Faith Formation Registration 2021/2022

Mom's - Guardian's Information

Mom's First Name Please enter valid data.
Mom's Last Name Please enter valid data.
Mom's Cell Please enter valid data.

Dad's - Guardian's Information

Dad's First Name Please enter valid data.
Dad's Last Name Please enter valid data.
Dad's Cell Please enter valid data.

Primary Email REQUIRED Please fill out this field. Please enter an email address.

Address

Street 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.
Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Emergency Contact 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 Please fill out this field. Please enter a phone number.
Relationship to Student REQUIRED Please fill out this field. Please enter valid data.

For New First Grade Students ONLY

Place of Baptism (Parish Name and Town) Please enter valid data.

We will continue using the Edmodo platform as the central repository for faith formation content. By registering my student(s), I consent to allowing them to participate in The Blessed Virgin Mary Queen of Peace & St. Veronica, Hawley, PA Edmodo learning platform.

I understand that my household account will be generated automaticaly through consent.

I Agree Please select this field.

To pay by credit card, please select Pay Now. To pay by check or to be billed, select Pay Later.

Family Fee15.0

Blessed Virgin Mary
Queen of Peace & St. Veronica

Hawley, PA

Faith Formation Registration 2021/2022

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Online Registration

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