Faith Formation Registration 2023/2024

Mom's - Guardian's Information

Dad's - Guardian's Information

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 Maximum 20 characters 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 Maximum 20 characters Please fill out this field. Please enter a phone number.
Relationship to Student REQUIRED Please fill out this field. Please enter valid data.

Family Registration Fee35.0

For New First Grade Students ONLY

If registration fees present a financial hardship for your family, please call the faith formation office at 570-226-2955 for assistance.

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