Faith Formation Registration

Personal Information

Family Last Name REQUIRED Please fill out this field. Please enter valid data.
Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Parents' Religion Father Catholic ? Mother Catholic ?
In which Parish are you registered ? REQUIRED Please fill out this field. Please enter valid data.

Father's Information

Full Name REQUIRED Maximum 50 characters Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email Address REQUIRED Please fill out this field. Please enter an email address.

Mother's Information

Full Name REQUIRED Please fill out this field. Please enter valid data.
Maiden Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

Emergency Contact

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Family Doctor REQUIRED Please fill out this field. Please enter valid data.
Additional Adults Who May Pick-up My Children REQUIRED Please fill out this field. Please enter valid data.
Phone Numbers: REQUIRED Please fill out this field. Please enter valid data.

Student Information REQUIRED
Please enter the number of students being registered.
Please fill out this field.
Child 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- School Grade in Fall 2023 REQUIRED Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grades 9-12 Please fill out this field.
- Returning or New Student to St. Andrew's Faith Formation Program ? REQUIRED Returning New Student Please fill out this field.
- Gender REQUIRED Male Female Please fill out this field.
- Catholic Sacraments Received REQUIRED Baptism First Reconciliation First Communion Please fill out this field.
- Baptismal Date Please enter valid data.
- Baptismal Parish - City & State Please enter valid data.
- Special Needs, Allergies, & Other Notes REQUIRED
  Enter N/A if not appliciable
  Please fill out this field. Please enter valid data.
- Please print out and complete the Medical and Special Needs Form available on the Faith Formation webpage.
- Child lives with... Both Parents Mother Only Father Only Other
- If this child lives with one parent, please let us know who has legal custody of this child. Please enter valid data.
- If parents have joint custody, please provide the address of the parent not listed at the top of this form. Please enter valid data.
- Medical
  In the event it comes to the attention of the parish, its officers, directors and agents, and the Archdiocese of Washington, chaperones, or representatives associated with the activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, I want to be called collect (with phone charges reversed to myself).
- I want to be called collect: REQUIRED Yes No Please fill out this field.
- Is your child taking medication? REQUIRED Yes No Please fill out this field.
- If your child is taking medication at present, your child will bring all such medications necessary, and such medications will be well labeled. Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency of dosage, are as follows:
- Current Medications:
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- School Grade in Fall 2023 REQUIRED Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grades 9-12 Please fill out this field.
- Returning or New Student to St. Andrew's Faith Formation Program ? REQUIRED Returning New Student Please fill out this field.
- Gender REQUIRED Male Female Please fill out this field.
- Catholic Sacraments Received REQUIRED Baptism First Reconciliation First Communion Please fill out this field.
- Baptismal Date Please enter valid data.
- Baptismal Parish - City & State Please enter valid data.
- Special Needs, Allergies, & Other Notes REQUIRED
  Enter N/A if not appliciable
  Please fill out this field. Please enter valid data.
- Please print out and complete the Medical and Special Needs Form available on the Faith Formation webpage.
- Child lives with... Both Parents Mother Only Father Only Other
- If this child lives with one parent, please let us know who has legal custody of this child. Please enter valid data.
- If parents have joint custody, please provide the address of the parent not listed at the top of this form. Please enter valid data.
- Medical
  In the event it comes to the attention of the parish, its officers, directors and agents, and the Archdiocese of Washington, chaperones, or representatives associated with the activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, I want to be called collect (with phone charges reversed to myself).
- I want to be called collect: REQUIRED Yes No Please fill out this field.
- Is your child taking medication? REQUIRED Yes No Please fill out this field.
- If your child is taking medication at present, your child will bring all such medications necessary, and such medications will be well labeled. Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency of dosage, are as follows:
- Current Medications:
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- School Grade in Fall 2023 REQUIRED Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grades 9-12 Please fill out this field.
- Returning or New Student to St. Andrew's Faith Formation Program ? REQUIRED Returning New Student Please fill out this field.
- Gender REQUIRED Male Female Please fill out this field.
- Catholic Sacraments Received REQUIRED Baptism First Reconciliation First Communion Please fill out this field.
- Baptismal Date Please enter valid data.
- Baptismal Parish - City & State Please enter valid data.
- Special Needs, Allergies, & Other Notes REQUIRED
  Enter N/A if not appliciable
  Please fill out this field. Please enter valid data.
- Please print out and complete the Medical and Special Needs Form available on the Faith Formation webpage.
- Child lives with... Both Parents Mother Only Father Only Other
- If this child lives with one parent, please let us know who has legal custody of this child. Please enter valid data.
- If parents have joint custody, please provide the address of the parent not listed at the top of this form. Please enter valid data.
- Medical
  In the event it comes to the attention of the parish, its officers, directors and agents, and the Archdiocese of Washington, chaperones, or representatives associated with the activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, I want to be called collect (with phone charges reversed to myself).
- I want to be called collect: REQUIRED Yes No Please fill out this field.
- Is your child taking medication? REQUIRED Yes No Please fill out this field.
- If your child is taking medication at present, your child will bring all such medications necessary, and such medications will be well labeled. Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency of dosage, are as follows:
- Current Medications:
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- School Grade in Fall 2023 REQUIRED Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grades 9-12 Please fill out this field.
- Returning or New Student to St. Andrew's Faith Formation Program ? REQUIRED Returning New Student Please fill out this field.
- Gender REQUIRED Male Female Please fill out this field.
- Catholic Sacraments Received REQUIRED Baptism First Reconciliation First Communion Please fill out this field.
- Baptismal Date Please enter valid data.
- Baptismal Parish - City & State Please enter valid data.
- Special Needs, Allergies, & Other Notes REQUIRED
  Enter N/A if not appliciable
  Please fill out this field. Please enter valid data.
- Please print out and complete the Medical and Special Needs Form available on the Faith Formation webpage.
- Child lives with... Both Parents Mother Only Father Only Other
- If this child lives with one parent, please let us know who has legal custody of this child. Please enter valid data.
- If parents have joint custody, please provide the address of the parent not listed at the top of this form. Please enter valid data.
- Medical
  In the event it comes to the attention of the parish, its officers, directors and agents, and the Archdiocese of Washington, chaperones, or representatives associated with the activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, I want to be called collect (with phone charges reversed to myself).
- I want to be called collect: REQUIRED Yes No Please fill out this field.
- Is your child taking medication? REQUIRED Yes No Please fill out this field.
- If your child is taking medication at present, your child will bring all such medications necessary, and such medications will be well labeled. Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency of dosage, are as follows:
- Current Medications:

