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Mary, Queen of Peace Parish Family Faith Formation ... · Family Faith Formation Registration Form...

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Mary, Queen of Peace Parish 2018 — 2019 Family Faith Formation Registration Form Registration Form for Children—Preschool through 5th Grade Family Informaon Primary Parent 1 (Guardian) Last name First Name Want more informaon…. Are you interested in informaon on Adult preparaon for the Sacrament of Confirmaon? YES ____ Would like to know more about the Alpha program? Yes ____ Interested in Becoming Roman Catholic or knowing more about the Church Yes ____ Interested in having your child Bapzed? Yes ___ Interested in having your child prepare for 1st Sacraments Yes ___ Interested in geng Married Or in having your Marriage blessed? Yes _____ Interested in receiving the Sacrament of Anoinng of the Sick? Yes ____ If so, we are happy to help you make a connecon with the right staff person... cell # Address City Zip Emergency Contact: Email 1 Are you registered at Mary, Queen of Peace Parish? Yes No Email 2 Language spoken at home: __________________________________ Early Childhood Program (Sunday 9:00 am and 11:30am) - Lilest Disciples For ages 3 thru Kindergarten - Children must be 3 by Aug 31, 2018 Please mark which class me Childs Last Name First Name M/F Birthdate 3 yr Old 4 Yr Old 5 Yr Old Kinder- 9:00 Mass 11:30 Mass Welcome to the Children and Family Evangelizaon Ministries MQP offers Faith Formaon opportunies for children preschool (3 yrs old) through 5th grade. Please use this form to register for our Early Childhood and Elementary Faith Formaon Childrens programs. More informaon about each of these programs is available in the Childrens Faith Formaon Brochures or online on our parish website. In addion, please feel free to contact me, Jennie Caldwell, at Children. [email protected] or telephone me at: 425-391-1178 ext. 116 Phone #: If NO, in what parish are you registered? If you dont have a home parish, we would love for you to join us! May we send you a registraon packet? Yes, please do No, thanks
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Page 1: Mary, Queen of Peace Parish Family Faith Formation ... · Family Faith Formation Registration Form Registration Form for Children—Preschool through 5th Grade Family Information

Mary, Queen of Peace Parish 2018 — 2019

Family Faith Formation Registration Form Registration Form for Children—Preschool through 5th Grade

Family Information

Primary Parent 1 (Guardian) Last name First Name

Want more information…. Are you interested in information on Adult preparation for the Sacrament of Confirmation? YES ____

Would like to know more about the Alpha program? Yes ____ Interested in Becoming Roman Catholic or knowing more about the Church Yes ____

Interested in having your child Baptized? Yes ___ Interested in having your child prepare for 1st Sacraments Yes ___ Interested in getting Married Or in having your Marriage blessed? Yes _____

Interested in receiving the Sacrament of Anointing of the Sick? Yes ____ If so, we are happy to help you make a connection with the right staff person...

cell #

Address City Zip

Emergency Contact:

Email 1

Are you registered at Mary, Queen of Peace Parish? Yes No

Email 2

Language spoken at home: __________________________________

Early Childhood Program (Sunday 9:00 am and 11:30am) - Littlest Disciples

For ages 3 thru Kindergarten - Children must be 3 by Aug 31, 2018 Please mark which class time

Child’s Last Name First Name M/F Birthdate 3 yr Old 4 Yr Old 5 Yr Old Kinder- 9:00 Mass 11:30 Mass

Welcome to the Children and Family Evangelization Ministries

MQP offers Faith Formation opportunities for children preschool (3 yrs old) through 5th grade. Please use this form to register

for our Early Childhood and Elementary Faith Formation Children’s programs. More information about each of these programs

is available in the Children’s Faith Formation Brochures or online on our parish website. In addition, please feel free to contact

me, Jennie Caldwell, at Children. [email protected] or telephone me at: 425-391-1178 ext. 116

Phone #:

If NO, in what parish are you registered?

If you don’t have a home parish, we would love for you to join us! May we send you a registration packet? Yes, please do No, thanks

Page 2: Mary, Queen of Peace Parish Family Faith Formation ... · Family Faith Formation Registration Form Registration Form for Children—Preschool through 5th Grade Family Information

Children’s Faith Formation Program “Building Connections” Sunday 10:20 am– 11:20 For families with children from grades 1 thru 5

Child’s Name M/F Birthdate Grade Buddy Request T-shirt size

Child’s Name M/F Birthdate Grade Buddy Request T-shirt size

Faith Formation Home Study Program (Grades 1—5) Check here We will contact you with instructions

Photography Release: By returning this form, I consent to photos taken of my child participating in MQP Children ’s Faith For-

mation Programs and activities for the purpose of sharing what we did with the parish either on our website, blog, newsletters,

posters, etc. I recognize that my child will not be identified by name in any of the photos, without my further consent. If you do

not wish to have your child pictured at all, please write your instructions attn.: [email protected]

Special Needs Information: Please let us know any special needs or challenges your child(ren) might have that may

require special attention by the program director or volunteers. Please list any identified learning disabilities, medical

conditions, allergies, ect. That would be important for us to be aware of.

Child’s name:________________________ Brief description: _____________________________________________

Parental Permission: I hereby give permission for my child/children to participate in Mary, Queen of Peace Children and Family

Ministry programs for the 2018-19 academic year. In the event of an emergency, I hereby give permission to transport my

child(ren) to a hospital for emergency medical or surgical treatment.

Parent/guardian signature: __________________________________________________ Date: ______________________

Please complete the joint Family Faith Formation Fee Form for Early Childhood thru High school Youth

Scholarships available upon request—please contact Jennie Caldwell at [email protected]

Programa de la Primera Infancia — Pequeños Discípulos Miércoles 3:30—4:30pm Solo Español

Para niños de 3 años hasta Kindergarten - Los niños deben tener 3 años antes del 31 de Agosto de 2018

Apellido del Niño Primer Nombre M/F Fecha de Nacimiento 3 Años 4 Años 5 Años Kinder

Children’s Faith Formation Program—”Building Connections” Wednesday at 3:30—4:30 pm

For families with children from grades 1 thru 5


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