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Registration Form (Grades 4-8)

- Faith Formation

Welcome to the Walpole Catholic Collaborative
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- Grades 4-8 Faith Formation Registration
  
  Registration for the 2024-2025 Faith Formation Program Year OPENS AUGUST 1st, 2024. Please refer to the grade specific links below PRIOR to registering your Grade 4 & 5 or Grade 6, 7, or 8 middle school aged child, as our program has significantly changed in order to meet the new sacramental preparatory guidelines for Confirmation within the Archdiocese of Boston.
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Home 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.
- Registered Parish REQUIRED Please fill out this field.
- Registered Parish (Other) Please enter valid data.
- Parent Guardian 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.
  
  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.
  
  Relationship to Child(ren) REQUIRED Please fill out this field. Please enter valid data.
- Parent Guardian 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.
  
  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.
  
  Relationship to Child(ren) REQUIRED Please fill out this field. Please enter valid data.
- More Information
  
  May we text you information? REQUIRED Yes No Please fill out this field.
  
  Please provide a cell number for texting purposes Please enter valid data.
  
  Maiden Name of Child’s Birth Mother (required to verify child(ren)'s Baptismal records and issue Confirmation certificates) REQUIRED Please fill out this field. Please enter valid data.
  
  With whom do the Students Live? If applicable, note any custodial relationships (name and address) Please enter valid data.
  
  To Whom Should Correspondence Be Sent? Please enter valid data.
  
  Family Email Address REQUIRED Please fill out this field. Please enter an email address.
- Emergency Contact Information (OTHER THAN a Parent or Guardian)
  
  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.
  
  Relationship to Child(ren) REQUIRED Please fill out this field. Please enter valid data.
- Is information submitted above an update to existing information previously shared with the parish? None of my information has changed Information such as address, phone number, e-mail address etc. has changed since last year
- How many students will you be enrolling? REQUIRED Please fill out this field.
  
  Student 1
  
  Select a Session REQUIRED Please fill out this field.
  
  Notes re: Session Selection Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School REQUIRED Please fill out this field.
  
  Select the Sacraments the Student has celebrated Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism (Parish, City, State) REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter valid data.
  
  First Communion Location (Parish,City,State) Please enter valid data.
  
  Returning Student? REQUIRED Please fill out this field.
  
  Learning Styles / Health Information
  
  Student 2
  
  Select a Session REQUIRED Please fill out this field.
  
  Notes re: Session Selection Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School REQUIRED Please fill out this field.
  
  Select the Sacraments the Student has celebrated Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism (Parish, City, State) REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter valid data.
  
  First Communion Location (Parish,City,State) Please enter valid data.
  
  Returning Student? REQUIRED Please fill out this field.
  
  Learning Styles / Health Information
  
  Student 3
  
  Select a Session REQUIRED Please fill out this field.
  
  Notes re: Session Selection Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School REQUIRED Please fill out this field.
  
  Select the Sacraments the Student has celebrated Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism (Parish, City, State) REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter valid data.
  
  First Communion Location (Parish,City,State) Please enter valid data.
  
  Returning Student? REQUIRED Please fill out this field.
  
  Learning Styles / Health Information
  
  Student 4
  
  Select a Session REQUIRED Please fill out this field.
  
  Notes re: Session Selection Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School REQUIRED Please fill out this field.
  
  Select the Sacraments the Student has celebrated Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism (Parish, City, State) REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter valid data.
  
  First Communion Location (Parish,City,State) Please enter valid data.
  
  Returning Student? REQUIRED Please fill out this field.
  
  Learning Styles / Health Information
  
  Student 5
  
  Select a Session REQUIRED Please fill out this field.
  
  Notes re: Session Selection Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School REQUIRED Please fill out this field.
  
  Select the Sacraments the Student has celebrated Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism (Parish, City, State) REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter valid data.
  
  First Communion Location (Parish,City,State) Please enter valid data.
  
  Returning Student? REQUIRED Please fill out this field.
  
  Learning Styles / Health Information
  
  Student 6
  
  Select a Session REQUIRED Please fill out this field.
  
  Notes re: Session Selection Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School REQUIRED Please fill out this field.
  
  Select the Sacraments the Student has celebrated Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism (Parish, City, State) REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter valid data.
  
  First Communion Location (Parish,City,State) Please enter valid data.
  
  Returning Student? REQUIRED Please fill out this field.
  
  Learning Styles / Health Information
  
  Student 7
  
  Select a Session REQUIRED Please fill out this field.
  
  Notes re: Session Selection Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School REQUIRED Please fill out this field.
  
  Select the Sacraments the Student has celebrated Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism (Parish, City, State) REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter valid data.
  
  First Communion Location (Parish,City,State) Please enter valid data.
  
  Returning Student? REQUIRED Please fill out this field.
  
  Learning Styles / Health Information
  
  Student 8
  
  Select a Session REQUIRED Please fill out this field.
  
  Notes re: Session Selection Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School REQUIRED Please fill out this field.
  
  Select the Sacraments the Student has celebrated Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism (Parish, City, State) REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter valid data.
  
  First Communion Location (Parish,City,State) Please enter valid data.
  
  Returning Student? REQUIRED Please fill out this field.
  
  Learning Styles / Health Information
  
  Student 9
  
  Select a Session REQUIRED Please fill out this field.
  
  Notes re: Session Selection Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School REQUIRED Please fill out this field.
  
  Select the Sacraments the Student has celebrated Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism (Parish, City, State) REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter valid data.
  
  First Communion Location (Parish,City,State) Please enter valid data.
  
  Returning Student? REQUIRED Please fill out this field.
  
  Learning Styles / Health Information
  
  Student 10
  
  Select a Session REQUIRED Please fill out this field.
  
  Notes re: Session Selection Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School REQUIRED Please fill out this field.
  
  Select the Sacraments the Student has celebrated Baptism First Reconciliation First Eucharist Confirmation
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism (Parish, City, State) REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date Please enter valid data.
  
  First Communion Location (Parish,City,State) Please enter valid data.
  
  Returning Student? REQUIRED Please fill out this field.
  
  Learning Styles / Health Information
- Program Fees
  
  Registration Options REQUIRED Grades 4 - 8: $125 per child Family Plan: $300 maximum for families registering 3 or more children Please fill out this field.
- Volunteer Opportunities & Discount Catechists & Facilitators Needed - please select this option if you will commit to being a catechist or facilitator (NOTE: Program fees are waived for one child per parent volunteer per family.)
- Payment Options REQUIRED Pay online Pay by check - Made payable to 'Blessed Sacrament Parish'. Mail to: 10 Diamond Street, Walpole, MA 02081 No payment required- I am volunteering as a catechist or facilitator and have registered only one child. Please fill out this field.
- Upon submission of this registration form, I agree to pay any associated fees related to participation in this Program. If there is a financial hardship, please contact us to make arrangements so that your child(ren) can participate (select “Other” as a Payment Option above). I give permission for my child(ren) to be photographed, or their image recorded for print or electronic use. I understand it is my responsibility to update the parish in the event that I no longer wish to authorize use of photography.
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