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Faith Formation Registration for 2022-23

- Our Offerings
  
  Traditional Program (Gr. K - 5) - Sunday mornings from 9:30 to 10:45 a.m. at St. James.
  
  Family Program (Gr. K - 5) - (Once a month on site; parents work at home with students on alternate weeks.) 2nd Sunday of the month* at St. James from 12:15 - 1:30 p.m. (*We will meet on the first Sunday in October and April.)
  
  Middle School Program/ EDGE (Gr. 6 - 8) - 1st and 3rd Sundays from 5 - 7:30 p.m. at St. Mary's.
  
  Tuition is $60/ student. Financial assistance is available upon request.
  
  PLEASE NOTE: Due to low enrollment, we are no longer offering the Monday evening Family Program. We apologize for the inconvenience.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Family Information
  
  Primary Contact (Parent/Guardian)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Secondary/Emergency Phone Number Maximum 20 characters Please enter a phone number.
  
  Email (This email will receive a copy of your submission.) REQUIRED Please fill out this field. Please enter an email address.
  
  Secondary Email Please enter an email address.
  
  Parish you are registered at (or none) REQUIRED Please fill out this field. Please enter valid data.
  
  Other Contact
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to the children (parent, aunt, family friend, grandparent, etc.) Please enter valid data.
  
  Contact Information Please enter valid data.
  
  Children
  
  Number of Children (Gr. K-8) 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.
  
  Grade (in September 2022) Please use "0" if not applicable. REQUIRED Maximum 2 characters Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Place of Baptism (include Diocese if not Pittsburgh) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Programs REQUIRED 60.0 – Family Program (K-5) - 2nd Sunday each month at St. James, 12:15 - 2 pm 60.0 – Family Program (K-5) - One Monday each month at St. James, 6 pm - 7:15 pm 60.0 – Traditional (K-5) Sunday mornings - 9:30-10:45, St. James 60.0 – EDGE (Grades 6-8), St. Mary's - Sunday nights on the 1st and 3rd Sunday of the month; 5pm-7:30pm Please fill out this field.
  
  Emergency Contact
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to the child (parent, grandparent, aunt, family friend, etc.) Please enter valid data.
  
  Contact Information Please enter valid data.
  
  Special Needs/Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Other Notes Please enter valid data.
  
  I give permission to the Faith Formation Program to use photographs, videos, voice recordings, and quotations for the purpose of promoting activities and programs. REQUIRED Yes No Please fill out this field.
  
  In the event of any injury or illness to my child(ren) during his/her participation in Faith Formation Programs, I hereby give my permission for the necessary medical treatment to be given to my child(ren). I agree that in case of injury to my child(ren), I will apply my hospitalization and/or accident insurance toward payment of the expenses incurred and will not look to Divine Redeemer Parish or the Roman Catholic Diocese of Pittsburgh for the payment of any medical costs or injury related costs.
  
  Approved REQUIRED Yes No Please fill out this field.
  
  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.
  
  Grade (in September 2022) Please use "0" if not applicable. REQUIRED Maximum 2 characters Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Place of Baptism (include Diocese if not Pittsburgh) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Programs REQUIRED 60.0 – Family Program (K-5) - 2nd Sunday each month at St. James, 12:15 - 2 pm 60.0 – Family Program (K-5) - One Monday each month at St. James, 6 pm - 7:15 pm 60.0 – Traditional (K-5) Sunday mornings - 9:30-10:45, St. James 60.0 – EDGE (Grades 6-8), St. Mary's - Sunday nights on the 1st and 3rd Sunday of the month; 5pm-7:30pm Please fill out this field.
  
  Emergency Contact
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to the child (parent, grandparent, aunt, family friend, etc.) Please enter valid data.
  
  Contact Information Please enter valid data.
  
  Special Needs/Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Other Notes Please enter valid data.
  
  I give permission to the Faith Formation Program to use photographs, videos, voice recordings, and quotations for the purpose of promoting activities and programs. REQUIRED Yes No Please fill out this field.
  
  In the event of any injury or illness to my child(ren) during his/her participation in Faith Formation Programs, I hereby give my permission for the necessary medical treatment to be given to my child(ren). I agree that in case of injury to my child(ren), I will apply my hospitalization and/or accident insurance toward payment of the expenses incurred and will not look to Divine Redeemer Parish or the Roman Catholic Diocese of Pittsburgh for the payment of any medical costs or injury related costs.
  
  Approved REQUIRED Yes No Please fill out this field.
  
  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.
  
