Faith Formation PREP Registration

New Student Faith Formation PREP Registration

Complete this form to enroll your child(ren) in our parish religious education program (PREP) classes. There is a save and continue option at the bottom of the page. If you are registering multiple children, complete one form per child. You will be redirected to the registration form and the family/emergency/pickup information will be automatically copied into the same fields.

I am registering my child for:*
Are you registered at St. Vincent Ferrer Church?*
- Yes
- No
Child's Name*
Enter your child's name as it appears on the Baptismal Certificate.
First Middle Last
Place of Birth*
City State Country
Mother's Maiden Name:*
Child is:
- Male
- Female
Home Address:*
Street Address Address Line 2 City State ZIP Code
Home Phone:
Student lives with:*
- Both parents
- Mother
- Father
- Other
Other's Relationship to Student:
Is there a stepparent living with student?
- Yes
- No
Father's Information
Father's Name
Father's Cell #:
Father's Email:
Father is Catholic?
- Yes
- No
Can a deacon contact the father to learn more about the faith and sacraments?
- Yes
- No
Father is Baptized?
- Yes
- No
Received First Communion?
- Yes
- No
Is Confirmed?
- Yes
- No
Father attends Mass weekly?
- Yes
- No
Mother's Information
Mother's Name
Mother's Cell #:
Mother's Email:
Mother is Catholic?
- Yes
- No
Can a deacon contact the mother to learn more about the faith and sacraments?
- Yes
- No
Mother is Baptized?
- Yes
- No
Received First Communion?
- Yes
- No
Is Confirmed?
- Yes
- No
Mother attends Mass weekly?
- Yes
- No
Other's Name
Other's Cell #:
Other's Email:
Stepparent's Name
Stepparent's Cell #:
Stepparent's Email:
Is there an order to limit access to the non-custodial parent?
- Yes
- No
If yes, please provide the name of the non-custodial parent:
Emergency Contact Information
This will only be used when the above resident adults cannot be reached at the numbers listed above.
Emergency Contact Name
Relationship to Student
Emergency Contact Primary #:
Secondary #:
Emergency Medical Information - Must be Completed
Physician's Name:*
Physician's Phone #:*
Medications:*
Please enter "none" if the student is not taking any medications at this time.
Allergies:*
Please enter "none" if the student does not have any known allergies. Otherwise, please list allergies and the course of action to be followed if the allergy presents an emergency condition:
Health Conditions and Treatment Procedures:*
Please enter "none" if the student does not have any health conditions we should be aware of. Otherwise, please explain the condition and the procedures to be followed if the condition becomes an emergency.
Medical Treatment Consent
I understand that in case of an emergency, "911" will be called and an ambulance may be called by the Director of Religious Education or his/her designate.

In case of accident or illness, I request that the representative of the parish catechetical program contact me. If I am unable to be reached, I hereby authorize this representative to call the physician indicated and to follow the physician's instructions. If it is impossible to contact this physician, the representative of the parish catechetical program may make whatever arrangements seem necessary. I agree to assume the financial responsibility for any diagnosis, treatment, and/or medication deemed necessary.

To the best of my knowledge all information given is accurate and complete. I hereby consent to, and authorize the necessary procedures that have been stated above.
Parental Consent to above Medical Procedures:*
- Yes
- No
Student's Information
Student's Date of Birth:*
Month
Day
Year
Grade in School (as of August of this year)
School Name:
Does your child have any learning disabilities?
- Yes
- No
Please explain the disability and measures to be taken to support your child:
Is there any other information we should know about your child?
Sacramental Information
Has the student been baptized?
- Yes
- No
Was it a Catholic baptism?
- Yes
- No
Date of Baptism
Month
Day
Year
Please provide a copy of the baptismal certificate to the parish office prior to the start of classes.
Please provide the name of the Church, City, and State where the baptism took place.
Please upload a copy of the baptismal certificate here:
Max. file size: 256 MB.
Please upload a copy of the birth certificate here:
Max. file size: 256 MB.
Has the student received the Sacrament of Penance?
- Yes
- No
Date of First Penance:
Month
Day
Year
Please provide the name of the Church, City, and State where the First Penance took place.
Has the student received First Communion?
- Yes
- No
Date of First Communion:
Month
Day
Year
Please provide a copy of the First Eucharist certificate to the parish office prior to the start of classes or upload it below.
Please provide the name of the Church, City, and State where the First Communion took place.
Please upload a copy of the First Holy Communion certificate here: (IF APPLICABLE)
Max. file size: 256 MB.
Confirmation Name
If already chosen, please enter the saint's name that your child will take for his/her Confirmation Name (as discussed during last year's preparation in the Confirmation Cycle I course).
Optional: Authorization to Drop-off and Pick-up Student
By completing this section, you agree and authorize the people listed below to sign-in and/or sign-out the student from the Faith Formation Program. Each person must present a photo ID matching the one uploaded here.
1. Person's Name & Relation to child:
Phone
Upload copy of ID or Driver's License:
Max. file size: 256 MB.
2. Person's Name & Relation to child:
2. Phone
Upload copy of ID or Driver's License:
Max. file size: 256 MB.
Hidden
Please select how registration fees will be paid:*
- Pay online by credit/debit card or checking/savings
- Drop off cash or check to parish office
Do you need to register another child living in the same household?
Common responses will be copied into the next form and only the child's information will need to be completed to submit one form per child.
- Yes
- No
The success of our PREP program is dependent on volunteers. Please check any role that you would be interested in volunteering.
- Teacher
- Teaching Assistant
- Mentor
- Program Helper

Save and Continue Later

New Student Faith Formation PREP Registration

Father's Information

Mother's Information

Emergency Contact Information

Emergency Medical Information - Must be Completed

Medical Treatment Consent

Student's Information

Sacramental Information

Optional: Authorization to Drop-off and Pick-up Student