6th-12th grade 2022-2023 Registration Form

Parent/Guardian 1

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Address REQUIRED Please fill out this field. Please enter valid data.
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Zip REQUIRED Please fill out this field. Please enter a zip code.
Occupation REQUIRED Please fill out this field. Please enter valid data.
Cell Phone Number (xxx-xxx-xxxx) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Preferred Email for Correspondence REQUIRED Please fill out this field. Please enter an email address.
Are you a registered parishioner at Mary Queen? REQUIRED Please fill out this field.
If you are not a registered parishioner and would like to register click here.

Parent/Guardian 2

First Name Please enter valid data.

Last Name Please enter valid data.
Address Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
Occupation Please enter valid data.
Cell Phone Number (xxx-xxx-xxxx) Maximum 20 characters Please enter a phone number.
Email Please enter an email address.

Junior High and High School Faith Formation
(Grades 6th-12th)

All fields are required.

Number of Students to be Registered REQUIRED Please fill out this field.
Student 1
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth (xx/xx/xxxx) Please enter valid data.
- Sex
- Grade Level in Fall REQUIRED Please fill out this field.
- High School Student's Email Please enter an email address.
- Check Sacraments your child wants to receive this year: Baptism First Reconciliation First Eucharist Confirmation
- High School Confirmation eligibility requirements:
  
  Please choose all statements that apply to your child and check the corresponding number in the boxes below.
  
  1. My Child is in Jr High
  
  2. My child is a Year 1 High Schooler this year and I understand that they will receive Confirmation in their second year of High school faith formation.
  
  3. My child is already Confirmed and will join the Deep Group this faith formation year.
  
  4. My Teen desires to receive the Sacrament of Confirmation in the 2022-23 Faith Formation Year.
  
  5. My Teen is Baptized and has received First Communion in the Catholic Church. (If not, please skip this section and register your Teen under “RCIC High School” under “Class Times” below, and we are delighted to work with your family.)
  
  6. My Teen is going into the 10th grade or higher in the 2022-23 school year. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  7. My Teen attended at least 70% of High school faith formation in the 2021-2022 year at Mary Queen or Another Parish or Catholic School in which I can provide documentation for. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  8. I can provide a NEWLY dated copy of my child’s Baptism record with the seal no later than December 2022 or my child was Baptized at Mary Queen. (Please contact your child’s Church of Baptism for this record)
  
  If your child meets the Confirmation eligibility requirements above, please select “High School Year 2/Confirmation” below under “Class Times” and pay the additional Confirmation Prep fee at the end of this form plus the regular faith formation fee ($65 + $150 = $215.00 total)
  
  If your child does not meet the eligibility requirements above, please choose “High school Year 1” below under “Class Times” and DO NOT PAY the Confirmation Prep fee at the end of this form, but rather only pay the regular Faith Formation Payment of $65.00.
- Please choose the number the corresponds with an above statement as it applies to your child. REQUIRED 1 2 3 4 5 6 7 8 Please fill out this field.
- Class Times
- Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
- Special Accommodations, Support, Health or Allergy
Student 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth (xx/xx/xxxx) Please enter valid data.
- Sex
- Grade Level in Fall REQUIRED Please fill out this field.
- High School Student's Email Please enter an email address.
- Check Sacraments your child wants to receive this year: Baptism First Reconciliation First Eucharist Confirmation
- High School Confirmation eligibility requirements:
  
  Please choose all statements that apply to your child and check the corresponding number in the boxes below.
  
  1. My Child is in Jr High
  
  2. My child is a Year 1 High Schooler this year and I understand that they will receive Confirmation in their second year of High school faith formation.
  
  3. My child is already Confirmed and will join the Deep Group this faith formation year.
  
  4. My Teen desires to receive the Sacrament of Confirmation in the 2022-23 Faith Formation Year.
  
  5. My Teen is Baptized and has received First Communion in the Catholic Church. (If not, please skip this section and register your Teen under “RCIC High School” under “Class Times” below, and we are delighted to work with your family.)
  
