Faith Formation Registration

Welcome!!!

We welcome you to faith formation at Our Lady Queen of the Apostles Parish, St Mary and St Jude Churches, Derby, Connecticut. It will be a new experience for everyone this year as we work in new ways to grow in our love for Jesus as well as our understanding and experience of His love for us. It is our aim to make this a joyous, uplifting, supportive, and encouraging journey for all of us.

Tuition

There will be no tuition charge this year as we work through the pandemic with online resources and virtual distance learning.

Contact Information

Update?
Required*

	None of my information has changed.
	Info, address, phone email, etc. changed since last year.

Registered in this parish?
Required*

If you do not receive emails, envelopes, or information from the parish regularly, you are not registered in the parish.*

	Yes
	No

Having attended our parish school or received sacraments here does not make you a registered member of the parish. Please call the parish office at 203-735-3341 or complete parish registration forms on this website to become registered members of the parish.

Last Name

Required*

Address

Street 1*

Street 2

City*

State*

Zip*

Father's Name

This field requires the name of the child's legal father as shown on the child's birth certificate or baptismal certificate.*

Mother's Name

This field requires the name of the child's legal mother*

Please include the legal mother's first name, last name, and maiden (before marriage) name. This is required for the children's sacramental records.

If the Faith Formation material will be mailed to a different address, please enter it here

Street 1

Street 2

City

State

Zip

If there is a parent or guardian who needs to receive faith formation information and is living at a separate address, please include that address here and let us know the information needs to be sent to two addresses.

Primary Phone

Required* --

Secondary Phone

email address is required*

Much of our parish information is emailed to registered parishioners. This year, faith formation lessons, class information, and invitations to zoom meetings for children and families must be emailed to parent email addresses per Archdiocesan directives.

Emergency Contact Name

First Name*

Last Name*

Emergency Contact Relationship

Required*

Emergency Phone Number

Required* --

Child 1

Child's Name

First Name*

Last Name*

Birth Date

Required* //

Gender
Required*

	Male
	Female

Grade

Required*

Sacraments Completed
Required*

	Baptism
	Eucharist
	Reconciliation
	Confirmation

Class Preference

Required*

Please reference the Class information at the top of this page.

Child 2

Child's Name

First Name

Last Name

Birth Date

Gender

	Male
	Female

Grade

Sacraments Completed

	Baptism
	Eucharist
	Reconciliation
	Confirmation

Class Preference

Please reference the Class information at the top of this page.

Child 3

Child's Name

First Name

Last Name

Birth Date

Gender

	Male
	Female

Grade

Sacraments Completed

	Baptism
	Eucharist
	Reconciliation
	Confirmation

Class Preference

Please reference the Class information at the top of this page.

Child 4

Child's Name

First Name

Last Name

Birth Date

Gender

	Male
	Female

Grade

Sacraments Completed

	Baptism
	Eucharist
	Reconciliation
	Confirmation

Class Preference

Please reference the Class information at the top of this page.

Additional Details

Special Needs/Medication

Please list child's name & needs. Send procedure plan to parish office if needed.

Was each child registered here in Faith Formation last year?
Required*

	Yes
	No

If No, who, where & grade?

Parent Signature
Required*

I acknowledge that as the parent/guardian, this information will be submitted to the parish for use in registration.*

Yes

Message

Once you submit this form information will be sent regarding classes and lessons.

Faith Formation Registration

Welcome!!!

Tuition

Online Giving