Form A - for New Students / para los Nuevos Estudiantes

- Faith Formation

Form A - New Student

ST. THERESE CATHOLIC CHURCH, Cleveland, TN Form A
Christian Formation Class Registration for 2019-2020

Please fill out each question. If it is "Required" question and it does not pertain to you, type N/A /
Por favor complete cada pregunta. Si es una pregunta "Requerida" y no le pertenece, escriba No Aplica
The maximum number of form submissions has been reached. This form is currently not available.
- Father Name/ Padre Nombre: REQUIRED Please fill out this field. Please enter valid data.
- Father Tel/Cell Phone/ Padre Telefono: Please enter a phone number.
- Cell phone Providor/Proveedor de Celular (Verizon, Sprint, AT&T….): REQUIRED Please fill out this field. Please enter valid data.
- Mother Name/ Madre Nombre: REQUIRED Please fill out this field. Please enter valid data.
- Mother Tel/Cell Phone/ Madre Telefono: Please enter a phone number.
- Cell phone Providor/ Proveedor de Celular (Verizon, Sprint, AT&T….): REQUIRED Please fill out this field. Please enter valid data.
- Street Address/ Dirección 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.
- Email Please enter an email address.
- Date Registered/ Fecha de Registro REQUIRED Please fill out this field. Please enter a date.
- Does your child/children have any medical requirements the teacher should be aware?/ Tiene su niño alguna enfermedad que la professor deba saber? REQUIRED Please fill out this field.
- Name of Emergency Contact Person / Nombre REQUIRED Please fill out this field. Please enter valid data.
- Relationship/ Relacion REQUIRED Please fill out this field. Please enter valid data.
- Emergency Tel/Cell Phone/ EmergencyTelefono: REQUIRED Please fill out this field. Please enter a phone number.
- Cell phone Providor/Proveedor de Celular (Verizon, Sprint, AT&T….): REQUIRED Please fill out this field. Please enter valid data.
- The following question asks how many students you are enrolling. It will give you the number of forms for each child to fill out individually /
  La siguiente pregunta se refiere a cuántos estudiantes está inscribiendo . Le dará la cantidad de formularios para que cada niño complete individualmente
- Students / Estudiantes REQUIRED Please fill out this field.
  
  Student 1
  
  Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Grado REQUIRED Please fill out this field.
  
  Gender / Sexo REQUIRED Please fill out this field.
  
  School / Escuela REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Answer Yes or No for each Sacrament (IF YES, SUBMIT CERTIFICATES WITHIN 2 WEEKS)
  
  BAPTISM / BAUTIZO REQUIRED Please fill out this field.
  
  RECONCILIATION / RECONCILIACIÓN REQUIRED Please fill out this field.
  
  1ST COMMUNION / PRIMERA COMUNIÓN REQUIRED Please fill out this field.
  
  CONFIRMATION / CONFIRMACIÓN REQUIRED Please fill out this field.
  
  Other
  
  Hobbies / Pasatiempos REQUIRED Please fill out this field. Please enter valid data.
  
  Student 2
  
  Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Grado REQUIRED Please fill out this field.
  
  Gender / Sexo REQUIRED Please fill out this field.
  
  School / Escuela REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Answer Yes or No for each Sacrament (IF YES, SUBMIT CERTIFICATES WITHIN 2 WEEKS)
  
  BAPTISM / BAUTIZO REQUIRED Please fill out this field.
  
  RECONCILIATION / RECONCILIACIÓN REQUIRED Please fill out this field.
  
  1ST COMMUNION / PRIMERA COMUNIÓN REQUIRED Please fill out this field.
  
  CONFIRMATION / CONFIRMACIÓN REQUIRED Please fill out this field.
  
  Other
  
  Hobbies / Pasatiempos REQUIRED Please fill out this field. Please enter valid data.
  
  Student 3
  
  Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Grado REQUIRED Please fill out this field.
  
  Gender / Sexo REQUIRED Please fill out this field.
  
  School / Escuela REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Answer Yes or No for each Sacrament (IF YES, SUBMIT CERTIFICATES WITHIN 2 WEEKS)
  
  BAPTISM / BAUTIZO REQUIRED Please fill out this field.
  
  RECONCILIATION / RECONCILIACIÓN REQUIRED Please fill out this field.
  
  1ST COMMUNION / PRIMERA COMUNIÓN REQUIRED Please fill out this field.
  
  CONFIRMATION / CONFIRMACIÓN REQUIRED Please fill out this field.
  