  6. My Teen is going into the 10th grade or higher in the 2022-23 school year. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  7. My Teen attended at least 70% of High school faith formation in the 2021-2022 year at Mary Queen or Another Parish or Catholic School in which I can provide documentation for. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  8. I can provide a NEWLY dated copy of my child’s Baptism record with the seal no later than December 2022 or my child was Baptized at Mary Queen. (Please contact your child’s Church of Baptism for this record)
  
  If your child meets the Confirmation eligibility requirements above, please select “High School Year 2/Confirmation” below under “Class Times” and pay the additional Confirmation Prep fee at the end of this form plus the regular faith formation fee ($65 + $150 = $215.00 total)
  
  If your child does not meet the eligibility requirements above, please choose “High school Year 1” below under “Class Times” and DO NOT PAY the Confirmation Prep fee at the end of this form, but rather only pay the regular Faith Formation Payment of $65.00.
- Please choose the number the corresponds with an above statement as it applies to your child. REQUIRED 1 2 3 4 5 6 7 8 Please fill out this field.
- Class Times
- Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
- Special Accommodations, Support, Health or Allergy
Student 3
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth (xx/xx/xxxx) Please enter valid data.
- Sex
- Grade Level in Fall REQUIRED Please fill out this field.
- High School Student's Email Please enter an email address.
- Check Sacraments your child wants to receive this year: Baptism First Reconciliation First Eucharist Confirmation
- High School Confirmation eligibility requirements:
  
  Please choose all statements that apply to your child and check the corresponding number in the boxes below.
  
  1. My Child is in Jr High
  
  2. My child is a Year 1 High Schooler this year and I understand that they will receive Confirmation in their second year of High school faith formation.
  
  3. My child is already Confirmed and will join the Deep Group this faith formation year.
  
  4. My Teen desires to receive the Sacrament of Confirmation in the 2022-23 Faith Formation Year.
  
  5. My Teen is Baptized and has received First Communion in the Catholic Church. (If not, please skip this section and register your Teen under “RCIC High School” under “Class Times” below, and we are delighted to work with your family.)
  
  6. My Teen is going into the 10th grade or higher in the 2022-23 school year. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  7. My Teen attended at least 70% of High school faith formation in the 2021-2022 year at Mary Queen or Another Parish or Catholic School in which I can provide documentation for. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  8. I can provide a NEWLY dated copy of my child’s Baptism record with the seal no later than December 2022 or my child was Baptized at Mary Queen. (Please contact your child’s Church of Baptism for this record)
  
  If your child meets the Confirmation eligibility requirements above, please select “High School Year 2/Confirmation” below under “Class Times” and pay the additional Confirmation Prep fee at the end of this form plus the regular faith formation fee ($65 + $150 = $215.00 total)
  
  If your child does not meet the eligibility requirements above, please choose “High school Year 1” below under “Class Times” and DO NOT PAY the Confirmation Prep fee at the end of this form, but rather only pay the regular Faith Formation Payment of $65.00.
- Please choose the number the corresponds with an above statement as it applies to your child. REQUIRED 1 2 3 4 5 6 7 8 Please fill out this field.
- Class Times
- Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
- Special Accommodations, Support, Health or Allergy
Student 4
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth (xx/xx/xxxx) Please enter valid data.
- Sex
- Grade Level in Fall REQUIRED Please fill out this field.
- High School Student's Email Please enter an email address.
- Check Sacraments your child wants to receive this year: Baptism First Reconciliation First Eucharist Confirmation
- High School Confirmation eligibility requirements:
  
  Please choose all statements that apply to your child and check the corresponding number in the boxes below.
  
  1. My Child is in Jr High
  
  2. My child is a Year 1 High Schooler this year and I understand that they will receive Confirmation in their second year of High school faith formation.
  
