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Faith Formation Registration

- Ministries

St. Patrick's Faith Formation

Registration form | 2024-2025
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- Please be sure to fill out the registration form for all K-10th grade students completely and choose your form of payment at the bottom of the form. First Communion is 2nd Grade and Confirmation is 9th & 10th Grades. The tuition rates are listed below. If you would like a paper copy of this registration form, please contact Britney or Courtney at [email protected]. We are excited to help your child grow in their faith!
- Mother's Information:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Father's Information:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Primary Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Guardian (if different than Mother or Father):
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Phone Number Maximum 20 characters Please enter a phone number.
- Email Please enter an email address.
- Emergency Contact Person:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Relationship to Child(ren): REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Student Information - Please select the number of children you are registering for Religious Education. Please list their first and last names and answer the questions below. REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  What grade will the child be entering in 2024-2025 school year? REQUIRED Please fill out this field.
  
  Which sacrament(s) has the child received? REQUIRED
  Select all that apply.
  Baptism Reconciliation First Communion Confirmation None Please fill out this field.
  
  Baptism: Church and City (if applicable) Please enter valid data.
  
  Reconciliation: Church and City (if applicable) Please enter valid data.
  
  First Communion: Church and City (if applicable) Please enter valid data.
  
  Confirmation: Church and City (if applicable) Please enter valid data.
  
  Please list any medical conditions that the Religious Education Program should be aware of: (ex: asthma, allergies, physical limitations, learning disabilities, etc.)
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  What grade will the child be entering in 2024-2025 school year? REQUIRED Please fill out this field.
  
  Which sacrament(s) has the child received? REQUIRED
  Select all that apply.
  Baptism Reconciliation First Communion Confirmation None Please fill out this field.
  
  Baptism: Church and City (if applicable) Please enter valid data.
  
  Reconciliation: Church and City (if applicable) Please enter valid data.
  
  First Communion: Church and City (if applicable) Please enter valid data.
  
  Confirmation: Church and City (if applicable) Please enter valid data.
  
  Please list any medical conditions that the Religious Education Program should be aware of: (ex: asthma, allergies, physical limitations, learning disabilities, etc.)
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  What grade will the child be entering in 2024-2025 school year? REQUIRED Please fill out this field.
  
  Which sacrament(s) has the child received? REQUIRED
  Select all that apply.
  Baptism Reconciliation First Communion Confirmation None Please fill out this field.
  
  Baptism: Church and City (if applicable) Please enter valid data.
  
  Reconciliation: Church and City (if applicable) Please enter valid data.
  
  First Communion: Church and City (if applicable) Please enter valid data.
  
  Confirmation: Church and City (if applicable) Please enter valid data.
  
  Please list any medical conditions that the Religious Education Program should be aware of: (ex: asthma, allergies, physical limitations, learning disabilities, etc.)
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  What grade will the child be entering in 2024-2025 school year? REQUIRED Please fill out this field.
  
  Which sacrament(s) has the child received? REQUIRED
  Select all that apply.
  Baptism Reconciliation First Communion Confirmation None Please fill out this field.
  
  Baptism: Church and City (if applicable) Please enter valid data.
  
  Reconciliation: Church and City (if applicable) Please enter valid data.
  
  First Communion: Church and City (if applicable) Please enter valid data.
  
  Confirmation: Church and City (if applicable) Please enter valid data.
  
  Please list any medical conditions that the Religious Education Program should be aware of: (ex: asthma, allergies, physical limitations, learning disabilities, etc.)
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  What grade will the child be entering in 2024-2025 school year? REQUIRED Please fill out this field.
  
  Which sacrament(s) has the child received? REQUIRED
  Select all that apply.
  Baptism Reconciliation First Communion Confirmation None Please fill out this field.
  
  Baptism: Church and City (if applicable) Please enter valid data.
  
  Reconciliation: Church and City (if applicable) Please enter valid data.
  
  First Communion: Church and City (if applicable) Please enter valid data.
  
  Confirmation: Church and City (if applicable) Please enter valid data.
  
  Please list any medical conditions that the Religious Education Program should be aware of: (ex: asthma, allergies, physical limitations, learning disabilities, etc.)
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  What grade will the child be entering in 2024-2025 school year? REQUIRED Please fill out this field.
  
  Which sacrament(s) has the child received? REQUIRED
  Select all that apply.
  Baptism Reconciliation First Communion Confirmation None Please fill out this field.
  
  Baptism: Church and City (if applicable) Please enter valid data.
  
  Reconciliation: Church and City (if applicable) Please enter valid data.
  
  First Communion: Church and City (if applicable) Please enter valid data.
  
  Confirmation: Church and City (if applicable) Please enter valid data.
  
  Please list any medical conditions that the Religious Education Program should be aware of: (ex: asthma, allergies, physical limitations, learning disabilities, etc.)
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  What grade will the child be entering in 2024-2025 school year? REQUIRED Please fill out this field.
  
  Which sacrament(s) has the child received? REQUIRED
  Select all that apply.
  Baptism Reconciliation First Communion Confirmation None Please fill out this field.
  
  Baptism: Church and City (if applicable) Please enter valid data.
  
  Reconciliation: Church and City (if applicable) Please enter valid data.
  
  First Communion: Church and City (if applicable) Please enter valid data.
  
  Confirmation: Church and City (if applicable) Please enter valid data.
  
  Please list any medical conditions that the Religious Education Program should be aware of: (ex: asthma, allergies, physical limitations, learning disabilities, etc.)
- MEDIA RELEASE AND AUTHORIZATION:
  I understand that by responding "Yes" I hereby grant authority to my child/children's parish for use of any videos, photos, or similar items to be used in St. Patrick's Religious Education Facebook page, the parish website, or Diocesean news formats.
- Please answer Yes or No to the above Media Release Question REQUIRED Yes No Please fill out this field.
- I would be interested in volunteering for the Religious Education program in the following way(s): Be a prayer listener Provide food or snacks for events/meetings Chaperone any youth group activities during the year Classroom aid Substitute Teacher
- Parent/Guardian: Type your full name below:
  *Signifying Electronic Signature*
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Electronic Signature REQUIRED Please fill out this field. Please enter a date.
- Fees for Religious Education
  Fees help offset the costs of supplies, books, crafts, copies, building maintence, utilities, and retreats. These fees help provide a quality program for our children and youth. If financial hardship exists, please contact the parish office about a payment plan.
  
  Fees: $40/child, 3 or more children - $100/max per family
  First Communion and Confirmation: additional $10 charge to cover expenses for sacramental preparation.
  
  To pay online, click here.
  
  To pay by check, make the check payable to "St. Patrick's Church," and write "Religious Ed" in the memo line.
  
  Cash and checks can be dropped off at the parish office, or mailed to St. Patrick's Church, PO Box 383, Estherville, IA 51334
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St. Patrick's Church - Estherville
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Emmet County Catholic Community

Faith Formation Registration

St. Patrick's Faith Formation

Registration form | 2024-2025