Faith Formation Registration Form

Register for Faith Formation 2022-2023

Grades K-8th: Mandy Westrich at westrich@scosparish.org or (727) 531-7721 ext. 129

Grades 9th-12th: Matthew Gabriel at gabriel@scosparish.org or (727) 531-7721 ext. 122

Want to learn more? Visit the pages below!

FEES: $60.00 per child grades K-8th
There is no fee for grades 9th-12th for 2022-2023
If your child had one full year of religious instruction last year and is due to make their First Communion
or Confirmation there will also be SACRAMENTAL FEES due.
First Communion Fee $60.00 per child.
Confirmation Fee $60.00 per child.
Payment can be dropped off at the parish office, in the collection basket at Mass or mailed to: 1955 S. Belcher Rd. Clearwater FL 33764.
If tuition is a financial burden, please contact Mandy Westrich at 727-531-7721. No one is denied the opportunity to attend Faith Formation, especially for financial reasons.

Step 1 of 4

General Information
Student's Name*
First Last
Grade Level*
Age*
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Father's Name
First Last
Father's Cell Phone Number*
Mother's Name
First Last
Mother's Cell Phone Number*
Parent Email*
Enter Email Confirm Email
Home Phone Number (if applicable)
Child's School*
Language Spoken at Home*
Emergency Contact Information
This person will be contacted if parent/guardian cannot be reached.
Emergency Contact Name*
First Last
Emergency Contact Phone Number*

Health Information
We want to provide the best Faith Formation environment for your child(ren). Please let us know what their individual needs are so we can help them grow in faith in the best way possible.
Allergies (if any), including Medication and Food
Chronic Medical Problems or Physical Restrictions (if any)
Promotional Media Release
During the Faith Formation Program Year, St. Catherine of Siena, may participate in videotape, motion picture, audio recording or still photograph productions that involve the use of students' names, likeness or voices. Such productions may be used for educational or exhibition purposes by St. Catherine of Siena in perpetuity and may be copied, copyrighted, edited and distributed by St. Catherine of Siena in perpetuity unless said consent is revoked in writing. News media, including representatives of television, radio, newspapers and magazines, also often are permitted on parish property and may take notes, still, photos, sound recordings, and/or moving pictures that may include your child. These items may appear or be used in news or feature stories by print, television or radio media. You have the right to object to the use of your child's name, picture or voice in these productions and may do so by completing the form below and returning it to the Parish Director of Faith Formation for St. Catherine of Siena. If you have questions, please contact the Faith Formation Office at (727) 531-7721.
I/We, the undersigned...*
- DO CONSENT
- DO NOT CONSENT
... that St. Catherine of Siena may use the name, portrait, or other likeness of my child for St. Catherine of Siena bulletin boards, website, news releases, media and promotional activities. This consent is renewed at the beginning of each Faith Formation Program Year.
Student's Name*
Student's Date of Birth*
MM slash DD slash YYYY
Father or Legal Guardian's Name*
Father or Legal Guardian's Signature
Mother or Legal Guardian's Name*
Mother or Legal Guardian's Signature

Step 1 of 4

General Information

Emergency Contact Information

Has the student RECEIVED the following Sacraments:

Class Times

Health Information

Promotional Media Release

Parent/Student Parish Faith Formation Policy Acknowledgement