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St. Patrick - St. Anthony
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Menu

Forms & Registration

5th/6th Grade Absence Report Form
5th/6th Grade Parent Involvement Form
Off Campus Permission Form

Middle School Faith Formation Registration

Family Name
Address
Mother's Name
Father's Name
Emergency Contact(Required)

Volunteer

Please mark any area where you're interested in serving.
Volunteer's Name

Student information

1st Student's Name
Birthdate
Please enter a number from 0 to 18.
Class Times
Sacraments Recieved
May we contact you for sacraments you have not yet received?
Allergies or Special Needs?
Max. file size: 100 MB.
If your child was NOT baptized at St. Patrick - St. Anthony Parish, please attach a copy of their Baptismal Certificate.

2nd Student's Name
Birthdate
Please enter a number from 0 to 18.
Class Times
Sacraments Recieved
May we contact you for sacraments you have not yet received?
Allergies or Special Needs?
Max. file size: 100 MB.
If your child was NOT baptized at St. Patrick - St. Anthony Parish, please attach a copy of their Baptismal Certificate.

3rd Student's Name
Birthdate
Please enter a number from 0 to 18.
Class Times
Sacraments Recieved
May we contact you for sacraments you have not yet received?
Allergies or Special Needs?
Max. file size: 100 MB.
If your child was NOT baptized at St. Patrick - St. Anthony Parish, please attach a copy of their Baptismal Certificate.

4th Student's Name
Birthdate
Please enter a number from 0 to 18.
Class Times
Sacraments Recieved
May we contact you for sacraments you have not yet received?
Allergies or Special Needs?
Max. file size: 100 MB.
If your child was NOT baptized at St. Patrick - St. Anthony Parish, please attach a copy of their Baptismal Certificate.

Consent

Medical Release(Required)

I certify that I am the custodial parent/legal guardian of the minor children listed above. In the event of sickness or medical emergency where I am not present and cannot be reached, I request that my child(ren) receive any medical attention or treatment deemed necessary by the Staff or Volunteer leaders of St. Patrick - St. Anthony Parish. The above-named child(ren) has my permission to travel for medical treatment in a privately-owned vehicle or ambulance. In addition, I do hereby authorize treatment by a qualified and license Medical Doctor in an emergency which, in the opinion of the attending physician, may endanger the child’s life, cause disfigurement, physical impairment, or undue discomfort if delayed.
Parent/Legal Guardian
Date
Consent to Direct Contact (5th-12th Grade Only)
I (Parent/Legal Guardian) give consent for the youth minister, Makenzie Conner and/or Teesie Fritsch, to contact my children listed below between the ages of 5th-12th grade. Via text message, calling, and email at the below information.
Parent/Legal Guardian
Date
Photo Release
I understand that through their participation in this program, my child(ren) listed on this registration may be photographed for use in the promotion of parish & diocesan programs. As parent/guardian, I give permission for my child(ren) to be photographed during this program.
Parent/Legal Guardian
Date

2022-23 Registration Fees

$40.00 for one child, $75.00 for two or more. Maximum is $75.00 per family. If possible, payment is expected at the time of registration. If financial help is needed, please contact Tony Allen at 616-935-8737.
This field is for validation purposes and should be left unchanged.
Faith Formation Payment Link

Quick Links

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Find Us

920 Fulton Street
Grand Haven, MI 49417

Office Hours: Monday-Friday 8:00 a.m. to 4:30 p.m.
(616) 842-0001 Contact Us
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