OFFICE OF FAITH FORMATION
ST. MADELEINE SOPHIE PARISH
3514 Carman Road
Schenectady, NY 12303
(518)355-3115            smsffo@nycap.rr.com

For office use only - date rec’d: _______ #: _______ fee rec’d:_______ check #:_______ on computer: ___ postcard: ___

2011/2012 Faith Formation Program Registration
Family Fees for students in Grades 1 through 11 (including home classes):
Rec’d by June 30, 2011*: $60 for 1 child, $110 for 2 children, $135 for 3 or more children
*After 6/30/11, late fees apply: $65 for 1 child, $120 for 2 children, $145 for 3 or more

FAMILY INFORMATION
Please list all your children, in grades 1-11, who are being enrolled in SMS Faith Formation Program.
Baptismal Certificate is required for each child before classes begin, if not already on file in office.

Student’s Full Name: _________________________________Birthdate:__________________Grade:_______

Student’s Full Name: _________________________________Birthdate:__________________Grade:_______

Student’s Full Name: _________________________________Birthdate:__________________Grade:_______

Student’s Full Name: _________________________________Birthdate:__________________Grade:_______

Parish where child(ren) was/were baptized: ___________________________________________________________

Mother’s Name: ________________________________     Father’s Name: ________________________________

Email: ________________________________________      Email: ______________________________________

Address: ______________________________________      Address: ______________________________________

     ______________________________________                     ______________________________________

Home phone: _________________________________       Home phone: ______________________________________

Cell: _________________ Work: ___________________    Cell: _________________ Work: ___________________

Religion: ______________________________________     Religion: ______________________________________

Maiden Name: _________________________________

What address should the Faith Formation Office use for mailings? _______________________________________

In the event of an emergency, please contact: (if possible, please list one person not listed above)

Name:_____________________________________________ Relationship to child:______________________

Phone number(s) to reach contact: _____________________________________________________________

Name:_____________________________________________ Relationship to child:______________________

Phone number(s) to reach contact: _____________________________________________________________

 

PARISH REGISTRATION

In what parish are you registered? ___St. Madeleine Sophie ___St. Gabriel’s ___Other:_________________

(If you are not registered parishioners, please request a Parish Registration Card to submit with this form.)

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VOLUNTEER OPPORTUNITIES

I am/We are __________________________________________ interested in helping the Faith Formation program as a:
                                                     (Name)

__________Catechist* (Teacher) - *reduced fee for your child(ren) enrolled in Faith Formation Program

__________Substitute Catechist __________Classroom Aide __________Gatekeeper __________Office Aide

__________Classroom checker (clean-up after classes) __________Volunteer at receptions

__________High School Retreat Team member __________Chaperone/helper for service projects, activities

__________Vacation Bible School helper __________Children’s Liturgy of the Word Catechist

__________Baker for gatherings __________Other:____________________________________

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PARENT/GUARDIAN CONSENT FORM - PHOTO/VIDEO RELEASE

____I grant permission for my son(s)/daughter(s) to be photographed during classes, programs and activities sponsored by the St. Madeleine Sophie Faith Formation Office during the 2011-12 school year. I further agree that these photos (still and moving) may be used in a variety of contexts to spotlight the Faith Formation program, including the parish and diocesan websites, parish bulletin boards and newsletter, news releases for community newspapers, the Evangelist, etc.

____I do not grant permission for my son(s)/daughter(s) to be photographed while participating in the St. Madeleine Sophie Faith Formation program during the 2011-12 school year.

Parent/Guardian Signature: __________________________________________Date:________________

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PARENT RELEASE: There are times when the children in the Faith Formation program walk over to the Church, Parish Hall or Parish Center for religious services or instruction with their classes and catechists. Please sign below to give permission for your child(ren) to leave the classroom with his/her/their class to participate in these activities.

Parent Signature:________________________________________________ Date:__________________

Click HERE to go to the class selection form for grades 1-8

Click HERE to go to the class selection form for grades 9-11