  3. My child is already Confirmed and will join the Deep Group this faith formation year.
  
  4. My Teen desires to receive the Sacrament of Confirmation in the 2022-23 Faith Formation Year.
  
  5. My Teen is Baptized and has received First Communion in the Catholic Church. (If not, please skip this section and register your Teen under “RCIC High School” under “Class Times” below, and we are delighted to work with your family.)
  
  6. My Teen is going into the 10th grade or higher in the 2022-23 school year. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  7. My Teen attended at least 70% of High school faith formation in the 2021-2022 year at Mary Queen or Another Parish or Catholic School in which I can provide documentation for. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  8. I can provide a NEWLY dated copy of my child’s Baptism record with the seal no later than December 2022 or my child was Baptized at Mary Queen. (Please contact your child’s Church of Baptism for this record)
  
  If your child meets the Confirmation eligibility requirements above, please select “High School Year 2/Confirmation” below under “Class Times” and pay the additional Confirmation Prep fee at the end of this form plus the regular faith formation fee ($65 + $150 = $215.00 total)
  
  If your child does not meet the eligibility requirements above, please choose “High school Year 1” below under “Class Times” and DO NOT PAY the Confirmation Prep fee at the end of this form, but rather only pay the regular Faith Formation Payment of $65.00.
- Please choose the number the corresponds with an above statement as it applies to your child. REQUIRED 1 2 3 4 5 6 7 8 Please fill out this field.
- Class Times
- Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
- Special Accommodations, Support, Health or Allergy
Student 5
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth (xx/xx/xxxx) Please enter valid data.
- Sex
- Grade Level in Fall REQUIRED Please fill out this field.
- High School Student's Email Please enter an email address.
- Check Sacraments your child wants to receive this year: Baptism First Reconciliation First Eucharist Confirmation
- High School Confirmation eligibility requirements:
  
  Please choose all statements that apply to your child and check the corresponding number in the boxes below.
  
  1. My Child is in Jr High
  
  2. My child is a Year 1 High Schooler this year and I understand that they will receive Confirmation in their second year of High school faith formation.
  
  3. My child is already Confirmed and will join the Deep Group this faith formation year.
  
  4. My Teen desires to receive the Sacrament of Confirmation in the 2022-23 Faith Formation Year.
  
  5. My Teen is Baptized and has received First Communion in the Catholic Church. (If not, please skip this section and register your Teen under “RCIC High School” under “Class Times” below, and we are delighted to work with your family.)
  
  6. My Teen is going into the 10th grade or higher in the 2022-23 school year. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  7. My Teen attended at least 70% of High school faith formation in the 2021-2022 year at Mary Queen or Another Parish or Catholic School in which I can provide documentation for. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  8. I can provide a NEWLY dated copy of my child’s Baptism record with the seal no later than December 2022 or my child was Baptized at Mary Queen. (Please contact your child’s Church of Baptism for this record)
  
  If your child meets the Confirmation eligibility requirements above, please select “High School Year 2/Confirmation” below under “Class Times” and pay the additional Confirmation Prep fee at the end of this form plus the regular faith formation fee ($65 + $150 = $215.00 total)
  
  If your child does not meet the eligibility requirements above, please choose “High school Year 1” below under “Class Times” and DO NOT PAY the Confirmation Prep fee at the end of this form, but rather only pay the regular Faith Formation Payment of $65.00.
- Please choose the number the corresponds with an above statement as it applies to your child. REQUIRED 1 2 3 4 5 6 7 8 Please fill out this field.
- Class Times
- Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
- Special Accommodations, Support, Health or Allergy
Student 6
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth (xx/xx/xxxx) Please enter valid data.
- Sex
- Grade Level in Fall REQUIRED Please fill out this field.
- High School Student's Email Please enter an email address.
- Check Sacraments your child wants to receive this year: Baptism First Reconciliation First Eucharist Confirmation
- High School Confirmation eligibility requirements:
  
  Please choose all statements that apply to your child and check the corresponding number in the boxes below.
  
