Faith Family Formation Registration 2022 Step 1 of 9 11% Faith Formation Registration: K-6 Family of Faith (including 1st Reconciliation & Holy Communion) and Confirmation Welcome to Faith Formation at SJPII! We are so excited for the upcoming 2022-23 year. Family of Faith Formation for Grades K-6 will consist of: Sophia Family of Faith Curriculum: the Creed Pflaum Gospel Weeklies Monthly Parent Formation Meetings typically the 1st Thursday of each month starting in September Monthly Family Community Meetings (Thursday evening or Sunday afternoon) Weekly Mass Attendance and other Parish Activities/Celebrations Preparation for 1st Reconciliation and Holy Communion (if applicable) Confirmation Preparation will consist of: Completion of a 2 year preparation using the Chosen curriculum Confirmation Year 1 weekly meetings (Wednesday evenings) Confirmation Year 2 weekly meetings (Sunday evenings) and a day long retreat Weekly Mass Attendance and other Parish Activities/Celebrations Service Hour Completion for both years Program Fee Information: Grades K-6: Per K-6 Student (non sacramental year) - $50 Per K-6 Student (Sacramental year: Will be receiving the sacraments of 1st Reconciliation and Holy Communion) - $100 per student Confirmation Preparation Year 1: $100 per student Confirmation Preparation Year 2: $100 per student Family Max Program Fee: $250 (This is the most you would give as a family. If your total is higher than this, please only give this amount.) Once you submit your registration, you will be redirected to square for payment.. If unable to pay in full please know that assistance is available.. Please contact the Family Life Coordinator: Dominic Salamida for assistance. If your child is in 3rd grade or higher and has not been Baptized please speak directly to the Family Life Coordinator: Dominic Salamida. Household InformationFather's Name First Last Mother's Name First Last Father's Phone NumberMother's Phone NumberFather's Email Mother's Email Address(Required) Street Address City ZIP Primary Cell Phone(Required)Primary Email (Please provide a valid email that is checked regularly)(Required) Enter Email Confirm Email Emergency Contact and Relationship(Required) Name Relationship Emergency Contact Phone Number(Required)Are you a registered parishioner of SJPII?(Required) Yes No If not, please click here to register as a parishioner.What neighborhood do you live in?(Required) Twenty Mile Neighborhoods -Nocatee Crosswater Neighborhoods- Nocatee Greenleaf Village/Austin Park - Nocatee Town Center Neighborhoods- Nocatee The Palms/Timberland/Cypress Trails - Nocatee Jacksonville St. Augustine 210 Neighborhoods Other Would you be interested in connecting with other families in your area?(Required) Yes No How many students are you registering for Faith Formation?(Required)123456 Student #1 InformationStudent Name(Required) First Last Student Birthday(Required) Month Day Year Student Grade:(Required)K123456789101112Student Baptized?(Required) Yes No Last Year and Location of Faith Formation (CCF) Attendance:(Required) Special Learning Needs:(Required) Primary Physician:(Required) Physician Phone Number(Required)Family Health Plan Carrier:(Required) Family Health Plan Number:(Required) Allergies:(Required) Other medical conditions or disabilities:(Required) Please select which area your student is registering for:(Required) K-6 Family of Faith (non-sacramental year) K-6 Family of Faith (with 1st Reconciliation and Holy Communion) Confirmation Year 1 or 2 Monthly Family Community Meeting Preference:(Required) Thursday Night (see website for dates) Sunday Afternoon (see website for dates) K-6 Family of Faith Monthly Meeting Preference - Student #1K-6 Family of Faith Monthly Meeting Preference - There will also be immediate preparation sessions for 1st Reconciliation and Holy Communion(Required) Thursday Night (see website for dates) Sunday Afternoon (see website for dates) Confirmation - Student #1Student Confirmation Year:(Required) Year 1 Year 2 School attending for 2022-23:(Required) What sport, if any, does your child play?(Required) Which of these best describes your child?(Required) Artist Gamer Athlete Academic Does your child participate in the choir or enjoy singing?(Required) Yes No Which best describes your child?(Required) Introvert Extrovert Does your child play a musical instrument?(Required) Yes No Student #2 InformationStudent Name(Required) First Last Student Birthday(Required) Month Day Year Student Grade:(Required)K123456789101112Student Baptized?