FAMILY FORMATION (1st to 5th Grade) - REGISTRATION FORM 2024-25

FAMILIES REGISTERING FOR FAMILY FAITH FORMATION PLEASE FILL OUT THIS FORM. CHILDREN MUST BE ENROLLED IN 1ST TO 5TH GRADE.

1. FAMILY INFORMATION

Mother (First and Last Name)

Father (First and Last Name)

Primary Address

Primary Cell Phone

Primary Email

This address will receive a confirmation email

Alternate Email

This address will receive a confirmation email

Are you registered at Mary, Queen of Peace?

Yes No

2. STUDENTS INFORMATION

Child 1

All data fields are required unless otherwise noted.

Name

Female/Male

Female Male

Date of Birth mm/dd/yy

2024 - 2025 Grade

School District

What Sacraments has your child received?

Baptism First Eucharist Confirmation None of the above

*If you have no other children, please skip to next section.

**For Child 2 disregard the word optional and note that ALL data fields are required for each child.

Child 2

Name (First, Last)

Female/Male Female Male

Date of Birth mm/dd/yy

2024 - 2025 Grade

School District

What Sacraments has your child received?

Baptism First Eucharist Confirmation None of the above

3. VOLUNTEER OPPORTUNITIES (Commitment required for the school year - Training will be provided)

Volunteer Opportunities

Let us know how often you are available

Each Session Once a Month Whenever you need me

4. OTHERS

Special Needs Information

Please identify any specific needs or challenges your child may have that require special attention by the program director or volunteer core team. Please list an identified learning disability, classroom difficulties, medical conditions, allergies, etc.

Photography Release

I hereby give Mary, Queen of Peace permission to publish pictures of my child on the parish website, social media, and/or parish publications. (Please note: No names will be included with pictures) *

Agree Disagree

GOT QUESTIONS?

Scholarships are available upon request. Please contact: Adriana Alvarez 425.391.1178 ext 120 adriana.alvarez@mqp.org

Thank you for processing your registration. In order to be fully enrolled in the Family Formation Program, please submit the payment below.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

FAMILY FORMATION (1st to 5th Grade) - REGISTRATION FORM 2024-25

Description

Please Fix the Following