What program are you registering for?

Vacation Bible School 2021

First Reconciliation/First Eucharist:

Choice A--Parish Program Only

Choice B--School Program Only

Choice C--Combination of Parish & School Programs

RCIC

Sunday Family Faith Formation

CHILD'S INFO:

Child's legal last name

First name

Gender

Male

Female

Birthdate

Age

Birthplace

Grade

School child attends

Was your child baptized?

Yes

No

If yes, in what faith?

City of baptism

Name of church of baptism

Date of baptism

If your child does not attend St. Matthew School, you must submit a copy of your child's Baptismal Certificate within 2 weeks of this registration form to Jeni Lengerich Pleiss at the parish office.

Type of Catholic religious education

Catholic school

Sunday Faith Formation

Homeschool

Any special health concerns?

FAMILY INFO:

Are family members registered parishioners at St. Matthew?

Yes

No

Family's last name

Family address

Phone

Father's full name

Father's cell

Father's email

Mother's full name

Mother's cell

Mother's email

COMMENTS:

Thank You.