(Required) Yes No Last Year and Location of Faith Formation (CCF) Attendance:(Required) Special Learning Needs:(Required) Primary Physician:(Required) Physician Phone Number(Required) Family Health Plan Carrier:(Required) Family Health Plan Number:(Required) Allergies:(Required) Other medical conditions or disabilities:(Required) Please select which area your student is registering for:(Required) K-6 Family of Faith (non-sacramental year) K-6 Family of Faith (with 1st Reconciliation and Holy Communion) Confirmation Year 1 or 2 Monthly Family Community Meeting Preference:(Required) Thursday Night (see website for dates) Sunday Afternoon (see website for dates) K-6 Family of Faith Monthly Meeting Preference - Student #2K-6 Family of Faith Monthly Meeting Preference - There will also be immediate preparation sessions for 1st Reconciliation and Holy Communion(Required) Thursday Night (see website for dates) Sunday Afternoon (see website for dates) Confirmation - Student #2Student Confirmation Year(Required) Year 1 Year 2 School attending for 2022-23:(Required) What sport, if any, does your child play?(Required) Which of these best describes your child?(Required) Artist Gamer Athlete Academic Does your child participate in the choir or enjoy singing?(Required) Yes No Which best describes your child?(Required) Introvert Extrovert Does your child play a musical instrument?(Required) Yes No Student #3 InformationStudent Name(Required) First Last Student Birthday(Required) Month Day Year Student Grade:(Required)K123456789101112Student Baptized?(Required) Yes No Last Year and Location of Faith Formation (CCF) Attendance:(Required) Special Learning Needs:(Required) Primary Physician:(Required) Physician Phone Number:(Required) Family Health Plan Carrier:(Required) Family Health Plan Number:(Required) Allergies:(Required) Other medical conditions or disabilities:(Required) Please select which area your student is registering for:(Required) K-6 Family of Faith (non-sacramental year) K-6 Family of Faith (with 1st Reconciliation and Holy Communion) Confirmation Year 1 or 2 Monthly Family Community Meeting Preference:(Required) Thursday Night (see website for dates) Sunday Afternoon (see website for dates) K-6 Family of Faith Monthly Meeting Preference - Student #3K-6 Family of Faith Monthly Meeting Preference - There will also be immediate preparation sessions for 1st Reconciliation and Holy Communion(Required) Thursday Night (see website for dates) Sunday Afternoon (see website for dates) Confirmation - Student #3Student Confirmation Year:(Required) Year 1 Year 2 School attending for 2022-23:(Required) What sport, if any, does your child play?(Required) Which of these best describes your child?(Required) Artist Gamer Athlete Academic Does your child participate in the choir or enjoy singing?(Required) Yes No Which of these best describes your child?(Required) Introvert Extrovert Does your child play a musical instrument?(Required) Yes No Student #4 InformationStudent Name(Required) First Last Student Birthday(Required) Month Day Year Student Grade:(Required)K123456789101112Student Baptized?(Required) Yes No Last Year and Location of Faith Formation (CCF) Attendance:(Required) Special Learning Needs:(Required) Primary Physician:(Required) Physician Phone Number(Required) Family Health Plan Carrier:(Required) Family Health Plan Number:(Required) Allergies(Required) Other medical conditions or disabilities:(Required) Please select which area your student is registering for:(Required) K-6 Family of Faith (non-sacramental year) K-6 Family of Faith (with 1st Reconciliation and Holy Communion) Confirmation Year 1 or 2 Monthly Family Community Meeting Preference:(Required) Thursday Night (see website for dates) Sunday Afternoon (see website for dates) K-6 Family of Faith Monthly Meeting Preference - Student #4K-6 Family of Faith Monthly Meeting Preference - There will also be immediate preparation sessions for 1st Reconciliation and Holy Communion(Required) Thursday Night (see website for dates) Sunday Afternoon (see website for dates) Confirmation - Student #4Student Confirmation Year:(Required) Year 1 Year 2 School attending for 2022-23:(Required) What sport, if any, does your child play?(Required) Which of these best describes your child?(Required) Artist Gamer Athlete Academic Does your child participate in the choir or enjoy singing?(Required) Yes No Which best describes your child?(Required) Introvert Extrovert Does your child play a musical instrument?(Required) Yes No Student #5 InformationStudent Name(Required) First Last Student Birthday:(Required) Month Day Year Student Grade:(Required)K123456789101112Student Baptized?(Required) Yes No Last Year and Location of Faith Formation (CCF) Attendance:(Required) Special Learning Needs:(Required) Primary Physician:(Required) Physician Phone Number:(Required) Family Health Plan Carrier:(Required) Family Health Plan Number:(Required) Allergies:(Required) Other Medical Conditions or disabilities:(Required) Please select which area your student is registering for:(Required) K-6 Family of Faith (non-sacramental year) K-6 Family of Faith (with 1st Reconciliation and Holy Communion) Confirmation Year 1 or 2 Monthly Family Community Meeting Preference:(Required) Thursday Night (see website for dates) Sunday Afternoon (see website for dates) K-6 Family of Faith Monthly Meeting Preference - Student #5K-6 Family of Faith Monthly Meeting Preference - There will also be immediate preparation sessions for 1st Reconciliation and Holy Communion(Required) Thursday Night (see website for dates) Sunday Afternoon (see website for dates) Confirmation - Student #5Student Confirmation Year:(Required) Year 1 Year 2 School attending for 2022-23:(Required) What sport, if any, does your child play?