ST. PIO FAITH FORMATION REGISTRATION GRADES K-10
2023-2024
Grades K-8: Saturdays 8:45-10am @ St. John School           Grade 9-10 Confirmation: Sundays 5:30-6:45pm @ St. Mark Church
 
FAMILY REGISTRATION (PLEASE CIRCLE):				    
K-9:  1 Child ------$75.00         2 Children -------$80.00         3 or more Children ---$85.00
-1 Child Grade 10 Confirmation----$35
	-I would like to make a donation for a family in need (please specify amount):______________
*Total Amount ____________*     Check # _______________*	

Mother’s Name ____________________________________________________________Religion_____________ 
    		   First   		Maiden  			 Last	
 
Father’s Name_____________________________________________________________Religion_____________ 
   	             First  			Middle  			 Last
 
Mailing Address: ______________________________________________________________________________  
      
Home Phone # _______________________________ Cell Phone# (Mom) ________________________________

							Cell Phone# (Dad) _________________________________

E-MAIL___________________________________    E-MAIL (2ndparent-optional)_______________________________
EMERGENCY CONTACT PERSON           
Name/Phone#/Relationship 	

STUDENT’S NAME  		DATE OF BIRTH 	 GRADE in Sept. 2023         	    CHECK SACRAMENTS
												Already Received 
         									 	Baptism    Reconciliation   Communion 
______________________   _______________          _________	 	_____    _____    _____ 

______________________   _______________          _________	 	_____    _____    _____ 

______________________   _______________          _________	 	_____    _____    _____ 

______________________   _______________          _________	 	_____    _____    _____ 
**Fill out reverse side ALSO if your child is preparing for a sacrament** (Grade 2 & Grade 9)

**OUR SACRAMENTAL PREPARATION IS A 2 YEAR PROGRAM**

Is there a learning or health situation you want us to know about your child? Please attach a separate page if necessary to explain situation:_____________________________________________________________________ _____________________________________________________________________________________________        
 Yes! I would like to volunteer* (Please check): Catechist_______Classroom Aide_____ Substitute_____ Set-up/Hall Monitor_____
*Need to complete Safe Environment training. 

PARENTS’ COVENANT: In signing this registration, I am aware of my importance in my child(ren)’s faith formation. I agree that as parents, we are the first educators responsible for their spiritual growth which includes: child’s attendance and Christian behavior at Faith Formation Classes; weekly Mass attendance, frequent reception of the Sacraments (Reconciliation and Eucharist) and attendance at parent meetings for Sacramental Preparation. I understand that the Staff and Catechists of St. Pio Parish are here to assist in the faith formation of my child(ren) and I promise to cooperate and support the process.
Parent(s) Signature_________________________________________________________Date________________

Please return form and fee to: St. Pio Faith Formation, 161 Main St., Old Saybrook, CT 06475.

RECONCILIATION, FIRST COMMUNION, CONFIRMATION (Grade 2 & Grade 9)

**PHOTOCOPY OF BAPTISMAL CERTIFICATE MUST BE ATTACHED
IF NOT BAPTIZED AT ST. JOHN, OLD SAYBROOK, CT or ST. MARK, WESTBROOK, CT

1. Child’s Full Name at Baptism:  _________________________________________________________________
 
Date of Birth / Birthplace (City, State):  ______________________________________________________________ 
 
Date of Baptism:  _______________________________________________________________________________
 
Baptismal Parish:  ________________________________________________________________________ 
 
Address:  _______________________________________________________________________________ 

Date of Reconciliation:  __________________________________________________________________________
 
 	Parish:  _________________________________________________________________________________ 
 
 	Address:  _______________________________________________________________________________ 

 Date of First Communion: ________________________________________________________________________
 
 	Parish:  _________________________________________________________________________________
 
 	Address: _________________________________________________________________________________

2. Child’s Full Name at Baptism___________________________________________________________________ 
 
Date of Birth / Birthplace (City, State):  ______________________________________________________________ 
 
Date of Baptism:  _______________________________________________________________________________ 
 
Baptismal Parish:  ________________________________________________________________________ 
 
Address:  _______________________________________________________________________________
 
Date of Reconciliation:  __________________________________________________________________________
 
 	Parish:  _________________________________________________________________________________
 
 	Address:  _______________________________________________________________________________

 Date of First Communion:  _______________________________________________________________________
 
 	Parish:  _________________________________________________________________________________
 
 	Address:  ________________________________________________________________________________
 
Please return form and fee to: St. Pio Faith Formation, 161 Main St., Old Saybrook, CT 06475.