Ministry Volunteer Needs

We are always looking for parents to take photos, assist with special events and occasionally help in the classroom. If you would like to share your talents with our program, please leave your name and you will be contacted to determine your area of interest and amount of time you are able to give. Thank you for considering donating your time and/or talents to this ministry.
Please enter the name of the person interested in helping out in our Faith Formation Program. Please enter valid data.
Please check the applicable entry if you are interested in helping out in our Faith Formation Program. Catechist Aide Substitute Office Admin Assistance as Needed
Virtus - Child Protection/Background check complete Yes No

Photo Permission

St. Andrew Apostle Faith Formation and Parish have opportunities throughout the year where photos will be taken and uploaded to our Facebook Page and/or website. In general, names will not be published with the photos, unless specifically requested by the parish and approved for that one instance by the parent/guardian.
Consent REQUIRED
Permission is hereby granted to St. Andrew Apostle Faith Formation and Parish to use the photographs of my child in any Faith Formation events and activities.
I give consent I do not give consent Please fill out this field.

2023-2024 Registration Fees

Faith Formation Fees REQUIRED 130.0 – One Child 155.0 – Two Children 180.0 – Three or more Children Please fill out this field.
If you intend to register you child / children for First Sacraments (First Rrconciliation / Communion) and / or Confirmation please complete the individual and separate sacramental registration after submitting this form.

Digital Signature

I am the legal parent or guardian of the child(ren) and I certify that the information contained on this form is correct. If so, enter name. REQUIRED Please fill out this field. Please enter valid data.
Date of Signature REQUIRED Please fill out this field. Please enter a date.

St. Andrew Apostle Catholic Church

Silver Spring, MD

Faith Formation Registration

Medical

Medical

Medical

Medical