School District*
Student Name*
First
Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Sex (M or F)*
Grade for Upcoming School Year*
Sacraments Received* Please click on all that apply.
Child 1 Program Registration* Choose the program your child will be participating in for the upcoming school year.
Pre-School Formation Elementary Formation Sacramental Prep Life on the EDGE (Grades 6,7,8) High School Confirmation (grades 9 & 10)
Preferred Time for Preschool class* Wednesday Morning Wednesday Afternoon
Day of the Week to attend Elementary Formation*
Sunday, 10:15-11:45 AM Monday, 5:30-7:00 PM I am interested in a virtual option for Elementary Formation
Day of the Week to attend Sacramental Prep*
Sunday, 10:15-11:45 AM Monday, 5:30-7:00 PM
Day of the Week to attend Life on the Edge class* Wednesday 6:45-8:15 PM I am interested in a virtual option for Life on the Edge
Day of the Week to attend Confirmation class*
Wednesday 6:45-8:45 PM I am interested in a virtual option for Confirmation
Please explain the reason your student would prefer the virtual formation option:*
Is there any special information, needs, or allergies we should be aware of for your child?* Yes No
Personal Profile Document Upload* Please complete and upload a Personal Profile sheet for your child. (Located above in the description of this form).
Visual Likeness Consent & Release* I agree I disagree
St. Patrick Church reserves the right to use any photograph/videography taken on church property, or at any events spon-sored by the parish, without the expressed written permission of those included within the photograph or video. Photographs/videos may be used in publi-cations or other media material produced, used or contracted by St. Patrick Church, including but not limited to: bulletin, website of the parish, The Catho-lic Spirit, social media, brochures, and mailing (individuals will not be identified by name).
Visual Likeness Consent & Release Document Upload* Please complete and upload the "Authorization, Consent, and Release for Use of Visual Likeness and Original Works of Minors form." (Located above in the description of this form.)
Visual Release Disagreement* No, DO NOT use my child in photography/videography publications on behalf of St. Patrick's
Do you have an additional child to register?* Yes No
Student 2 - Name*
First
Last
Student 2 - Date of Birth*
Date Format: MM slash DD slash YYYY
Student 2 - Sex (M or F)*
Student 2 - Grade for Upcoming School Year*
Student 2 - Sacraments Received* Please click on all that apply.
Student 2 - Program Registration* Choose the program your child will be participating in for the upcoming school year.
Pre-School Formation Elementary Formation Sacramental Prep Life on the EDGE (Grades 6,7,8) High School Confirmation (grades 9 & 10)
Student 2 - Preferred Time for Preschool class* Wednesday Morning Wednesday Afternoon
Student 2 - Day of the Week to attend Elementary Formation*
Sunday, 10:15-11:45 AM Monday, 5:30-7:00 PM I am interested in a virtual option for Elementary Formation
Student 2 - Day of the Week to attend Sacramental Prep*
Sunday, 10:15-11:45 AM Monday, 5:30-7:00 PM
Student 2 - Day of the Week to attend Life on the Edge class* Wednesday 6:45-8:15 PM I am interested in a virtual option for Life on the Edge
Student 2 - Day of the Week to attend Confirmation class*
Wednesday 6:45-8:45 PM I am interested in a virtual option for Confirmation
Student 2 - Please explain the reason your student would prefer the virtual formation option:*
Student 2 - Is there any special information, needs, or allergies we should be aware of for your child?* Yes No
Student 2 - Personal Profile Document Upload* Please complete and upload a Personal Profile sheet for your child. (Located above in the description of this form).
Student 2 - Visual Likeness Consent & Release* I agree I disagree
St. Patrick Church reserves the right to use any photograph/videography taken on church property, or at any events spon-sored by the parish, without the expressed written permission of those included within the photograph or video. Photographs/videos may be used in publi-cations or other media material produced, used or contracted by St. Patrick Church, including but not limited to: bulletin, website of the parish, The Catho-lic Spirit, social media, brochures, and mailing (individuals will not be identified by name).
Student 2 - Visual Likeness Consent & Release Document Upload* Please complete and upload the "Authorization, Consent, and Release for Use of Visual Likeness and Original Works of Minors form." (Located above in the description of this form.)
Student 2 - Visual Release Disagreement* No, DO NOT use my child in photography/videography publications on behalf of St. Patrick's
Do you have an additional child to register?* Yes No
Student 3 - Name*
First
Last
Student 3 - Date of Birth*
Date Format: MM slash DD slash YYYY
Student 3 - Sex (M or F)*
Student 3 - Grade for Upcoming School Year*
Student 3 - Sacraments Received* Please click on all that apply.
Student 3 - Program Registration* Choose the program your child will be participating in for the upcoming school year.