  Other
  
  Hobbies / Pasatiempos REQUIRED Please fill out this field. Please enter valid data.
  
  Student 4
  
  Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Grado REQUIRED Please fill out this field.
  
  Gender / Sexo REQUIRED Please fill out this field.
  
  School / Escuela REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Answer Yes or No for each Sacrament (IF YES, SUBMIT CERTIFICATES WITHIN 2 WEEKS)
  
  BAPTISM / BAUTIZO REQUIRED Please fill out this field.
  
  RECONCILIATION / RECONCILIACIÓN REQUIRED Please fill out this field.
  
  1ST COMMUNION / PRIMERA COMUNIÓN REQUIRED Please fill out this field.
  
  CONFIRMATION / CONFIRMACIÓN REQUIRED Please fill out this field.
  
  Other
  
  Hobbies / Pasatiempos REQUIRED Please fill out this field. Please enter valid data.
  
  Student 5
  
  Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Grado REQUIRED Please fill out this field.
  
  Gender / Sexo REQUIRED Please fill out this field.
  
  School / Escuela REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Answer Yes or No for each Sacrament (IF YES, SUBMIT CERTIFICATES WITHIN 2 WEEKS)
  
  BAPTISM / BAUTIZO REQUIRED Please fill out this field.
  
  RECONCILIATION / RECONCILIACIÓN REQUIRED Please fill out this field.
  
  1ST COMMUNION / PRIMERA COMUNIÓN REQUIRED Please fill out this field.
  
  CONFIRMATION / CONFIRMACIÓN REQUIRED Please fill out this field.
  
  Other
  
  Hobbies / Pasatiempos REQUIRED Please fill out this field. Please enter valid data.
  
  Student 6
  
  Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Grade / Grado REQUIRED Please fill out this field.
  
  Gender / Sexo REQUIRED Please fill out this field.
  
  School / Escuela REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.
  
  Answer Yes or No for each Sacrament (IF YES, SUBMIT CERTIFICATES WITHIN 2 WEEKS)
  
  BAPTISM / BAUTIZO REQUIRED Please fill out this field.
  
  RECONCILIATION / RECONCILIACIÓN REQUIRED Please fill out this field.
  
  1ST COMMUNION / PRIMERA COMUNIÓN REQUIRED Please fill out this field.
  
  CONFIRMATION / CONFIRMACIÓN REQUIRED Please fill out this field.
  
  Other
  
  Hobbies / Pasatiempos REQUIRED Please fill out this field. Please enter valid data.
- Please click on the following documents to read / Por favor, haga clic en los siguientes documentos para que diga:
  
  Protecting God's Children
  ( PRINT and RETURN SLIP to Religious Education office if you DON'T PERMIT your child/children to attend this class / IMPRIMIR y DEVOLVER LA COPIA a la oficina de Educación Religiosa si NO PERMITE que su hijo(s) asista a esta clase)
  
  Diocese of Knoxville-Audio & Video Waiver
  
  Re: Commitment of Support / Compromiso de Apoyo
  
  I, together with my family, commit to support our child/children in faith formation in ways such as:
  Yo, junto con mi familia, nos comprometemos a apoyar a nuestro(s) niño(s) en su formación de fe de formas tales como:
  
  Going to Mass every Sunday
  
  Ir a misa todos los domingos
  
  Attending workshops / sessions / meetings
  
  Asistir a talleres / sesiones / reuniones
  
  Praying together and doing other acts of Christian faith at home
  
  Orando juntos y haciendo otros actos de fe cristiana en casa
- I have read all and I Agree / Leo todo y estoy de acuerdo Please select this field.
- Print signature of parent/guardian / Imprimir firma del padre / tutor REQUIRED Please fill out this field. Please enter valid data.
- Are you registered as member(s) of this parish? / Esta usted inscrito como miembro de esta parroquia? REQUIRED Please fill out this field.
- If Yes, What last name? / Conque apellido Please enter valid data.
- If you are NOT registered, please also FILL OUT the PARISH REGISTRATION FORM / Si NO está registrado, también LLENE el FORMULARIO de REGISTRO PARROQUIAL
- T o make payment of registration fee of $20/ child or a maximum of $60/ family:
  
  Click on the icon to open a new window
  
  Choose to pay for Faith Formation Class (under Events and Collections)
  
  Make your payment
  
  Click back to the Form A window
  
  Submit your completed form
Submit

St. Thérèse of Lisieux

Catholic Church

Form A - for New Students / para los Nuevos Estudiantes

Form A - New Student