St. Francis Xavier PREP Registration
  • *Child's Name
  • *Family Name
  • *Date of Birth
  • *Place of Birth
  • Date of Baptism
  • Church Baptized
  • Church of Baptism, Address (if other than Cathedral Parish or St. Francis Xavier)
  • Upload Baptismal Certificate
    No file selected
  • School Attending
  • Grade
  • Has Child Attended Catholic School or PREP/CCD Other than at the Cathedral or St. Francis Xavier?
    • Name of Catholic School or Prep Program (if other than St. Francis Xavier or Cathedral)
    • Address of School
    • City
    • Zip Code
    • State
  • Date of First Reconciliation
  • Church/City
  • Date of First Holy Communion
  • Church/City
  • Does child have medical conditions which might need emergency action?
  • If Child has Medical Conditions, explain Medical Conditions Which Might Need Emergency (e.g. Asthma, Diabetes, Seizures)
  • Does child have food allergies?
  • To What?
  • Family Information

  • Mother's Name
  • Catholic
  • Father's Name
  • Catholic
    • Address
    • City
    • Zip Code
    • State
    • Cell Phone
    • Email
  • Additional Cell Phones or Emails Where You Can Be Reached
  • Parish Where Family is Registered
  • Address of Parish (if other than SFX or Cathedral)
  • Email of Parish (if other than SFX or Cathedral)
  • Phone of Parish (if other than SFX or Cathedral)
    • Emergency Contact First Name
    • Emergency Contact Last Name
    • Relationship
    • Address1
    • Address2
    • City
    • Zip Code
    • State
    • Phone
    • Email
  • Signature of Parent
  • Date of Registration

That's all, folks!

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