St. Bernard's Catholic Church > Faith Formation

Parent/Guardian Information

Father’s Name

First Name
Last Name

Address

Emergency Contact

Area CodePhone

Relation

For Parents

I am interested in assisting in my child’s class

I can assist with special projects occasionally

I authorize my child to Participate in Safe Environment Training.

I refuse for my child to Participate in Safe Environment training.

Office Use Only

Family Registered in Parish

Provided copy of Certificates

Return Student

Amount Paid

Date Deposited in Re Account

Month

-

Day

-

Year