St. Peter Catholic Church

St. Peter Catholic Church, Memphis TN
Served by Dominican Friars. Established 1840.
St. Peter Catholic Church, Memphis TN
Memphis, TN

Memphis, TN

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Children/Youth Faith Formation Registration Form

October 28, 2015

Mother's NamePrefix (Mother's Name)First (Mother's Name)Middle (Mother's Name)Last (Mother's Name)Suffix (Mother's Name)Mother's ReligionMother's Cell PhoneMother's EmailHome PhoneMailing AddressStreet Address (Mailing Address)Address Line 2 (Mailing Address)City (Mailing Address)State / Province (Mailing Address)ZIP / Postal Code (Mailing Address)Country (Mailing Address)Father's NamePrefix (Father's Name)First (Father's Name)Middle (Father's Name)Last (Father's Name)Suffix (Father's Name)Father's ReligionFather's Cell PhoneFather's EmailDifferent Home Phone/Address than Mother?Father's Home PhoneFather's Mailing AddressStreet Address (Father's Mailing Address)Address Line 2 (Father's Mailing Address)City (Father's Mailing Address)State / Province (Father's Mailing Address)ZIP / Postal Code (Father's Mailing Address)Country (Father's Mailing Address)Our family is interested in the following: (Please check)Catechesis of the Good Shepherd (ages 3-6th grade) Sundays, 9:30-10:45 AM (Our family is interested in the following: (Please check))Catechesis of the Good Shepherd (ages 3-6th grade) Wednesdays, 3:00-5:00 PM (Our family is interested in the following: (Please check))Middle School Youth Religious Education (grades 7-8) Sundays, 9:30-10:45 AM (Our family is interested in the following: (Please check))High School Bible Study and Youth Group (grades 9-12) Sundays, 9:30-10:45 AM and Tuesday evenings (Our family is interested in the following: (Please check))First Communion Preparation (age 7+) (Our family is interested in the following: (Please check))Confirmation Preparation (age 13+) (Our family is interested in the following: (Please check))Home Study Programs (for families unable to attend on Sunday mornings) (Our family is interested in the following: (Please check))Children’s Liturgy of the Word (during 11:00 Mass) (Our family is interested in the following: (Please check))RCIA for Children (for children who have not yet been baptized or who were baptized in another Christian faith tradition) (Our family is interested in the following: (Please check))Other (Our family is interested in the following: (Please check))Other InterestNumber of Children Being RegisteredNamePrefix (Name)First (Name)Middle (Name)Last (Name)Suffix (Name)Date of BirthAgeSchoolGradeReceived Baptism?Date of BaptismReceived First Communion?Date of First CommunionReceived Confirmation?Date of ConfirmationMedical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience)NamePrefix (Name)First (Name)Middle (Name)Last (Name)Suffix (Name)Date of BirthAgeSchoolGradeReceived Baptism?Date of BaptismReceived First Communion?Date of First CommunionReceived Confirmation?Date of ConfirmationMedical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience)NamePrefix (Name)First (Name)Middle (Name)Last (Name)Suffix (Name)Date of BirthAgeSchoolGradeReceived Baptism?Date of BaptismReceived First Communion?Date of First CommunionReceived Confirmation?Date of ConfirmationMedical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience)In Parish– including but not limited to bulletin board displays, slide shows, class-made books, or student multimedia projects; students may be identified by first and last name. (Not posted on the Internet)Outside Publications – including but not limited to Diocesan publications; students may be identified by first and last name.Internet– including but not limited to parish website, parish Facebook page; students may be identified by first and last name.Parent or guardian signatureDate
Mother's NamePrefix (Mother's Name)First (Mother's Name)Middle (Mother's Name)Last (Mother's Name)Suffix (Mother's Name)Mother's ReligionMother's Cell PhoneMother's EmailHome PhoneMailing AddressStreet Address (Mailing Address)Address Line 2 (Mailing Address)City (Mailing Address)State / Province (Mailing Address)ZIP / Postal Code (Mailing Address)Country (Mailing Address)Father's NamePrefix (Father's Name)First (Father's Name)Middle (Father's Name)Last (Father's Name)Suffix (Father's Name)Father's ReligionFather's Cell PhoneFather's EmailDifferent Home Phone/Address than Mother?Father's Home PhoneFather's Mailing AddressStreet Address (Father's Mailing Address)Address Line 2 (Father's Mailing Address)City (Father's Mailing Address)State / Province (Father's Mailing Address)ZIP / Postal Code (Father's Mailing Address)Country (Father's Mailing Address)Our family is interested in the following: (Please check)Catechesis of the Good Shepherd (ages 3-6th grade) Sundays, 9:30-10:45 AM (Our family is interested in the following: (Please check))Catechesis of the Good Shepherd (ages 3-6th grade) Wednesdays, 3:00-5:00 PM (Our family is interested in the following: (Please check))Middle School Youth Religious Education (grades 7-8) Sundays, 9:30-10:45 AM (Our family is interested in the following: (Please check))High School Bible Study and Youth Group (grades 9-12) Sundays, 9:30-10:45 AM and Tuesday evenings (Our family is interested in the following: (Please check))First Communion Preparation (age 7+) (Our family is interested in the following: (Please check))Confirmation Preparation (age 13+) (Our family is interested in the following: (Please check))Home Study Programs (for families unable to attend on Sunday mornings) (Our family is interested in the following: (Please check))Children’s Liturgy of the Word (during 11:00 Mass) (Our family is interested in the following: (Please check))RCIA for Children (for children who have not yet been baptized or who were baptized in another Christian faith tradition) (Our family is interested in the following: (Please check))Other (Our family is interested in the following: (Please check))Other InterestNumber of Children Being RegisteredNamePrefix (Name)First (Name)Middle (Name)Last (Name)Suffix (Name)Date of BirthAgeSchoolGradeReceived Baptism?Date of BaptismReceived First Communion?Date of First CommunionReceived Confirmation?Date of ConfirmationMedical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience)NamePrefix (Name)First (Name)Middle (Name)Last (Name)Suffix (Name)Date of BirthAgeSchoolGradeReceived Baptism?Date of BaptismReceived First Communion?Date of First CommunionReceived Confirmation?Date of ConfirmationMedical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience)NamePrefix (Name)First (Name)Middle (Name)Last (Name)Suffix (Name)Date of BirthAgeSchoolGradeReceived Baptism?Date of BaptismReceived First Communion?Date of First CommunionReceived Confirmation?Date of ConfirmationMedical Information or Special Needs? (please include food allergies or information that could enhance your child’s experience)In Parish– including but not limited to bulletin board displays, slide shows, class-made books, or student multimedia projects; students may be identified by first and last name. (Not posted on the Internet)Outside Publications – including but not limited to Diocesan publications; students may be identified by first and last name.Internet– including but not limited to parish website, parish Facebook page; students may be identified by first and last name.Parent or guardian signatureDate

Contact Us

St. Peter Catholic Church

190 Adams Avenue at Third Street
Memphis, TN 38103

Church Office

Phone: (901) 527-8282
Fax: (901) 526-6882
Hours: Monday-Friday
8:00 a.m. - 4:00 p.m.

St. Martin de Porres National Shrine & Institute
Phone: (901) 578-2643
www.stmartinshrine.org

St. Peter Church and St. Martin Shrine are disabled access compliant.

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