Faith Formation Registration

Richfield Catholic Parishes

of Assumption, St. Peter & St. Richard

REGISTRATION DEADLINE IS SEPT. 1.

Family Name REQUIRED Please fill out this field. Please enter valid data.

Primary Contact Person

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Religion Please enter valid data.

Are you a parishioner of one of our parishes? REQUIRED Assumption St. Peter St. Richard Other Catholic parish None Please fill out this field.

If "other" please list Please enter valid data.

In the event of a MEDICAL EMERGENCY during which parents/guardians cannot be reached, I give permission to transport the child/ren listed here to a hospital for medical treatment. REQUIRED Yes No Please fill out this field.

Other Parent/Guardian

First Name Please enter valid data.

Last Name Please enter valid data.

Cell Phone Number Please enter a phone number.

Email Please enter an email address.

Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Religion Please enter valid data.

About the Children

Child/ren live with REQUIRED Please fill out this field.

If "Other" please explain

My child learns best by/when:

My child has (please check all that apply): A learning disability Triggers for anxiety medical, behavioral, emotional or psychological condition

My child is allergic to:

Is there any other information faith formation staff or volunteers should know about your child or family situation? REQUIRED Please fill out this field.

Parental Consent, Indemnity Agreement & Photo Release
I grant permission for the Children listed on this form to participate in Faith Formation and/or Preparation for Sacraments. In consideration of my child/ren’s participation, I agree to indemnify St. Richard Church, Church of the Assumption, Catholic Church of St. Peter, and the Archdiocese of St. Paul and Minneapolis from any claims or lawsuits brought against St. Richard Church, Assumption, St. Peter and the Archdiocese of Saint Paul and Minneapolis by myself, my child/ren or others, that arises out of any behavior by my child during Faith Formation/Preparation for Sacraments. I also agree to pay reasonable attorney’s fees or expenses incurred by St. Richard Church, Assumption, St. Peter and the Archdiocese in defense of such a claim/suit. In addition, I authorize St. Richard Church, Assumption and St. Peter to use my child’s likeness and image in electronic or printed communication. I agree to submit written notification to the Director of Faith Formation if I do not want my child/ren’s images to be used. I understand that full names of children will not be included.

I agree to the terms above REQUIRED Yes. My printed name below confirms my agreement Please fill out this field.

My Name REQUIRED

*This serves as my electronic signature

Please fill out this field. Please enter valid data.

By printing my name in the box above, I certify that I have read and agree to the above "Waiver, Electronic Communication, Disclosure & Photo Release" as it pertains to all children I am registering today.

Date REQUIRED Please fill out this field. Please enter a date.

Enrollment & Fees
Fees provide for only a percentage of the actual costs of our Faith Formation ministry. The balance of the costs are paid for through the annual giving of all parishioners of Assumption, St. Peter and St. Richard. We will not turn any family away for financial reasons.
Please contact Anne Marie Strabala, Director of Faith Formation, at 612-869-2426 Ext. 120 for needed financial assistance. (The maximum amount of Faith Formation program fees charged per family per year is $250.)

Payment Amount REQUIRED $ Please fill out this field. Please enter a positive decimal.

St. Richard Catholic Church

Richfield, Minnesota

Faith Formation Registration

Faith Formation Registration 2023-24