Sacramental Registration 2022-2023 – St. Catherine of Siena

Sacramental Preparation Registration 2022-2023

First Communion and Confirmation: Mandy Westrich at westrich@scosparish.org or (727) 531-7721 ext. 129

FEES: $60.00 per student

Student's Name*
First Last
Sacramental Preparation
The policy of The Diocese of St. Petersburg is that children have at least two years of Faith Formation before they receive a sacrament. At St. Catherine of Siena, students typically make First Communion in 2nd grade and Confirmation in 8th grade. Within their second year, they must also attend sacramental prep classes and requires a separate SACRAMENTAL FEE. Sacramental Prep is in addition to Faith Formation classes and will be held on scheduled Saturdays throughout the school year.
Is the child baptized?*
- Yes
- No
If yes, where was she/he baptized?
You are required to provide a copy of student’s Baptismal Certificate if not at St. Catherine of Siena. If not baptized, please call the office at (727) 531-7721 to speak with the Faith Formation staff.
Was your student attending Religious Education last year?*
- Yes
- No
If yes, where did student attend Religious Education classes last year?*
Sacrament*
Select which sacrament the student is registering for.
Total
NOTE: If you are registering three or more children, please contact the Faith Formation Office to confirm your total.
$0.00
Emergency Medical Release
Child's Full Name*
First Last
Birthdate*
MM slash DD slash YYYY
Allergies (if any)
Medicines routinely taken (if any)
Name of Custodial Parent(s) / Legal Guardian(s)*
First Last
Name of Custodial Parent(s) / Legal Guardian(s)
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone Number*
Parent/Guardian Email*
Family Physician's Name / Health Care Resource*
Address of Family Physician / Health Care Resource
Street Address Address Line 2 City ZIP / Postal Code
Phone Number of Family Physician / Health Care Resource*
Hospital Preference*
Medical Insurance Company*
Policy Number*
Insurance Expiration Date*
MM slash DD slash YYYY
Emergency Contact*
Emergency Contact if custodial parent/guardian cannot be reached.
Address of Emergency Contact
Street Address Address Line 2 City ZIP / Postal Code
Phone Number of Emergency Contact*
I hereby give my consent to any emergency facility and physician to administer necessary treatment to my child*

... in the event of an emergency at which time I cannot be reached. I give consent to transport by ambulance if situation warrants it.
Parent or Legal Guardian's Name*
Parent or Legal Guardian's Signature*

Sacramental Preparation

Emergency Medical Release