St. David the King Parish
Lifelong Faith Formation (LFF)
Religious Education Program
2020-2021 School Year
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Family Address
Lifelong Faith Formation (LFF)
Religious Education Program
2020-2021 School Year
Welcome! This is a NEW FAMILY application for St. David the King Parish Religious Education Program. Once you have completed the application, you will receive an email from Parish Giving to register and pay for Religious Education Classes.
PLEASE NOTE: Only a child’s parent or legal guardian is to complete this online application form. We cannot accept forms completed by a non-parent or non-legal guardian.
The Lifelong Faith Formation-Religious Education program corresponds to the child’s grade level UNLESS a prior Religious Education program has been missed or he/she has not received the prior sacraments.
For any questions, please contact Michele Cuiule, LFF-Religious Education at
mcuiule@stdavidtheking.com
or 609-275-7111 ext. 314. Thank you!
Primary Family Address
Are you a member of our Parish?
Yes
No
If NO, What is your current parish?
Family Last Name
Address
Primary E-mail
This will be the main e-mail address we will use to communicate with your family.
Primary Phone
This will be the main phone number we will use to communicate with your family.
Number of Children
1
2
3
4
5
Number of Children you will be registering today
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Parent / Guardian
Name
Deceased
Yes
No
E-mail
Marital Status
Married
Divorced
Separated
Single
Widower
Religion
Cell Phone
Parent / Guardian
Maiden Name
Name
Deceased
Yes
No
E-mail
Marital Status
Married
Divorced
Separated
Single
Widow
Religion
Cell Phone
Custody Information
Are there any custody issues we should be made aware of? If there is a custody agreement please send a copy to the Religious Education Department.
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Child 1
Name
Gender
Male
Female
Date of Birth
Place of Birth
City & State
Religious Education Grade
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Grade in Fall 2020
School Grade
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
School Grade in Fall 2020
School
School District
Individualized Education Program (IEP)
No
Yes
Please list all pertinent medical/learning data so we can best meet the needs of your child. (Medical Conditions/Allergies - Prescribed Medications - Disability*/Learning Support Services)
Medical/Learning Data
*As defined by Individuals with Disabilities Education Act (IDEA), the term "child with a disability" means a child: "with an intellectual disability, hearing impairments (including deafness), speech or language impairments, visual impairments (including blindness), serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities and who, by reason thereof, needs special education and related services."
Child 1 Sacraments
Previous Religious Education Experience
Please provide student's last grade completed and Parish Name / Address
If registering for first time your Child's Baptismal Certificate must be submitted to the office.
Date of Baptism
Church of Baptism
Church Name, City & State
Date of Reconciliation
Church of Reconciliation
Church Name, City & State
Date of First Communion
Church of First Communion
Church Name, City & State
Child 2
Name
Gender
Male
Female
Date of Birth
Place of Birth
City & State
Religious Education Grade
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Grade in Fall 2020
School Grade
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
School Grade in Fall 2020
School
School District
Individualized Education Program (IEP)
No
Yes
Please list all pertinent medical/learning data so we can best meet the needs of your child. (Medical Conditions/Allergies - Prescribed Medications - Disability*/Learning Support Services)
Medical/Learning Data
*As defined by Individuals with Disabilities Education Act (IDEA), the term "child with a disability" means a child: "with an intellectual disability, hearing impairments (including deafness), speech or language impairments, visual impairments (including blindness), serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities and who, by reason thereof, needs special education and related services."
Child 2 Sacraments
Previous Religious Education Experience
Please provide student's last grade completed and Parish Name / Address
If registering for first time your Child's Baptismal Certificate must be submitted to the office.
Date of Baptism
Church of Baptism
Church Name, City & State
Date of Reconciliation
Church of Reconciliation
Church Name, City & State
Date of First Communion
Church of First Communion
Church Name, City & State
Child 3
Name
Gender
Male
Female
Date of Birth
Place of Birth
City & State
Religious Education Grade
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Grade in Fall 2020
School Grade
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
School Grade in Fall 2020
School
School District
Individualized Education Program (IEP)
No
Yes
Please list all pertinent medical/learning data so we can best meet the needs of your child. (Medical Conditions/Allergies - Prescribed Medications - Disability*/Learning Support Services)
Medical/Learning Data
*As defined by Individuals with Disabilities Education Act (IDEA), the term "child with a disability" means a child: "with an intellectual disability, hearing impairments (including deafness), speech or language impairments, visual impairments (including blindness), serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities and who, by reason thereof, needs special education and related services."