  1. My Child is in Jr High
  
  2. My child is a Year 1 High Schooler this year and I understand that they will receive Confirmation in their second year of High school faith formation.
  
  3. My child is already Confirmed and will join the Deep Group this faith formation year.
  
  4. My Teen desires to receive the Sacrament of Confirmation in the 2022-23 Faith Formation Year.
  
  5. My Teen is Baptized and has received First Communion in the Catholic Church. (If not, please skip this section and register your Teen under “RCIC High School” under “Class Times” below, and we are delighted to work with your family.)
  
  6. My Teen is going into the 10th grade or higher in the 2022-23 school year. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  7. My Teen attended at least 70% of High school faith formation in the 2021-2022 year at Mary Queen or Another Parish or Catholic School in which I can provide documentation for. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  8. I can provide a NEWLY dated copy of my child’s Baptism record with the seal no later than December 2022 or my child was Baptized at Mary Queen. (Please contact your child’s Church of Baptism for this record)
  
  If your child meets the Confirmation eligibility requirements above, please select “High School Year 2/Confirmation” below under “Class Times” and pay the additional Confirmation Prep fee at the end of this form plus the regular faith formation fee ($65 + $150 = $215.00 total)
  
  If your child does not meet the eligibility requirements above, please choose “High school Year 1” below under “Class Times” and DO NOT PAY the Confirmation Prep fee at the end of this form, but rather only pay the regular Faith Formation Payment of $65.00.
- Please choose the number the corresponds with an above statement as it applies to your child. REQUIRED 1 2 3 4 5 6 7 8 Please fill out this field.
- Class Times
- Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
- Special Accommodations, Support, Health or Allergy
Student 7
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth (xx/xx/xxxx) Please enter valid data.
- Sex
- Grade Level in Fall REQUIRED Please fill out this field.
- High School Student's Email Please enter an email address.
- Check Sacraments your child wants to receive this year: Baptism First Reconciliation First Eucharist Confirmation
- High School Confirmation eligibility requirements:
  
  Please choose all statements that apply to your child and check the corresponding number in the boxes below.
  
  1. My Child is in Jr High
  
  2. My child is a Year 1 High Schooler this year and I understand that they will receive Confirmation in their second year of High school faith formation.
  
  3. My child is already Confirmed and will join the Deep Group this faith formation year.
  
  4. My Teen desires to receive the Sacrament of Confirmation in the 2022-23 Faith Formation Year.
  
  5. My Teen is Baptized and has received First Communion in the Catholic Church. (If not, please skip this section and register your Teen under “RCIC High School” under “Class Times” below, and we are delighted to work with your family.)
  
  6. My Teen is going into the 10th grade or higher in the 2022-23 school year. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  7. My Teen attended at least 70% of High school faith formation in the 2021-2022 year at Mary Queen or Another Parish or Catholic School in which I can provide documentation for. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  8. I can provide a NEWLY dated copy of my child’s Baptism record with the seal no later than December 2022 or my child was Baptized at Mary Queen. (Please contact your child’s Church of Baptism for this record)
  
  If your child meets the Confirmation eligibility requirements above, please select “High School Year 2/Confirmation” below under “Class Times” and pay the additional Confirmation Prep fee at the end of this form plus the regular faith formation fee ($65 + $150 = $215.00 total)
  
  If your child does not meet the eligibility requirements above, please choose “High school Year 1” below under “Class Times” and DO NOT PAY the Confirmation Prep fee at the end of this form, but rather only pay the regular Faith Formation Payment of $65.00.
- Please choose the number the corresponds with an above statement as it applies to your child. REQUIRED 1 2 3 4 5 6 7 8 Please fill out this field.
- Class Times
- Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
- Special Accommodations, Support, Health or Allergy
Student 8
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth (xx/xx/xxxx) Please enter valid data.
- Sex
- Grade Level in Fall REQUIRED Please fill out this field.
- High School Student's Email Please enter an email address.
- Check Sacraments your child wants to receive this year: Baptism First Reconciliation First Eucharist Confirmation
- High School Confirmation eligibility requirements:
  
  Please choose all statements that apply to your child and check the corresponding number in the boxes below.
  
