PEASE ATTATCH
A COPY OF
St. Sebastian Catholic Church Faith Formation
YOUR CHILD’S
BAPTISMAL CERTIFICATE
Preparation for Sacraments of
Reconciliation and Eucharist
Child’s Name: Print name as you want it to appear on the Sacrament Certificate
_____________________________________________________________________________________________
(FIRST) (MIDDLE) (LAST)
Date of Baptism: ____/____/____ Name of Church, City and State: _________________________________
Date of Birth: ____/____/____ City and State: _________________________________________________
Grade in School: ______ Name of School: _________________________________________________________
Number of years of Faith Formation (religious education) ___________
Was your child in Faith Formation last year at St. Sebastian? ____ Yes ____ No
If no, was your child involved in Faith Formation in another parish? ____ Yes ____ No
Name of parish: ____________________________ City and State: ____________________________________
I would like to enroll my child in the preparation process for the sacraments of:
___ Reconciliation ___ Eucharist
I am registering him/her for: ____ Year I prep _______ Year II prep (completed year one)
Children registering for Year II, please check one for attending class: ____ Monday (5:30-6:30 pm)
____ Wednesday (4:00-5:00 pm)
Father’s Name: _______________________________________________________________________________
(FIRST) (MIDDLE) (LAST)
Mother’s (Maiden) Name: ______________________________________________________________________
(FIRST) (MIDDLE) (LAST)
Home Address: _______________________________________________________________________________
(#, Street or Apt) (City, State, Zip)
Phone Number: __________________________________ E-Mail: _____________________________________
The preparation process for the sacraments of Reconciliation and Eucharist involves:
·
regular attendance at Sunday (Saturday) Liturgy (sign –in book 1st year children only)
participation in parish Generations of Faith gatherings
·
·
parent and child preparation at home (materials provided)
·
participation in weekly Faith Formation classes (2nd year children only)
·
Parish/parent/child sessions (including a 1-day retreat experience for child)
I understand that I am committing to active involvement of my child and
myself (and/or spouse) in both the parish and home dimensions of the
Preparation process.
(Parent Signature) ____________________________________
Diocesan Permission and Medical Treatment Waiver
I __________________________________________, the parent/guardian of ___________________________
do hereby give my permission for him/her to attend faith formation classes on the premises of St. Sebastian
Catholic Church located at 13075 US Highway 1, Sebastian Florida, to be treated for a medical emergency in
my absence while participating in the faith formation program. The Director of Faith Formation or adult super-
visor may act as an agent in my absence. In case of accident, I do not hold the Diocese of Palm Beach, the
parish of St. Sebastian, its staff or adult supervisor responsible.
In case of an emergency, if I am not available at the above listed phone numbers, please contact:
Name: ______________________________ Phone # (_______) ___________________________
Cell # (_______) ___________________________
As a parish community, we promise you our support and guidance as you continue to be the primary
educators in passing on our Catholic faith! We look forward to sharing in this partnership and journey
as you and your child prepare for this most amazing relationship with our God! IF we can be of any fur-
ther assistance, please contact us in through the Faith Formation office: 589-4147 or send an e-mail to:
Blessings Always!!
OFFICE USE ONLY
Completed Form Received _______
Date:___________
**Fee included ____ Cash _____ Check # _________
* Fee is for Year II ($35.00 per child)
Baptismal Form Attached_________
Registering for year 1 prep ________
** $35.00 Is the Fee for Year II students only. This fee
covers texts, classroom materials and retreat days.
Completed registration is due in Full by August 31, 2009. If you have a financial concern, please contact the Faith Formation office at
589-4147. Scholarships are available. We want ALL children to participate regardless of ability to pay. We are committed to “passing
on our Faith”.
