St. Luke Office of Faith Formation 2022-2023 Registration

Faith Formation Office (860) 875-4951

Welcome and Welcome Back! We are looking forward to a faith filled year with your family.

REGISTER TODAY!

Registration received prior to August 31st: 1 child $60, 2 children $90, 3 or more children $120

Registration received after August 31st: 1 child $75, 2 children $105, 3 or more children $135

Additional Sacramental\Retreat Fee of $25 for Grades 9 and 10.

Parish registration is required. Fields marked with * are required. A $3 non-refundable handling fee will be added when registering online. If you are unable to register online, please stop by the office or email us to receive a manual application form.

If you need to utilize the save and continue button, please manually copy the link created and store in case an email with the link is not received.
Are you a registered member of St. Luke?*
- Yes
- No
First time enrolling in the Faith Formation Program?*
- Yes
- No
If Yes, date of Baptism:
MM slash DD slash YYYY
Name, City & State of church baptized at*
IMPORTANT: A copy of the Baptismal certificate MUST be brought to the Faith Formation office by the first day of class for any child baptized at another parish. If Reconciliation or Eucharist have been made in another parish a copy of each certificate MUST be brought to the office as well.
Student Registration
Child #1 Full Name*
First Last
Gender:*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
School Grade this Fall*
Retreat Fee for 9th Grade; Sacramental Fee for 10th Grade
First Choice*
- Sunday 9-10:15am (Grades K-5)
- Tuesday 6:45-8pm (Grades 5-10)
- Wednesday 6:45-8pm (Grades 6-10)
Second Choice*
- Sunday 9-10:15am (Grades K-5)
- Tuesday 6:45-8pm (Grades 5-10)
- Wednesday 6:45-8pm (Grades 6-10)
Medical Information
Type NA if not applicable
Please list all allergies, diagnosis, serious illness or hospitalizations?*
Please list all medications given regularly?*
Please list any special services your child is receiving in school?*
Use this space to let us know anything that would be helpful to know about your child (include physical disabilities, glasses, hearing aides, other)*
Are you registering additional children? If yes, how many children?*
- no additional children
- 1 additional child
- 2 additional children
- 3 or more additional children
Child #2 Full Name*
First Last
Gender:*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
School Grade this Fall*
Retreat Fee for 9th Grade; Sacramental Fee for 10th Grade
First Choice*
- Sunday 9-10:15am (Grades K-5)
- Tuesday 6:45-8pm (Grades 5-10)
- Wednesday 6:45-8pm (Grades 6-10)
Second Choice*
- Sunday 9-10:15am (Grades K-5)
- Tuesday 6:45-8pm (Grades 5-10)
- Wednesday 6:45-8pm (Grades 6-10)
Medical Information Child #2
Type NA if not applicable
Please list all allergies, diagnosis, serious illness or hospitalizations? Child #2*
Please list all medications given regularly? Child #2*
Please list any special services your child is receiving in school? Child #2*
Use this space to let us know anything that would be helpful to know about your child (include physical disabilities, glasses, hearing aides, other) Child #2*
Child #3 Full Name*
First Last
Gender:*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
School Grade this Fall*
Retreat Fee for 9th Grade; Sacramental Fee 10th Grade
First Choice*
- Sunday 9-10:15am (Grades K-5)
- Tuesday 6:45-8pm (Grades 5-10)
- Wednesday 6:45-8pm (Grades 6-10)
Second Choice*
- Sunday 9-10:15am (Grades K-5)
- Tuesday 6:45-8pm (Grades 5-10)
- Wednesday 6:45-8pm (Grades 6-10)
Medical Information Child #3
Type NA if not applicable
Please list all allergies, diagnosis, serious illness or hospitalizations? Child #3*
Please list all medications given regularly? Child #3*
Please list any special services your child is receiving in school? Child #3*
Use this space to let us know anything that would be helpful to know about your child (include physical disabilities, glasses, hearing aides, other) Child #3*
Child #4 Full Name*
First Last
Gender:*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
School Grade this Fall*
Retreat Fee for 9th Grade; Sacramental Fee for 10th Grade
First Choice*
- Sunday 9-10:15am (Grades K-5)
- Tuesday 6:45-8pm (Grades 5-10)
- Wednesday 6:45-8pm (Grades 6-10)
Second Choice*
- Sunday 9-10:15am (Grades K-5)
- Tuesday 6:45-8pm (Grades 5-10)
- Wednesday 6:45-8pm (Grades 6-10)
Medical Information Child #4
Type NA if not applicable
Please list all allergies, diagnosis, serious illness or hospitalizations? Child #4*
Please list all medications given regularly? Child #4*
Please list any special services your child is receiving in school? Child #4*
Use this space to let us know anything that would be helpful to know about your child (include physical disabilities, glasses, hearing aides, other) Child #4*
Family Information
Child lives with:*
- Father
- Mother
- Both Father and Mother
- Guardian
Mother/Father or Guardian Name:*
First Last
Mother's Maiden Name
Mother/Father or Guardian Address:*
Street Address City State ZIP Code
Email*
Preferred Contact Phone:*
Can we text you at this number? Type yes or no.*
Skip this field
Additional Phone Number:
Mother/Father or additional Guardian:
First Last
Mother/Father or additional Guardian address (if different from above):
Street Address City State ZIP Code
Mother/Father or additional Guardian email:
Mother/Father or additional Guardian preferred contact phone:
Emergency Contact (other than mother, father or guardian)*
Emergency Contact Phone*
Emergency Contact Relationship*
Permission for pictures of child \ children to be used.*
- Yes
- No
We give permission for pictures\video of our child \ children to be used on the St. Luke Church Website; Facebook; Instagram; other social media or sent via email. No names will ever be displayed.
Video Conferencing Permission Slip*
- Yes
- No
By agreeing yes, I grant my child(ren) permission to participate in the Catechetical Program (Faith Formation) or Youth Ministry events that will be carried out online during the academic year of this registration. All online communications, classes, events, programs, etc. will be monitored at all times by two safe environment approved adults.
Total
$0.00

Save and Continue Later

Welcome and Welcome Back! We are looking forward to a faith filled year with your family.

Student Registration

Medical Information

Medical Information Child #2

Medical Information Child #3

Medical Information Child #4

Family Information