  1. My Child is in Jr High
  
  2. My child is a Year 1 High Schooler this year and I understand that they will receive Confirmation in their second year of High school faith formation.
  
  3. My child is already Confirmed and will join the Deep Group this faith formation year.
  
  4. My Teen desires to receive the Sacrament of Confirmation in the 2022-23 Faith Formation Year.
  
  5. My Teen is Baptized and has received First Communion in the Catholic Church. (If not, please skip this section and register your Teen under “RCIC High School” under “Class Times” below, and we are delighted to work with your family.)
  
  6. My Teen is going into the 10th grade or higher in the 2022-23 school year. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  7. My Teen attended at least 70% of High school faith formation in the 2021-2022 year at Mary Queen or Another Parish or Catholic School in which I can provide documentation for. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  8. I can provide a NEWLY dated copy of my child’s Baptism record with the seal no later than December 2022 or my child was Baptized at Mary Queen. (Please contact your child’s Church of Baptism for this record)
  
  If your child meets the Confirmation eligibility requirements above, please select “High School Year 2/Confirmation” below under “Class Times” and pay the additional Confirmation Prep fee at the end of this form plus the regular faith formation fee ($65 + $150 = $215.00 total)
  
  If your child does not meet the eligibility requirements above, please choose “High school Year 1” below under “Class Times” and DO NOT PAY the Confirmation Prep fee at the end of this form, but rather only pay the regular Faith Formation Payment of $65.00.
- Please choose the number the corresponds with an above statement as it applies to your child. REQUIRED 1 2 3 4 5 6 7 8 Please fill out this field.
- Class Times
- Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
- Special Accommodations, Support, Health or Allergy
Student 9
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth (xx/xx/xxxx) Please enter valid data.
- Sex
- Grade Level in Fall REQUIRED Please fill out this field.
- High School Student's Email Please enter an email address.
- Check Sacraments your child wants to receive this year: Baptism First Reconciliation First Eucharist Confirmation
- High School Confirmation eligibility requirements:
  
  Please choose all statements that apply to your child and check the corresponding number in the boxes below.
  
  1. My Child is in Jr High
  
  2. My child is a Year 1 High Schooler this year and I understand that they will receive Confirmation in their second year of High school faith formation.
  
  3. My child is already Confirmed and will join the Deep Group this faith formation year.
  
  4. My Teen desires to receive the Sacrament of Confirmation in the 2022-23 Faith Formation Year.
  
  5. My Teen is Baptized and has received First Communion in the Catholic Church. (If not, please skip this section and register your Teen under “RCIC High School” under “Class Times” below, and we are delighted to work with your family.)
  
  6. My Teen is going into the 10th grade or higher in the 2022-23 school year. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  7. My Teen attended at least 70% of High school faith formation in the 2021-2022 year at Mary Queen or Another Parish or Catholic School in which I can provide documentation for. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  8. I can provide a NEWLY dated copy of my child’s Baptism record with the seal no later than December 2022 or my child was Baptized at Mary Queen. (Please contact your child’s Church of Baptism for this record)
  
  If your child meets the Confirmation eligibility requirements above, please select “High School Year 2/Confirmation” below under “Class Times” and pay the additional Confirmation Prep fee at the end of this form plus the regular faith formation fee ($65 + $150 = $215.00 total)
  
  If your child does not meet the eligibility requirements above, please choose “High school Year 1” below under “Class Times” and DO NOT PAY the Confirmation Prep fee at the end of this form, but rather only pay the regular Faith Formation Payment of $65.00.
- Please choose the number the corresponds with an above statement as it applies to your child. REQUIRED 1 2 3 4 5 6 7 8 Please fill out this field.
- Class Times
- Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
- Special Accommodations, Support, Health or Allergy
Student 10
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth (xx/xx/xxxx) Please enter valid data.
- Sex
- Grade Level in Fall REQUIRED Please fill out this field.
- High School Student's Email Please enter an email address.
- Check Sacraments your child wants to receive this year: Baptism First Reconciliation First Eucharist Confirmation
- High School Confirmation eligibility requirements:
  
  Please choose all statements that apply to your child and check the corresponding number in the boxes below.
  