  Grade (in September 2022) Please use "0" if not applicable. REQUIRED Maximum 2 characters Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Place of Baptism (include Diocese if not Pittsburgh) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Programs REQUIRED 60.0 – Family Program (K-5) - 2nd Sunday each month at St. James, 12:15 - 2 pm 60.0 – Family Program (K-5) - One Monday each month at St. James, 6 pm - 7:15 pm 60.0 – Traditional (K-5) Sunday mornings - 9:30-10:45, St. James 60.0 – EDGE (Grades 6-8), St. Mary's - Sunday nights on the 1st and 3rd Sunday of the month; 5pm-7:30pm Please fill out this field.
  
  Emergency Contact
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to the child (parent, grandparent, aunt, family friend, etc.) Please enter valid data.
  
  Contact Information Please enter valid data.
  
  Special Needs/Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Other Notes Please enter valid data.
  
  I give permission to the Faith Formation Program to use photographs, videos, voice recordings, and quotations for the purpose of promoting activities and programs. REQUIRED Yes No Please fill out this field.
  
  In the event of any injury or illness to my child(ren) during his/her participation in Faith Formation Programs, I hereby give my permission for the necessary medical treatment to be given to my child(ren). I agree that in case of injury to my child(ren), I will apply my hospitalization and/or accident insurance toward payment of the expenses incurred and will not look to Divine Redeemer Parish or the Roman Catholic Diocese of Pittsburgh for the payment of any medical costs or injury related costs.
  
  Approved REQUIRED Yes No Please fill out this field.
  
  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.
  
  Grade (in September 2022) Please use "0" if not applicable. REQUIRED Maximum 2 characters Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Place of Baptism (include Diocese if not Pittsburgh) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Programs REQUIRED 60.0 – Family Program (K-5) - 2nd Sunday each month at St. James, 12:15 - 2 pm 60.0 – Family Program (K-5) - One Monday each month at St. James, 6 pm - 7:15 pm 60.0 – Traditional (K-5) Sunday mornings - 9:30-10:45, St. James 60.0 – EDGE (Grades 6-8), St. Mary's - Sunday nights on the 1st and 3rd Sunday of the month; 5pm-7:30pm Please fill out this field.
  
  Emergency Contact
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to the child (parent, grandparent, aunt, family friend, etc.) Please enter valid data.
  
  Contact Information Please enter valid data.
  
  Special Needs/Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Other Notes Please enter valid data.
  
  I give permission to the Faith Formation Program to use photographs, videos, voice recordings, and quotations for the purpose of promoting activities and programs. REQUIRED Yes No Please fill out this field.
  
  In the event of any injury or illness to my child(ren) during his/her participation in Faith Formation Programs, I hereby give my permission for the necessary medical treatment to be given to my child(ren). I agree that in case of injury to my child(ren), I will apply my hospitalization and/or accident insurance toward payment of the expenses incurred and will not look to Divine Redeemer Parish or the Roman Catholic Diocese of Pittsburgh for the payment of any medical costs or injury related costs.
  
  Approved REQUIRED Yes No Please fill out this field.
  
  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.
  
  Grade (in September 2022) Please use "0" if not applicable. REQUIRED Maximum 2 characters Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Place of Baptism (include Diocese if not Pittsburgh) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Programs REQUIRED 60.0 – Family Program (K-5) - 2nd Sunday each month at St. James, 12:15 - 2 pm 60.0 – Family Program (K-5) - One Monday each month at St. James, 6 pm - 7:15 pm 60.0 – Traditional (K-5) Sunday mornings - 9:30-10:45, St. James 60.0 – EDGE (Grades 6-8), St. Mary's - Sunday nights on the 1st and 3rd Sunday of the month; 5pm-7:30pm Please fill out this field.
  
  Emergency Contact
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to the child (parent, grandparent, aunt, family friend, etc.) Please enter valid data.
  
  Contact Information Please enter valid data.
  
  Special Needs/Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Other Notes Please enter valid data.
  
  I give permission to the Faith Formation Program to use photographs, videos, voice recordings, and quotations for the purpose of promoting activities and programs. REQUIRED Yes No Please fill out this field.
  
  In the event of any injury or illness to my child(ren) during his/her participation in Faith Formation Programs, I hereby give my permission for the necessary medical treatment to be given to my child(ren). I agree that in case of injury to my child(ren), I will apply my hospitalization and/or accident insurance toward payment of the expenses incurred and will not look to Divine Redeemer Parish or the Roman Catholic Diocese of Pittsburgh for the payment of any medical costs or injury related costs.
  
  Approved REQUIRED Yes No Please fill out this field.
  
  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.
  
