Tab through fields
Family Last Name
First Name(s) (if registering as adults only)
Father's Name
Mother's Name
Mother's Maiden Name
Address
Home Phone
Mom or Dad Cell
E-mail
Custodial Parent if Different Than Above
Adult Only Rate (19+) $85.00 Senior Citizen FREE WILL OFFERING Generations Family Rate $180.00 First Communion $25.00 First Reconciliation $25.00 Confirmation $75.00 Financial Assistance is Needed (a staff member will contact you for more information. No one will be denied participation due to financial limitations.)
I would like to make a donation to help others participate in Faith Formation. (Optional) Donation
List names of children (school age and those that will need childcare):
Child 1 Name
Birthdate
Age
Sex
Grade
School
Special Needs
Check if Sacrament has been received: Baptism Catholic? Yes No First Communion First Reconciliation Confirmation
Child 2 Name
Child 3 Name
Child 4 Name
NOTE:If any of your children were baptized outside of Resurrection Parish, and you have not already supplied us with a copy of each child's baptismal record, you will need to supply a copy for our files.
Resurrection Parish has my permission to use photos of myself/child(ren) for all publications.
Yes No
NOTE: No response indicates that permission is granted.
Payment due within 7 days of registration. No refunds after the first session.
Check the box that applies: Pay by Check/Cash (Make checks payable to Resurrection Parish and put name of program in memo box. Mail to: Attention: Faith Formation, Resurrection Parish, 333 Hilltop Dr. Green Bay WI 54301) Pay by Credit Card (If you would like to pay by credit card you may call the Parish Office at 336-7768 and make payment over the phone or stop in and make payment in person.)
