Registrations are accepted and processed on a first come, first served basis. This form can be used to register up to four children. Registrations will be accepted until Sunday, September 7, 2025. The Code of Conduct found at the end of the registration form must be read and agreed to by all 6th-12th graders registering.
Address(Required)
Child #1 Youth's Name(Required)
First
Last
Gender(Required) Which group would you like your child enrolled in?(Required) Please choose the class that fits best with your child’s grade level.
Allergies and/or special needs
Child #2 Youth's Name
First
Last
Gender Which group would you like your child enrolled in? Please choose the class that fits best with your child’s grade level.
Allergies and/or special needs
Child #3 Youth's Name
First
Last
Gender Which group would you like your child enrolled in? Please choose the class that fits best with your child’s grade level.
Allergies and/or special needs
Child #4 Youth's Name
First
Last
Gender Which group would you like your child enrolled in? Please choose the class that fits best with your child’s grade level.
Allergies and/or special needs
Parents' Information Mother's Name(Required)
First
Last
Maiden
Religion
Father's Name(Required)
First
Last
Religion
Marital Status(Required) Is the child's last name different from the parent's last name?(Required) Custodial Parent Name
First
Last
Religion
Stepparent Name
First
Last
Religion
(if living at above address)
Emergency Contact Person (Other than Parent)(Required)
First
Last
Phone #
Relationship to Child
Photo/Video Permissions valid September 2025 – May 2026 | I give St Clement’s Church permission to photograph and/or video-record my child at faith formation classes and use it in its promotional materials and publicity efforts. I understand that the photograph(s) and video(s) may be used in a publication, print ad, direct-mail piece, electronic media (e.g., DVD, video, Internet) or other form of promotion or information. I release St. Clement’s Church, its agents, staff, and the photographer from liability for any violation of any personal or proprietary right I may have in connection with such use. I am the child’s parent or guardian, and I agree that checking ‘yes’ below has the same effect as signing my name.
Registration forms accepted until Friday, September 13, 2024 Faith Formation Fee(Required) Catechists and Catechist Helpers will receive a discounted rate for any/all children registered.
Please confirm your volunteer status with Rita before making any payments.
Volunteer as a Catechist or Catechist Helper By checking this box, I (the youth) acknowledge that I have read and agree to the terms of the St Clement's Code of Conduct for the 2025 – 2026 Faith Formation year. 