Pre-School Formation Elementary Formation Sacramental Prep Life on the EDGE (Grades 6,7,8) High School Confirmation (grades 9 & 10)
Student 3 - Preferred Time for Preschool class* Wednesday Morning Wednesday Afternoon
Student 3 - Day of the Week to attend Elementary Formation*
Sunday, 10:15-11:45 AM Monday, 5:30-7:00 PM I am interested in a virtual option for Elementary Formation
Student 3 - Day of the Week to attend Sacramental Prep*
Sunday, 10:15-11:45 AM Monday, 5:30-7:00 PM
Student 3 - Day of the Week to attend Life on the Edge class* Wednesday 6:45-8:15 PM I am interested in a virtual option for Life on the Edge
Student 3 - Day of the Week to attend Confirmation class*
Wednesday 6:45-8:45 PM I am interested in a virtual option for Confirmation
Student 3 - Please explain the reason your student would prefer the virtual formation option:*
Student 3 - Is there any special information, needs, or allergies we should be aware of for your child?* Yes No
Student 3 - Personal Profile Document Upload* Please complete and upload a Personal Profile sheet for your child. (Located above in the description of this form).
Student 3 - Visual Likeness Consent & Release* I agree I disagree
St. Patrick Church reserves the right to use any photograph/videography taken on church property, or at any events spon-sored by the parish, without the expressed written permission of those included within the photograph or video. Photographs/videos may be used in publi-cations or other media material produced, used or contracted by St. Patrick Church, including but not limited to: bulletin, website of the parish, The Catho-lic Spirit, social media, brochures, and mailing (individuals will not be identified by name).
Student 3 - Visual Likeness Consent & Release Document Upload* Please complete and upload the "Authorization, Consent, and Release for Use of Visual Likeness and Original Works of Minors form." (Located above in the description of this form.)
Student 3 - Visual Release Disagreement* No, DO NOT use my child in photography/videography publications on behalf of St. Patrick's
Do you have an additional child to register?* Yes No
Student 4 - Name*
First
Last
Student 4 - Date of Birth*
Date Format: MM slash DD slash YYYY
Student 4 - Sex (M or F)*
Student 4 - Grade for Upcoming School Year*
Student 4 - Sacraments Received* Please click on all that apply.
Student 4 - Program Registration* Choose the program your child will be participating in for the upcoming school year.
Pre-School Formation Elementary Formation Sacramental Prep Life on the EDGE (Grades 6,7,8) High School Confirmation (grades 9 & 10)
Student 4 - Preferred Time for Preschool class* Wednesday Morning Wednesday Afternoon
Student 4 - Day of the Week to attend Elementary Formation*
Sunday, 10:15-11:45 AM Monday, 5:30-7:00 PM I am interested in a virtual option for Elementary Formation
Student 4 - Day of the Week to attend Sacramental Prep*
Sunday, 10:15-11:45 AM Monday, 5:30-7:00 PM
Student 4 - Day of the Week to attend Life on the Edge class* Wednesday 6:45-8:15 PM I am interested in a virtual option for Life on the Edge
Student 4 - Day of the Week to attend Confirmation class*
Wednesday 6:45-8:45 PM I am interested in a virtual option for Confirmation
Student 4 - Please explain the reason your student would prefer the virtual formation option:*
Student 4 - Is there any special information, needs, or allergies we should be aware of for your child?* Yes No
Student 4 - Personal Profile Document Upload* Please complete and upload a Personal Profile sheet for your child. (Located above in the description of this form).
Student 4 - Visual Likeness Consent & Release* I agree I disagree
St. Patrick Church reserves the right to use any photograph/videography taken on church property, or at any events spon-sored by the parish, without the expressed written permission of those included within the photograph or video. Photographs/videos may be used in publi-cations or other media material produced, used or contracted by St. Patrick Church, including but not limited to: bulletin, website of the parish, The Catho-lic Spirit, social media, brochures, and mailing (individuals will not be identified by name).
Student 4 - Visual Likeness Consent & Release Document Upload* Please complete and upload the "Authorization, Consent, and Release for Use of Visual Likeness and Original Works of Minors form." (Located above in the description of this form.)
Student 4 - Visual Release Disagreement* No, DO NOT use my child in photography/videography publications on behalf of St. Patrick's
Do you have an additional child to register?* Yes No
Student 5 - Name*
First
Last
Student 5 - Date of Birth*
Date Format: MM slash DD slash YYYY
Student 5 - Sex (M or F)*
Student 5 - Grade for Upcoming School Year*
Student 5 - Sacraments Received* Please click on all that apply.
Student 5 - Program Registration* Choose the program your child will be participating in for the upcoming school year.