  1. My Child is in Jr High
  
  2. My child is a Year 1 High Schooler this year and I understand that they will receive Confirmation in their second year of High school faith formation.
  
  3. My child is already Confirmed and will join the Deep Group this faith formation year.
  
  4. My Teen desires to receive the Sacrament of Confirmation in the 2022-23 Faith Formation Year.
  
  5. My Teen is Baptized and has received First Communion in the Catholic Church. (If not, please skip this section and register your Teen under “RCIC High School” under “Class Times” below, and we are delighted to work with your family.)
  
  6. My Teen is going into the 10th grade or higher in the 2022-23 school year. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  7. My Teen attended at least 70% of High school faith formation in the 2021-2022 year at Mary Queen or Another Parish or Catholic School in which I can provide documentation for. (If not, please skip this section and choose “High School Year 1” under Class Times below.)
  
  8. I can provide a NEWLY dated copy of my child’s Baptism record with the seal no later than December 2022 or my child was Baptized at Mary Queen. (Please contact your child’s Church of Baptism for this record)
  
  If your child meets the Confirmation eligibility requirements above, please select “High School Year 2/Confirmation” below under “Class Times” and pay the additional Confirmation Prep fee at the end of this form plus the regular faith formation fee ($65 + $150 = $215.00 total)
  
  If your child does not meet the eligibility requirements above, please choose “High school Year 1” below under “Class Times” and DO NOT PAY the Confirmation Prep fee at the end of this form, but rather only pay the regular Faith Formation Payment of $65.00.
- Please choose the number the corresponds with an above statement as it applies to your child. REQUIRED 1 2 3 4 5 6 7 8 Please fill out this field.
- Class Times
- Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
- Special Accommodations, Support, Health or Allergy

Please choose one of the following: REQUIRED My Child would like to remain in the same small group as last year if possible. (Please note that ‘The Deep’ Group is one large group) My Child would like to try a new small group this Faith Formation Year. (Please note that ‘The Deep’ Group is one large group) Please fill out this field.

Special requests:

Please check one of the following: REQUIRED My child has my permission to be dismissed after class and other events and wait outside the Youth Center for me to pick them up or, in the case of Jr High Youth, meet me at the Church for mass upon dismissal on Sundays. My child does not have my permission to wait outside of the Youth Center after class or other events. He/She must wait inside and I will walk up to the door to pick them up. Please fill out this field.

Family Medical Information

Family Doctor's Name: REQUIRED Please fill out this field. Please enter valid data.
Doctor's Phone Number: REQUIRED Please fill out this field. Please enter valid data.
Insurance Name: REQUIRED Please fill out this field. Please enter valid data.
Insurance Group Number: REQUIRED Please fill out this field. Please enter valid data.
Insurance Phone Number: REQUIRED Please fill out this field. Please enter valid data.

Emergency Medical Contact if Parent Cannot be Reached

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Relationship to Child: REQUIRED Please fill out this field. Please enter valid data.

Virtual Learning Statement

“By registering your child(ren) for faith formation you give permission to the parish to provide its catechists with access to your child(ren) for the purpose of catechesis. Depending on the circumstances and the program, this access may be face-to-face in a parish facility, or may be on a virtual platform approved and overseen by the parish, or both. All catechists have been cleared by the Archdiocesan Office of Child and Youth Protection to work with minors and have completed all required safe environment training.”

Virtual Learning Statement REQUIRED Please fill out this field.