Child 3 Sacraments
Previous Religious Education Experience
Please provide student's last grade completed and Parish Name / Address
If registering for first time your Child's Baptismal Certificate must be submitted to the office.
Date of Baptism
Church of Baptism
Church Name, City & State
Date of Reconciliation
Church of Reconciliation
Church Name, City & State
Date of First Communion
Church of First Communion
Church Name, City & State
Child 4
Name
Gender
Male
Female
Date of Birth
Place of Birth
City & State
Religious Education Grade
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Grade in Fall 2020
School Grade
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
School Grade in Fall 2020
School
School District
Individualized Education Program (IEP)
No
Yes
Please list all pertinent medical/learning data so we can best meet the needs of your child. (Medical Conditions/Allergies - Prescribed Medications - Disability*/Learning Support Services)
Medical/Learning Data
*As defined by Individuals with Disabilities Education Act (IDEA), the term "child with a disability" means a child: "with an intellectual disability, hearing impairments (including deafness), speech or language impairments, visual impairments (including blindness), serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities and who, by reason thereof, needs special education and related services."
Child 4 Sacraments
Previous Religious Education Experience
Please provide student's last grade completed and Parish Name / Address
If registering for first time your Child's Baptismal Certificate must be submitted to the office.
Date of Baptism
Church of Baptism
Church Name, City & State
Date of Reconciliation
Church of Reconciliation
Church Name, City & State
Date of First Communion
Church of First Communion
Church Name, City & State
Child 5
Name
Gender
Male
Female
Date of Birth
Place of Birth
City & State
Religious Education Grade
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Grade in Fall 2020
School Grade
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
School Grade in Fall 2020
School
School District
Individualized Education Program (IEP)
No
Yes
Please list all pertinent medical/learning data so we can best meet the needs of your child. (Medical Conditions/Allergies - Prescribed Medications - Disability*/Learning Support Services)
Medical/Learning Data
*As defined by Individuals with Disabilities Education Act (IDEA), the term "child with a disability" means a child: "with an intellectual disability, hearing impairments (including deafness), speech or language impairments, visual impairments (including blindness), serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities and who, by reason thereof, needs special education and related services."
Child 5 Sacraments
Previous Religious Education Experience
Please provide student's last grade completed and Parish Name / Address
If registering for first time your Child's Baptismal Certificate must be submitted to the office.
Date of Baptism
Church of Baptism
Church Name, City & State
Date of Reconciliation
Church of Reconciliation
Church Name, City & State
Date of First Communion
Church of First Communion
Church Name, City & State
Document Uploads
File Uploads
Add files
Drop files anywhere to add
Please upload any documents required by the office with this form. (Baptism, Custody, etc.)
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Immunizations
Are your child(ren)s immunizations up to date?
Yes
No
If no, have they received an exemption from your current school district?
Yes
No
Even if your child is exempt from immunizations, he/she may be excluded from school during an outbreak of the vaccine preventable disease.
If no, please explain
Emergency Contact
Emergency Contact Name 1
If we are unable to contact a parent in the event of an emergency, whom should we contact?
Relationship
Emergency Contact Phone 1
Emergency Contact Name 2
Relationship
Emergency Contact Phone 2
Volunteer Information
Are you interested in learning more about becoming a volunteer in our Lifelong Faith Formation-Religious Education (LLF) program?
Yes
No
Volunteer Name
Volunteer Phone
Volunteer Interested in
Teacher
Assistant Teacher
Hall Monitor
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Terms & Conditions
General Permission Statement I hereby give my child permission to participate in all Lifelong Faith Formation, Virtual / Remote Learning or on site Religious Education classes.
I agree
Photographic Release By signing below, the parent or guardian gives permission and waives the right to any type of compensation for their child to be photographed or videotaped at any or all activities sponsored by the Lifelong Faith Formation program or the parish. Pictures or videos may be used for educational or publicity purposes. I also understand that professional photography services may be obtained to document the First Holy Communion Masses and the Confirmation Services.
I agree
Total Amount
Now that you have completed the application to register for Saint David the King Religious Education Program, you will receive an email message from Parish Giving to officially register and pay for Religious Education Classes. Thank you!
Verification
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SUBMIT FORM