St. John Registration Form

Number of children I am registering REQUIRED Please fill out this field.
Child 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Please fill out this field.
- Grade your child will be entering in the fall REQUIRED Please fill out this field.
- School your child is attending Please enter valid data.
- Sacraments received REQUIRED Baptism Holy Communion Reconciliation Confirmation No Sacraments Please fill out this field.
- ***For children receiving First Communion or Confirmation this year, please submit a copy of the child's baptism certificate to the parish office.
- Name of Child's Baptismal Church Please enter valid data.
- List any special needs (allergies, medical concerns, learning or physical disabilities) that your child has: Please enter valid data.
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Please fill out this field.
- Grade your child will be entering in the fall REQUIRED Please fill out this field.
- School your child is attending Please enter valid data.
- Sacraments received REQUIRED Baptism Holy Communion Reconciliation Confirmation No Sacraments Please fill out this field.
- ***For children receiving First Communion or Confirmation this year, please submit a copy of the child's baptism certificate to the parish office.
- Name of Child's Baptismal Church Please enter valid data.
- List any special needs (allergies, medical concerns, learning or physical disabilities) that your child has: Please enter valid data.
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Please fill out this field.
- Grade your child will be entering in the fall REQUIRED Please fill out this field.
- School your child is attending Please enter valid data.
- Sacraments received REQUIRED Baptism Holy Communion Reconciliation Confirmation No Sacraments Please fill out this field.
- ***For children receiving First Communion or Confirmation this year, please submit a copy of the child's baptism certificate to the parish office.
- Name of Child's Baptismal Church Please enter valid data.
- List any special needs (allergies, medical concerns, learning or physical disabilities) that your child has: Please enter valid data.
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Please fill out this field.
- Grade your child will be entering in the fall REQUIRED Please fill out this field.
- School your child is attending Please enter valid data.
- Sacraments received REQUIRED Baptism Holy Communion Reconciliation Confirmation No Sacraments Please fill out this field.
- ***For children receiving First Communion or Confirmation this year, please submit a copy of the child's baptism certificate to the parish office.
- Name of Child's Baptismal Church Please enter valid data.
- List any special needs (allergies, medical concerns, learning or physical disabilities) that your child has: Please enter valid data.
Child 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Please fill out this field.
- Grade your child will be entering in the fall REQUIRED Please fill out this field.
- School your child is attending Please enter valid data.
- Sacraments received REQUIRED Baptism Holy Communion Reconciliation Confirmation No Sacraments Please fill out this field.
- ***For children receiving First Communion or Confirmation this year, please submit a copy of the child's baptism certificate to the parish office.
- Name of Child's Baptismal Church Please enter valid data.
- List any special needs (allergies, medical concerns, learning or physical disabilities) that your child has: Please enter valid data.
Child 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Please fill out this field.
- Grade your child will be entering in the fall REQUIRED Please fill out this field.
- School your child is attending Please enter valid data.
- Sacraments received REQUIRED Baptism Holy Communion Reconciliation Confirmation No Sacraments Please fill out this field.
- ***For children receiving First Communion or Confirmation this year, please submit a copy of the child's baptism certificate to the parish office.
- Name of Child's Baptismal Church Please enter valid data.
- List any special needs (allergies, medical concerns, learning or physical disabilities) that your child has: Please enter valid data.

Father's 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.

Cell Number REQUIRED Please fill out this field. Please enter a phone number.

Religion REQUIRED Please fill out this field. Please enter valid data.

Mother's 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.

Cell Number REQUIRED Please fill out this field. Please enter valid data.

Religion REQUIRED Please fill out this field. Please enter valid data.

Primary Email REQUIRED Please fill out this field. Please enter valid data.

Primary Mailing Address REQUIRED Please fill out this field. Please enter valid data.

City, State and Zip Code REQUIRED Please fill out this field. Please enter valid data.

We are registered as parishioners at St. John's parish REQUIRED Please fill out this field.

Check where you can help serve in the Faith Formation program: Catechist Substitute Catechist Hallway Monitor Classroom Aide

***All volunteers go through the Diocese of Bismarck Safe Environment Training and have background checks performed.

I grant permission to publish my child’s name and/or picture on the parish website, bulletin, and sacramental program, if receiving a Sacrament.

Parent Signature Please enter valid data.

Disclaimer:

1. In the event of a medical emergency, I give St. Joseph's staff the right to call 911. All attempts will be made to contact the parent or guardian at the phone numbers provided. Additionally, I hold St. Joseph’s Parish, its employees and volunteers, free from any liability resulting from accidental injury or death of the above minor(s).

2. I have thoroughly read the Precepts of the Catholic Church Acknowledgement Form linked on the Faith Formation page and am aware of my responsibility to God, my children, and my fellow Christians to exemply living out the precepts of the Church.

3. I am aware that I must assist in teaching my children their assigned prayers for the year listed on the Faith Formation page, and I attest that I have a copy of the list in my possession so as to teach them at home.

I have read the above disclaimer and agree to its terms.

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

Emergency Contact Person REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact's Phone number REQUIRED Please fill out this field. Please enter valid data.