  Grade (in September 2022) Please use "0" if not applicable. REQUIRED Maximum 2 characters Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Place of Baptism (include Diocese if not Pittsburgh) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Programs REQUIRED 60.0 – Family Program (K-5) - 2nd Sunday each month at St. James, 12:15 - 2 pm 60.0 – Family Program (K-5) - One Monday each month at St. James, 6 pm - 7:15 pm 60.0 – Traditional (K-5) Sunday mornings - 9:30-10:45, St. James 60.0 – EDGE (Grades 6-8), St. Mary's - Sunday nights on the 1st and 3rd Sunday of the month; 5pm-7:30pm Please fill out this field.
  
  Emergency Contact
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to the child (parent, grandparent, aunt, family friend, etc.) Please enter valid data.
  
  Contact Information Please enter valid data.
  
  Special Needs/Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Other Notes Please enter valid data.
  
  I give permission to the Faith Formation Program to use photographs, videos, voice recordings, and quotations for the purpose of promoting activities and programs. REQUIRED Yes No Please fill out this field.
  
  In the event of any injury or illness to my child(ren) during his/her participation in Faith Formation Programs, I hereby give my permission for the necessary medical treatment to be given to my child(ren). I agree that in case of injury to my child(ren), I will apply my hospitalization and/or accident insurance toward payment of the expenses incurred and will not look to Divine Redeemer Parish or the Roman Catholic Diocese of Pittsburgh for the payment of any medical costs or injury related costs.
  
  Approved REQUIRED Yes No Please fill out this field.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade (in September 2022) Please use "0" if not applicable. REQUIRED Maximum 2 characters Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Place of Baptism (include Diocese if not Pittsburgh) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Programs REQUIRED 60.0 – Family Program (K-5) - 2nd Sunday each month at St. James, 12:15 - 2 pm 60.0 – Family Program (K-5) - One Monday each month at St. James, 6 pm - 7:15 pm 60.0 – Traditional (K-5) Sunday mornings - 9:30-10:45, St. James 60.0 – EDGE (Grades 6-8), St. Mary's - Sunday nights on the 1st and 3rd Sunday of the month; 5pm-7:30pm Please fill out this field.
  
  Emergency Contact
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to the child (parent, grandparent, aunt, family friend, etc.) Please enter valid data.
  
  Contact Information Please enter valid data.
  
  Special Needs/Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Other Notes Please enter valid data.
  
  I give permission to the Faith Formation Program to use photographs, videos, voice recordings, and quotations for the purpose of promoting activities and programs. REQUIRED Yes No Please fill out this field.
  
  In the event of any injury or illness to my child(ren) during his/her participation in Faith Formation Programs, I hereby give my permission for the necessary medical treatment to be given to my child(ren). I agree that in case of injury to my child(ren), I will apply my hospitalization and/or accident insurance toward payment of the expenses incurred and will not look to Divine Redeemer Parish or the Roman Catholic Diocese of Pittsburgh for the payment of any medical costs or injury related costs.
  
  Approved REQUIRED Yes No Please fill out this field.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade (in September 2022) Please use "0" if not applicable. REQUIRED Maximum 2 characters Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Place of Baptism (include Diocese if not Pittsburgh) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Programs REQUIRED 60.0 – Family Program (K-5) - 2nd Sunday each month at St. James, 12:15 - 2 pm 60.0 – Family Program (K-5) - One Monday each month at St. James, 6 pm - 7:15 pm 60.0 – Traditional (K-5) Sunday mornings - 9:30-10:45, St. James 60.0 – EDGE (Grades 6-8), St. Mary's - Sunday nights on the 1st and 3rd Sunday of the month; 5pm-7:30pm Please fill out this field.
  
  Emergency Contact
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to the child (parent, grandparent, aunt, family friend, etc.) Please enter valid data.
  
  Contact Information Please enter valid data.
  
  Special Needs/Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Other Notes Please enter valid data.
  
  I give permission to the Faith Formation Program to use photographs, videos, voice recordings, and quotations for the purpose of promoting activities and programs. REQUIRED Yes No Please fill out this field.
  
  In the event of any injury or illness to my child(ren) during his/her participation in Faith Formation Programs, I hereby give my permission for the necessary medical treatment to be given to my child(ren). I agree that in case of injury to my child(ren), I will apply my hospitalization and/or accident insurance toward payment of the expenses incurred and will not look to Divine Redeemer Parish or the Roman Catholic Diocese of Pittsburgh for the payment of any medical costs or injury related costs.
  
  Approved REQUIRED Yes No Please fill out this field.
  
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