Medical Consent/Liability Waiver
In the event of an emergency, I hereby give permission to the staff of Mary Queen Catholic Church to seek emergency medical transport or treatment for my child(ren) named above. I wish to be advised before further care is given by the hospital or doctor and I understand that all financial obligations are my responsibility. If I cannot be reached please contact the person listed above.

In consideration of my child's participation in Faith Formation, I agree on behalf of myself, my child(ren) named above, and our heirs, successors, and assigns, to indemnify, hold harmless and defend the Daniel Cardinal DiNardo, Archdiocese of Galveston-Houston, Mary Queen Catholic church, its pastor or any representative of Faith Formation or Yourth Ministry (collectively the "indemnitees") from any and all injuries, losses or claims arising out of my child's participation in the program. I further agree that if anyone on my child's behalf makes a claim against the indemnitees, I will indemnify, save, and hold harmless each of the indemnitees from any litigation, expenses, attorney fees, loss, liability, damage or cost which may incur as a result of such claim.

Medical/Liability Waiver REQUIRED Please fill out this field.

Video/Photography Consent

As parent/guardian, I understand that promotional pictures and videos (individual and group) may be taken during Faith Formation Classes and/or Youth Ministry Activities. I give permission for my child(ren)'s (named above) pictures to be used for church promotional materials such as newsletters, web pages, social media, calendars, power point presentations, or videos to promote or highlight these classes or activities.

Video/Photography Consent REQUIRED Please fill out this field.

Faith Formation Handbook Acknowledgement

I am the parent/guardian for the child(ren) listed above. I have read the Junior High & High School (click here) Policies and Guidelines or had them read to me. I full understand and accept these policies and guidelines knowingly, freely and willingly.

Faith Formation Handbook Acknowledgement REQUIRED Please fill out this field.

Electronic Signature REQUIRED Please fill out this field. Please enter valid data.

Parent Volunteer Opportunities
Many volunteers are needed to make this program a success. Please share your time and talent to work with an age group that you would enjoy. Please check your choice(s) now, so that we may alert you to training sessions.

First Name Please enter valid data.

Last Name Please enter valid data.

Have you completed the Safe Environment Certification? Yes I have completed CMG - Safe Environment No I have not completed CMG - Safe Environment

Click here for Safe Environment information.

Youth, Junior High and High School Ministries (Grades 6th-12th) Volunteer Needs Junior High Core Team Attendance Keeper Junior High Office Help During the Week High School Core Team High School Attendance Keeper High School Office Help During the Week Ministry of Presence as needed for the Youth Center Tuesday Evening Catechist Special Events Team

RCIA - Adapted for Children Catechist Catechist Aide

NOTES on FEES:

You must be registered in the parish at least 6 months prior to registering for Faith Formation for parishioner fee.
The pastoral policies of this parish recognize that each student has the right to Catholic formation and no student will be denied participation due to funding. Please contact your program director for more details.

Parishioner Faith Formation Payment

95.0 – Parishioner - 1 Child

160.0 – Parishioner - 2 Children

225.0 – Parishioner - 3 or more children

0.0 – Returning Teacher Child Registration Fee for Faith Formation

150.0 – Confirmation Preparation Fee for those being Confirmed in the 2022-23 Faith Formation Year (This fee is in addition to the regular Faith Formation fee as it covers the added costs associated with Confirmation prep and the Rite)

Non-Parishioner Faith Formation Payment

125.0 – Non-Parishioner - 1 Child

220.0 – Non-Parishioner - 2 or More Children

315.0 – Non-Parishioner - 3 or More Children

150.0 – Confirmation Preparation Fee (This fee is in addition to the regular faith formation fee as it covers the added costs associated with Confirmation prep and the Rite).

6th-12th grade 2022-2023 Registration Form

Junior High and High School Faith Formation (Grades 6th-12th)

Junior High and High School Faith Formation
(Grades 6th-12th)