Online Faith Formation Program Registration

Please complete the form below for our Faith Formation programs.

Each program is $25.00 per child.
You can register up to 4 children on this form.

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Father's Name Please enter valid data.

Mother's Name 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.

Home Phone Number Please enter a phone number.

Dad's Cell Phone Number Please enter a phone number.

Mom's Cell Phone Number Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

School District Please enter valid data.

Are you a registered member of Good Shepherd? REQUIRED Yes No Please fill out this field.

How many children would you like to register? 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 Level (as of fall of 2022) REQUIRED Please fill out this field.
- Sex REQUIRED Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please check the Sacraments received. REQUIRED *Baptism (write the name of the church below) First Reconciliation First Communion **Other (write details below) Please fill out this field.
- *If baptized, please indicate the name of the church. Please enter valid data.
- **Please provide details if the "Other" box was checked above regarding the Sacraments received.
- Indicate the grade of last faith formation completed. REQUIRED Please fill out this field. Please enter valid data.
- Indicate the church/school & location where last faith formation was completed. REQUIRED Please fill out this field. Please enter valid data.
- Students who missed one or more years of faith formation will need to complete an additional catch-up program, Rite of Christian Initiation of Children (RCIC). We will contact you to schedule these sessions.
- Programs REQUIRED
  25.0 – Sun. Preschool (age 3 by 9/30/2022)
  25.0 – K-6 Weekly FF Tuesday
  25.0 – K-6 Weekly FF Wednesday
  25.0 – 7th Grade Weekly FF Wednesday
  25.0 – 8th Grade Weekly FF (Confirmation) Please fill out this field.
- If registering for Vacation Bible School, please select t-shirt size.
- Please list allergies (e.g. food, drugs, anesthetics). If this does not apply, please write "NA." REQUIRED Please fill out this field.
- Please list medications taken regularly. If this does not apply, please write "NA."
- Please list any conditions/impairments (e.g. epilepsy, diabetes, asthma). If this does not apply, please write "NA."
- Comments (optional):
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 Level (as of fall of 2022) REQUIRED Please fill out this field.
- Sex REQUIRED Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please check the Sacraments received. REQUIRED *Baptism (write the name of the church below) First Reconciliation First Communion **Other (write details below) Please fill out this field.
- *If baptized, please indicate the name of the church. Please enter valid data.
- **Please provide details if the "Other" box was checked above regarding the Sacraments received.
- Indicate the grade of last faith formation completed. REQUIRED Please fill out this field. Please enter valid data.
- Indicate the church/school & location where last faith formation was completed. REQUIRED Please fill out this field. Please enter valid data.
- Students who missed one or more years of faith formation will need to complete an additional catch-up program, Rite of Christian Initiation of Children (RCIC). We will contact you to schedule these sessions.
- Programs REQUIRED
  25.0 – Sun. Preschool (age 3 by 9/30/2022)
  25.0 – K-6 Weekly FF Tuesday
  25.0 – K-6 Weekly FF Wednesday
  25.0 – 7th Grade Weekly FF Wednesday
  25.0 – 8th Grade Weekly FF (Confirmation) Please fill out this field.
- If registering for Vacation Bible School, please select t-shirt size.
- Please list allergies (e.g. food, drugs, anesthetics). If this does not apply, please write "NA." REQUIRED Please fill out this field.
- Please list medications taken regularly. If this does not apply, please write "NA."
- Please list any conditions/impairments (e.g. epilepsy, diabetes, asthma). If this does not apply, please write "NA."
- Comments (optional):
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 Level (as of fall of 2022) REQUIRED Please fill out this field.
- Sex REQUIRED Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please check the Sacraments received. REQUIRED *Baptism (write the name of the church below) First Reconciliation First Communion **Other (write details below) Please fill out this field.
- *If baptized, please indicate the name of the church. Please enter valid data.
- **Please provide details if the "Other" box was checked above regarding the Sacraments received.
- Indicate the grade of last faith formation completed. REQUIRED Please fill out this field. Please enter valid data.
- Indicate the church/school & location where last faith formation was completed. REQUIRED Please fill out this field. Please enter valid data.
- Students who missed one or more years of faith formation will need to complete an additional catch-up program, Rite of Christian Initiation of Children (RCIC). We will contact you to schedule these sessions.
- Programs REQUIRED
  25.0 – Sun. Preschool (age 3 by 9/30/2022)
  25.0 – K-6 Weekly FF Tuesday
  25.0 – K-6 Weekly FF Wednesday
  25.0 – 7th Grade Weekly FF Wednesday
  25.0 – 8th Grade Weekly FF (Confirmation) Please fill out this field.
- If registering for Vacation Bible School, please select t-shirt size.
- Please list allergies (e.g. food, drugs, anesthetics). If this does not apply, please write "NA." REQUIRED Please fill out this field.
- Please list medications taken regularly. If this does not apply, please write "NA."
- Please list any conditions/impairments (e.g. epilepsy, diabetes, asthma). If this does not apply, please write "NA."
- Comments (optional):
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 Level (as of fall of 2022) REQUIRED Please fill out this field.
- Sex REQUIRED Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please check the Sacraments received. REQUIRED *Baptism (write the name of the church below) First Reconciliation First Communion **Other (write details below) Please fill out this field.
- *If baptized, please indicate the name of the church. Please enter valid data.
- **Please provide details if the "Other" box was checked above regarding the Sacraments received.
- Indicate the grade of last faith formation completed. REQUIRED Please fill out this field. Please enter valid data.
- Indicate the church/school & location where last faith formation was completed. REQUIRED Please fill out this field. Please enter valid data.
- Students who missed one or more years of faith formation will need to complete an additional catch-up program, Rite of Christian Initiation of Children (RCIC). We will contact you to schedule these sessions.
- Programs REQUIRED
  25.0 – Sun. Preschool (age 3 by 9/30/2022)
  25.0 – K-6 Weekly FF Tuesday
  25.0 – K-6 Weekly FF Wednesday
  25.0 – 7th Grade Weekly FF Wednesday
  25.0 – 8th Grade Weekly FF (Confirmation) Please fill out this field.
- If registering for Vacation Bible School, please select t-shirt size.
- Please list allergies (e.g. food, drugs, anesthetics). If this does not apply, please write "NA." REQUIRED Please fill out this field.
- Please list medications taken regularly. If this does not apply, please write "NA."
- Please list any conditions/impairments (e.g. epilepsy, diabetes, asthma). If this does not apply, please write "NA."
- Comments (optional):