(Required) Which of these best describes your child?(Required) Artist Gamer Athlete Academic Does your child participate in the choir or enjoy singing?(Required) Yes No Which best describes your child?(Required) Introvert Extrovert Does your child play a musical instrument?(Required) Yes No Student #6 InformationStudent Name(Required) First Last Student Birthday:(Required) Month Day Year Student Grade:(Required)K123456789101112Student Baptized?(Required) Yes No Last Year and Location of Faith Formation (CCF) Attendance:(Required) Special Learning Needs:(Required) Primary Physician:(Required) Physician Phone Number:(Required) Family Health Plan Carrier:(Required) Family Health Plan Number:(Required) Allergies:(Required) Other Medical Conditions or disabilities:(Required) Please select which area your student is registering for:(Required) K-6 Family of Faith (non-sacramental year) K-6 Family of Faith (with 1st Reconciliation and Holy Communion) Confirmation Year 1 or 2 Monthly Family Community Meeting Preference:(Required) Thursday Night (see website for dates) Sunday Afternoon (see website for dates) K-6 Family of Faith Monthly Meeting Preference - Student #6K-6 Family of Faith Monthly Meeting Preference - There will also be immediate preparation sessions for 1st Reconciliation and Holy Communion(Required) Thursday Night (see website for dates) Sunday Afternoon (see website for dates) Confirmation - Student #6Student Confirmation Year:(Required) Year 1 Year 2 School attending for 2022-23:(Required) What sport, if any, does your child play?(Required) Which of these best describes your child?(Required) Artist Gamer Athlete Academic Does your child participate in the choir or enjoy singing?(Required) Yes No Which best describes your child?(Required) Introvert Extrovert Does your child play a musical instrument?(Required) Yes No Parental AgreementsMEDICAL RELEASE: MEDICAL MATTERS: I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. EMERGENCY MEDICAL TREATMENT: In the event of an emergency, I hereby give permission to St. John Paul II Catholic Church and the Diocese of St. Augustine’s employees, volunteers, or representatives to seek medical treatment for my child above named. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by St. John Paul II Catholic Church and the Diocesan representatives or volunteers to hospitalize, secure proper treatment for, and to order injection and / or anesthesia and /or surgery for my child above named. Medical Release Signature(Required) Reset signature Signature locked. Reset to sign again Name of Person Signing(Required) Date(Required) MM slash DD slash YYYY PHOTOGRAPHY RELEASE: CHILD PHOTOGRAPHY RELEASE FORM: Without compensation, I hereby grant permission to St. John Paul II Catholic Church and to the Catholic Diocese of St. Augustine to use and reproduce photographs and/or video taken of my child. These photographs may be used for news and editorial purposes in publications and other electronic reproductions (websites and video, including livestream) and/or brochures. In addition, I grant my permission to alter the same photos without restriction and to copyright the same. I hereby release the photographer, the journalists and the publications or media outlets they represent, as well as the parish/church and/or school involved, the Bishop of the Diocese of St. Augustine, a corporation sole, the Catholic Diocese of St. Augustine and all their employees and agents, from all claims and liability relating to said photographs. Photography Agreement Selection Yes, I agree No, I do not agree Photography Release Signature(Required) Reset signature Signature locked. Reset to sign again Name of Person Signing(Required) Date(Required) MM slash DD slash YYYY Payment InformationNumber of K-6 Students (non-sacramental year) - $50/student(Required)Number of K-6 Students (sacramental year - 1st Reconciliation and Holy Communion) - $100/student(Required)Confirmation Preparation Year 1 - $100/student(Required)Enter the number of students you are registering for this below.Confirmation Preparation Year 2 - $100/student(Required)Enter the number of students you are registering for this below.Family Max Program Fee: $250 (This is the most you would give as a family. The total will be adjusted automatically after you enter the options above.)Product Name Price: $0.00 Total Credit Card(Required) Cardholder Name Card Details Δ
