Family Faith Formation (FFF)

Preferred Pronouns

Name *

Middle Name

Preferred Name

Please note: If the name given above is not the child’s legal name, for whatever reason, such as pending adoption, change in custody, etc., please provide the actual legal name for this child to ensure we are in full compliance with the security and insurance needs of the parish and our educational program. This name will not be used if you so desire. Please check the box below.

Legal Name

Legal Middle Name

I do not wish this name to be used

I do wish this name to be used

Age *

Birthdate *

Grade in Fall of Current Year *

Address *

Country

City

State

Zip code

Sacraments of Initiation Received

Baptism

Yes

Date

Church

God Mother

Preferred Pronouns

God Father

Preferred Pronouns

Confirmation

Yes

Date

Church

Eucharist

Yes

Date

Church

Parent/Guardian Information

Parent/Guardian #1

Preferred Pronouns

Address

Fill out only if this is different from the child's main address.

Country

City

State

Zip code

Email *

Home Phone *

Cell Phone

Parent/Guardian #2

Preferred Pronouns

Is this address the same as Parent/Guardian #1?

Yes

Address (Parent/Guardian #2)

Country

City

State

Zip code

Home Phone (Parent/Guardian #2)

Cell Phone (Parent/Guardian #2)

Special Needs, Medical Conditions (If Applicable)

Please enter any special needs that your child may have and/or your comments:

Family Faith Formation = *

To confirm your registration, please input the acronym that is used at Saint Miriam for the Family Faith Formation.