"A Family of Faith" Registration Page
2018-2019

- Parish Ministries

To register your family for our Faith Formation Program "A Family of Faith" we encourage you to first register as a family within our Parish Community! To do this please stop by the Church Office and ask for a New Parishioner Registration Form. Welcome!

***Please review the following tuition and payment options before completing this form.***

Program Tuition is as follows and includes the following:
- Supplies
  - Family Backpack
  - Parent Guide to "A Family of Faith" through the Sophia Institute.
  - Activity Book
  - Various Supplemental Materials through course of year.
- Tuition
  - $95 per family
  - $150 per family with a student/students in a Sacramental Prep Year of Communion or Confirmation.
Payment Options
- NEW! Online payment option! This is the preferred way to pay, please follow link after completing this form.
- If you can not use paypal please send a check to the Parish Office. Address is at the bottom of this form. Payments are due within 5 business days of this form being submitted. If payment is not received and you have not contacted the parish office we will place your submission on hold pending payment.
If fees cause undue financial burden please contact Director of Religious Education, Lisa Whitaker, to discuss financial assistance options.

***Payments will no longer be accepted the 1st day of Faith Formation Classes. Payments can ONLY be accepted through Paypal or the parish office, and must be received within 5 days of this forms submission***
The maximum number of form submissions has been reached. This form is currently not available.
- Date REQUIRED Please fill out this field. Please enter a date.
- Name of Person Completing Form
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Primary Contact Info
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Relationship to Youth REQUIRED Please fill out this field.
- Street 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.
- Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Additional Guardian Info REQUIRED
  Please include ALL individuals who are legal guardians of the child and/or are in a parental role.
  Please fill out this field.
  
  Guardian Info 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to Youth
  
  Email Please enter an email address.
  
  Mailing Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Primary Phone Number Please enter a phone number.
  
  Can we send text messages to this number? Yes No
  
  Guardian Info 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to Youth
  
  Email Please enter an email address.
  
  Mailing Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Primary Phone Number Please enter a phone number.
  
  Can we send text messages to this number? Yes No
  
  Guardian Info 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to Youth
  
  Email Please enter an email address.
  
  Mailing Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Primary Phone Number Please enter a phone number.
  
  Can we send text messages to this number? Yes No
- How many children will you be registering? REQUIRED 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.
  
  Preferred Nickname Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field.
  
  Sacraments Already Received - Please check all that apply to this child. Baptism Reconciliation First Communion Confirmation
  
  Special Needs or Considerations, Allergies, etc. REQUIRED Please fill out this field.
  
  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.
  
  Preferred Nickname Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field.
  
  Sacraments Already Received - Please check all that apply to this child. Baptism Reconciliation First Communion Confirmation
  
  Special Needs or Considerations, Allergies, etc. REQUIRED Please fill out this field.
  
  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.
  
  Preferred Nickname Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field.
  
  Sacraments Already Received - Please check all that apply to this child. Baptism Reconciliation First Communion Confirmation
  
  Special Needs or Considerations, Allergies, etc. REQUIRED Please fill out this field.
  
  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.
  
  Preferred Nickname Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field.
  
  Sacraments Already Received - Please check all that apply to this child. Baptism Reconciliation First Communion Confirmation
  
  Special Needs or Considerations, Allergies, etc. REQUIRED Please fill out this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Nickname Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field.
  
  Sacraments Already Received - Please check all that apply to this child. Baptism Reconciliation First Communion Confirmation
  
  Special Needs or Considerations, Allergies, etc. REQUIRED Please fill out this field.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Nickname Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field.
  
  Sacraments Already Received - Please check all that apply to this child. Baptism Reconciliation First Communion Confirmation
  
  Special Needs or Considerations, Allergies, etc. REQUIRED Please fill out this field.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Nickname Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field.
  
  Sacraments Already Received - Please check all that apply to this child. Baptism Reconciliation First Communion Confirmation
  
  Special Needs or Considerations, Allergies, etc. REQUIRED Please fill out this field.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Nickname Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field.
  
  Sacraments Already Received - Please check all that apply to this child. Baptism Reconciliation First Communion Confirmation
  
  Special Needs or Considerations, Allergies, etc. REQUIRED Please fill out this field.
- In Case of Emergency
  
  Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Number REQUIRED Please fill out this field. Please enter valid data.
  
  Secondary Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Secondary Emergency Contact Number REQUIRED Please fill out this field. Please enter valid data.
  
  Permission and Release: As guardian of the above named youth, I hereby request that my child be allowed to attend and/or travel with the Catholic Community of Saint Joseph Faith Formation - Youth Ministry program to all events and activities in the local area as well as outside the state of Indiana. I understand that my child and I must abide by the rules/procedures for these events.
  
  I hereby release the Archdiocese of Indianapolis, the New Albany Deanery, Catholic Community of Saint Joseph parish, parish staff, and/or volunteer leaders from any claim, loss, cost, damage, or expense arising of of any accident or other occurrence causing injury to any person or property during these events or activities. In case of accident or sickness, the adult in charge has my permission to secure medical attention for my child. Further, should it be necessary for the participant to return home due to medical reasons, disciplinary action, or otherwise, I hereby assume all transportation costs.
  
  Please check REQUIRED I Agree Please fill out this field.
  
  Photo and Media Consent: I give permission for photographs taken of my child during activities as well as any quotations given by my child to be used for the online, video, and printed public relations efforts of the Archdioces of Indianapolis, New Albany Deanery, and Catholic Community of St. Joseph Parish.
  
  Please check REQUIRED Yes No Please fill out this field.
  
  Payment Options
  There is no online payment option at this time.
  I will send a check made out to "Saint Joseph Faith Formation" to 312 E. High Street, Corydon, IN 47112 I will be paying using Paypal. (Please hit submit and continue to payment option)
Submit
Online Payment Option

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Registration Fees

"A Family of Faith" Registration Page 2018-2019

To register your family for our Faith Formation Program "A Family of Faith" we encourage you to first register as a family within our Parish Community! To do this please stop by the Church Office and ask for a New Parishioner Registration Form. Welcome!

"A Family of Faith" Registration Page
2018-2019