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First Sacrament Registration

- Grow In Faith
  - Encounter
    
    Who is Jesus?
    What do Catholics Believe?
    It's Been A While - Welcome Back!
    Becoming Catholic
  - Children (PreK-6)
    
    Catechesis of the Good Shepherd (Age 3-6)
    VBS PreK-Grade 5
    Family Formation (K-6)
    First Sacrament Preparation
    
    First Sacrament Registration
    
    Frassati Catholic Academy K-8
    FORMED for Kids
  - Youth (Grades 7-12)
    
    Next Level (Grade 9-12)
    Formation (Grades 7-12)
    Confirmation
    Frassati Catholic Academy K-8
    FORMED for Teens
  - Adult
    
    Discover Catholicism -RCIA
    ATL Young Adults
    FORMED for Adults
    Ministries and Groups
  - Parish Wide
    
    Spirit Sundays!
    FORMED

"Holy Communion is the shortest and safest way to heaven." ~ Pope Pius X
Registration for 2023- 2024
The maximum number of form submissions has been reached. This form is currently not available.
- Child's Information:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name: REQUIRED Please fill out this field. Please enter valid data.
- 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Church of Baptism* (parish name and city) REQUIRED Please fill out this field. Please enter valid data.
- *A baptismal certificate must be requested from the parish of Baptism and must be dated within the last six months. If the candidate was Baptized at St. Pius X, this will be done by the coordinator.
- Approval to use my child's photo on the web, bulletin, or other parish publications REQUIRED Yes No Please fill out this field.
- Parent Information:
- Mother's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Catholic Other Please fill out this field.
- Father Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Religion REQUIRED Catholic Other Please fill out this field.
- Communication:
- Send email communication to (please check all that apply): REQUIRED Mother Father Please fill out this field.
- Medical & Emergency Information:
- Please indicate here if your child has any medical, learning, or behavioral issues we should be aware of (in case we need to adapt to a particular need) or any food allergies that we should be aware of as meals are served as part of the program.
- List allergies and/or other medical condition(s): REQUIRED Please fill out this field. Please enter valid data.
- Please note that we will not be administering medication. If medication is needed during program hours, an authorized adult will need to come and administer the medication.
- Emergency Contact
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship to Child REQUIRED Please fill out this field. Please enter valid data.
- In the event of a medical or dental emergency & I cannot be reached, I authorize emergency treatment to be administered to any child listed on this form.
  I Agree Please select this field.
- Final Agreement and Signature
- By my signature below, I acknowledge and agree this electronic or digital signature is the legally binding equivalent to my handwritten signature. This electronic or digital signature has the same validity and meaning as my handwritten signature. By my signature below as guardian/participant, I acknowledge and agree to the conditions above.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Full Name typed for signature REQUIRED Please fill out this field. Please enter valid data.
- By providing my full name, I agree that it will be the electronic representation of my signature for all purposes when I use it on documents, including legally binding contracts - just the same as a pen-and-paper signature.
- Today's Date REQUIRED Please fill out this field. Please enter a date.
- Fees and Payment
- We want to ensure all families have access to opportunities to learn and grow in the Catholic faith regardless of ability to pay. If the fee is a hardship for your family, please select the "would like to discuss payment plan or scholarship" option below and the Faith Formation office will contact you to discuss.
- Tuition Information REQUIRED Please fill out this field.
Total:

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Church of St. Pius X

White Bear Lake, MN

First Sacrament Registration

Registration for 2023- 2024

Parish Office Hours: 8:30 am - 4:00 pm M-Th 8:30-Noon Fri	Tel 651-429-5337 Fax 651-429-5339
For emergency number, dial parish office (651-429-5337) and press 7.	Staff Directory
Please call the Emergency number only in cases of an accident or last rites in danger of death. Otherwise, call the Parish Office to schedule a visit.	REPORT ABUSE