Registration:

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Family Information

Family Last Name:*

Registered at St. Ann Church?*

Yes
No

Envelope ID # :*

Address*

Street Address Address Line 2 City State ZIP Code

Child(ren) Reside with:*

Both Parents
Mother
Father
Other Relative

Name Of Relative:*

Phone Number*

Email*

Parent's Information

Mother's Information*

Email*

Phone Number*

Father's Information:*

Father's Email:*

Number*

Child 1:

Date of Birth:*

School & Grade:*

Please select all of the Sacraments that this child has already recevied:*

Baptism
First Communion
Confirmation

Date of Baptism:*

Was Baptism at St. Ann Church?*

Yes
No

Date of First Holy Communion:*

Was First Communion at St. Ann Church?*

Yes
No

Date of Confirmation*

Was Confirmation at St. Ann Church?*

Yes
No

Please attach a copy of all Sacraments received.

Drop files here or

Max. file size: 10 MB.

If Sacraments were received at a church other than St. Ann Church, please attach a copy of the certificates to this registration, or email to Faith Formation Office at: ReligiousEd@stannchurch.net

Need to Add other Children?*

Yes
No

Ministries

Family Information

Parent's Information