#1 EMERGENCY CONTACT

List Emergency Contact (other than parents).

First Name Please enter valid data.

Last Name Please enter valid data.

Relationship Please enter valid data.

Phone Number Please enter a phone number.

#2 EMERGENCY CONTACT

List Emergency Contact (other than parents).

First Name Please enter valid data.

Last Name Please enter valid data.

Relationship Please enter valid data.

Phone Number Please enter a phone number.

#3 EMERGENCY CONTACT

List Emergency Contact (other than parents).

First Name Please enter valid data.

Last Name Please enter valid data.

Relationship Please enter valid data.

Phone Number Please enter a phone number.

ARCHDIOCESE OF CINCINNATI YOUTH
PERMISSION FORM
Please download and read the Archdiocese of Cincinnati Permission, Release and Authorization to Seek Medical Treatment form ►

I have read and agree to the Archdiocese of Cincinnati Permission, Release and Authorization to Seek Medical Treatment form that has been provided in the block above. REQUIRED Yes No Please fill out this field.

PHOTO PERMISSION
I understand that Good Shepherd’s Faith Formation staff may take photos and videos during class activities for the purpose of promoting the programs via our website, Sunday bulletin, parish social media page (for example, Facebook, Twitter, Instagram), or news releases to local or diocesan papers. I give my permission for pictures that are taken of my family, adults and children, to be used for this purpose.

I have read and agree to the Photo Permission statement listed above. REQUIRED Yes No Please fill out this field.

Please be aware that we will continue to follow the guidelines of the Archdiocese of Cincinnati regarding any precautions due to the pandemic. We appreciate your patience and flexibility in the event that changes in the pandemic cause us to restructure the program dates and classroom capacities.

I have read and understand that we are following all Archdiocesan Guidelines related to the pandemic, and if changes occur with the pandemic we will adjust accordingly. REQUIRED Yes, I have read and agree to the statement above regarding the pandemic. Please fill out this field.

For safety reasons, children in Preschool through 6th grade must be picked up at the classroom by a parent or other authorized adult. REQUIRED Yes, I have read the statement above. Please fill out this field.

By clicking on the "I Agree" box, it will serve as your digital signature for this submission.

I Agree Please select this field.

Please type your initials REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

*Full payment is due at the time of registration. If the fees present a hardship, please write to the Faith Formation Department and the fees will be reconsidered.

Online Faith Formation Program Registration

Program Information

Staff Contacts

Faith Formation Registration Form 2022-2023