ST. THOMAS MORE

CATHOLIC CHURCH

"A Family of Families"

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Middle School Summer Activities

- Faith Formation

Registration Form

Put N/A in any box that cannot be completed but is required for submission.

This is the registration form for all summer activites open to teens 6th-8th grade. Everything offered over the summer will be free and does not require a fee unless you are not a parishioner at St. Thomas More Catholic Church.

Please go to the "Summer" tab to view the schedule of all events.
When attending any event children of all ages 6th-8th grade must be picked up and dropped off by a parent or legal guardian.
The maximum number of form submissions has been reached. This form is currently not available.
- Parent/Guardian 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last 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.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Other Phone Number Maximum 20 characters Please enter a phone number.
- Are You A Registered Parishioner? REQUIRED Please fill out this field.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Parent/Guardian 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Address Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Cell Phone Number Maximum 20 characters Please enter a phone number.
- Other Phone Number Maximum 20 characters Please enter a phone number.
- Are You A Registered Parishioner?
- Email Please enter an email address.
- Preferred Email for Correspondence Please enter an email address.
- Emergency Contact During Class Time
- 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.
- Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Sex as Indicated on Birth Certificate REQUIRED Please fill out this field.
  
  Grade Level in Fall REQUIRED Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Sex as Indicated on Birth Certificate REQUIRED Please fill out this field.
  
  Grade Level in Fall REQUIRED Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Sex as Indicated on Birth Certificate REQUIRED Please fill out this field.
  
  Grade Level in Fall REQUIRED Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Sex as Indicated on Birth Certificate REQUIRED Please fill out this field.
  
  Grade Level in Fall REQUIRED Please fill out this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Sex as Indicated on Birth Certificate REQUIRED Please fill out this field.
  
  Grade Level in Fall REQUIRED Please fill out this field.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Sex as Indicated on Birth Certificate REQUIRED Please fill out this field.
  
  Grade Level in Fall REQUIRED Please fill out this field.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Sex as Indicated on Birth Certificate REQUIRED Please fill out this field.
  
  Grade Level in Fall REQUIRED Please fill out this field.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Sex as Indicated on Birth Certificate REQUIRED Please fill out this field.
  
  Grade Level in Fall REQUIRED Please fill out this field.
- Medical Information
- Doctor's Name REQUIRED Please fill out this field. Please enter valid data.
- Doctor's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Insurance Name REQUIRED Please fill out this field. Please enter valid data.
- Insurance Group Number REQUIRED Please fill out this field. Please enter valid data.
- Insurance Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Parent/Guardian Electronic Signature REQUIRED Please fill out this field. Please enter valid data.
- Medical Consent
- In the event of an emergency, I hereby give permission to the staff of St. Thomas More Catholic Church to seek emergency medical transport and/or treatment for my child(ren) named above. I will be responsible for all costs incurred. I wish to be advised before further care is given by the hospital or doctor.
  I Agree Please select this field.
- Video/Photography Consent
- As a parent/guardian, I understand that promotional pictures and videos ( individual and group) may be taken during the classes and activities. I give permission for my child(ren)'s pictures (named above) to be used for church promotional materials such as various social media (Instagram, Facebook, etc) outlets, newsletters, web pages, calendars, Power Point presentations, or videos to promote or highlight activities of the children in their Faith Formation classes.
  I Agree Please select this field.
- Accommodations, Support, Health, or Allergy Concerns? REQUIRED Please fill out this field.
- Flocknote
- Preferred Parent/Guardian Name for Correspondence Please enter valid data.
- I grant permission for my information to be submitted to Flocknote so that the CCE department can communicate with me. I recognize that this is the primary mode through which information regarding CCE will be transmited.
  I Agree Please select this field.
Submit

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