St Anne Church 299 Main St Gorham Me 04038 1-207-839-4857 or 207-857-0490 ext 1100 FAMILY REGISTRATION FORM FAITH FORMATION GRADES PRESCHOOL TO HIGH SCHOOL 1. Full Name of Child _____________________________________________________ Birth Date_____________________________ _Age as of Sept ___________ Grade as of Sept _______ Please circle all sacraments already received Baptism Reconciliation Confirmation First Eucharist Will be part of Church group ____Home Schooling____ High School_____ 2. 2. Full Name of Child _____________________________________________________ Birth Date_____________________________ _Age as of Sept ___________ Grade as of Sept _______ Please circle all sacraments already received Baptism Reconciliation Confirmation First Eucharist Will be part of Church group ____Home Schooling____ High School______ ----------------------------------------------------------------------------------------------------------------------------------------- 3. Full Name of Child _____________________________________________________ Birth Date_____________________________ _Age as of Sept ___________ Grade as of Sept _______ Please circle all sacraments already received Baptism Reconciliation Confirmation First Eucharist Will be part of Church group ____Home Schooling____ High School______ ----------------------------------------------------------------------------------------------------------------------------------------- 4. Full Name of Child _____________________________________________________ Birth Date_____________________________ _Age as of Sept ___________ Grade as of Sept _______ Please circle all sacraments already received Baptism Reconciliation Confirmation First Eucharist Will be part of Church group ____Home Schooling____ High School______ ----------------------------------------------------------------------------------------------------------------------------------------- 5. Full Name of Child _____________________________________________________ Birth Date_____________________________ _Age as of Sept ___________ Grade as of Sept _______ Please circle all sacraments already received Baptism Reconciliation Confirmation First Eucharist Will be part of Church group ____Home Schooling____ High School______ Please use second sheet to record if needed *****Please indicate session 1 9am-9:30am or session 2 10:30-11am if part of church group Please indicate your interest As a parent, I am interested in helping with Faith Formation of the children by: Helper Sacramental year 2______________High School Youth Ministry_______________ Substitute grade____ Helper 9am ___ 10:30am _____Vacation Bible School (last week June)____ ****Please note Home Schoolers Contact the office if materials are desired 2nd year Sacrament Group will meet Sunday evening at 4pm monthly Turn over for more information on other side Please complete both sides of this Form COMMENTS Medical or Special needs & family and / or Friends safe to sit with ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ I give permission to have child(ren) listed on registration form photographed for various events throughout the year. Photos may be used for promotional and informational materials at St Anne Church. Parent Signature __________________________________ Parent(s) Name (s) Father ___________________ Home Phone_______________ Mother __________________Phone________________ ___________________________ Address______________________________ ____________________________ ___________________________ Cell to be reached at____________________ ***email____________________________ ______________________________ Phone number where parent could be reach during class__________________ Child(ren) living at Parents Residence______________________ Father’s address above___________ Mothers address above_______________ Other name of person:_________________________________ Address ___________________________ Phone Number__________________ Registration is appreciated during the MONTH OF SEPTEMBER When text book bills are due. If unable to pay fee, please speak to Sr Jackie and fee my be waived. Thank you Sr Jackie Moreau Catechetical Leader FEE $ 1 child $40 2 children $80 3+ children $100 Amount enclosed$____________ Mail form to St Anne Bookkeeper 299 Main St Gorham Me 04038 Sr Jackie Jackie.moreau@portlanddiocese.org 899-5427 or 857-0490 ext 1102 office 839-4857 or 857-0490 ext 1100