Pre-School Formation Elementary Formation Sacramental Prep Life on the EDGE (Grades 6,7,8) High School Confirmation (grades 9 & 10)
Student 5 - Preferred Time for Preschool class* Wednesday Morning Wednesday Afternoon
Student 5 - Day of the Week to attend Elementary Formation*
Sunday, 10:15-11:45 AM Monday, 5:30-7:00 PM I am interested in a virtual option for Elementary Formation
Student 5 - Day of the Week to attend Sacramental Prep*
Sunday, 10:15-11:45 AM Monday, 5:30-7:00 PM
Student 5 - Day of the Week to attend Life on the Edge class* Wednesday 6:45-8:15 PM I am interested in a virtual option for Life on the Edge
Student 5 - Day of the Week to attend Confirmation class*
Wednesday 6:45-8:45 PM I am interested in a virtual option for Confirmation
Student 5 - Please explain the reason your student would prefer the virtual formation option:*
Student 5 - Is there any special information, needs, or allergies we should be aware of for your child?* Yes No
Student 5 - Personal Profile Document Upload* Please complete and upload a Personal Profile sheet for your child. (Located above in the description of this form).
Student 5 - Visual Likeness Consent & Release* I agree I disagree
St. Patrick Church reserves the right to use any photograph/videography taken on church property, or at any events spon-sored by the parish, without the expressed written permission of those included within the photograph or video. Photographs/videos may be used in publi-cations or other media material produced, used or contracted by St. Patrick Church, including but not limited to: bulletin, website of the parish, The Catho-lic Spirit, social media, brochures, and mailing (individuals will not be identified by name).
Student 5 - Visual Likeness Consent & Release Document Upload* Please complete and upload the "Authorization, Consent, and Release for Use of Visual Likeness and Original Works of Minors form." (Located above in the description of this form.)
Student 5 - Visual Release Disagreement* No, DO NOT use my child in photography/videography publications on behalf of St. Patrick's
Do you have an additional child to register?* Yes No
Student 6 - Name*
First
Last
Student 6 - Date of Birth*
Date Format: MM slash DD slash YYYY
Student 6 - Sex (M or F)*
Student 6 - Grade for Upcoming School Year*
Student 6 - Sacraments Received* Please click on all that apply.
Student 6 - Program Registration* Choose the program your child will be participating in for the upcoming school year.
Pre-School Formation Elementary Formation Sacramental Prep Life on the EDGE (Grades 6,7,8) High School Confirmation (grades 9 & 10)
Student 6 - Preferred Time for Preschool class* Wednesday Morning Wednesday Afternoon
Student 6 - Day of the Week to attend Elementary Formation*
Sunday, 10:15-11:45 AM Monday, 5:30-7:00 PM I am interested in a virtual option for Elementary Formation
Student 6 - Day of the Week to attend Sacramental Prep*
Sunday, 10:15-11:45 AM Monday, 5:30-7:00 PM
Student 6 - Day of the Week to attend Life on the Edge class* Wednesday 6:45-8:15 PM I am interested in a virtual option for Life on the Edge
Student 6 - Day of the Week to attend Confirmation class*
Wednesday 6:45-8:45 PM I am interested in a virtual option for Confirmation
Student 6 - Please explain the reason your student would prefer the virtual formation option:*
Student 6 - Is there any special information, needs, or allergies we should be aware of for your child?* Yes No
Student 6 - Personal Profile Document Upload* Please complete and upload a Personal Profile sheet for your child. (Located above in the description of this form).
Student 6 - Visual Likeness Consent & Release* I agree I disagree
St. Patrick Church reserves the right to use any photograph/videography taken on church property, or at any events spon-sored by the parish, without the expressed written permission of those included within the photograph or video. Photographs/videos may be used in publi-cations or other media material produced, used or contracted by St. Patrick Church, including but not limited to: bulletin, website of the parish, The Catho-lic Spirit, social media, brochures, and mailing (individuals will not be identified by name).
Student 6 - Visual Likeness Consent & Release Document Upload* Please complete and upload the "Authorization, Consent, and Release for Use of Visual Likeness and Original Works of Minors form." (Located above in the description of this form.)
Student 6 - Visual Release Disagreement* No, DO NOT use my child in photography/videography publications on behalf of St. Patrick's
Family Registered at St. Patrick?* If no, please contact the parish office. 763-753-2011
Yes No
Address*
Email* Email you would like us to use for communication.
Mother's Name
First
Last
Mother's Address If same as Student's please select "Same as Previous"
Same as previous
Mother's Preferred Phone
Father's Name
First
Last
Father's Address If same as Student's please select "Same as Previous"
Same as previous
Father's Preferred Phone
How many students, in total, are you registering?* 1 student 2 students 3 students 4+ students
Total Cost for Registration
$0.00
