Holy Cross Catholic Church

Name *

First Name

Last Name

Sex *

Male

Female

Birth Date *

MM

DD

YYYY

Sacraments ALREADY Received:

Catholic Baptism

Other Christian Baptism

First Reconciliation

First Communion

Confirmation

None of the Above

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name *

First Name

Last Name

Phone *

(###)

###

####

Parent's Religion

Catholic

Christian

Other

Parent/Guardian Name

First Name

Last Name

Phone

(###)

###

####

Parent's Religion

Catholic

Christian

Other

Name *

First Name

Last Name

Phone *

(###)

###

####

With whom does the child live? *

Both Parents

Mother

Father

Guardian/Relative

If parents are divorced, does the non-custodial parent have legal access to the child? *

Yes

No

Does not apply

MEDICAL RELEASE: In an emergency, Holy Cross Parish, and its designated representative(s), will seek emergency medical treatment for my child/youth. I agree to hold harmless Holy Cross Parish and said representative(s), from any accident or illness requiring such treatment, and from the results of any such treatment. *

Yes

No

PHOTO RELEASE: I/We, the parent(s)/guardian of the child/youth authorize and give full consent, without limitation or reservation, to Holy Cross Parish, to publish any photograph or video in which the above-named student appears while participating in any program associated with Holy Cross Parish. There will be no compensation for use of any photograph or video at the time of publication or in the future. *

Yes

No

Registration status (optional):

If we're not already registered parishioners of Holy Cross, please register us.

We're currently registered at another parish, but we plan to complete Faith Formation at Holy Cross.

Payment Method: *

We are volunteering and the fee is waived

We will pay online

Credit card (in person)

Check (made to "Holy Cross," in an envelope with family name and "Faith Formation")

Cash (in an envelope with family name and "Faith Formation")

Contact me about financial aid