Welcome Families for another year of Faith Formation (2019-2020). Thank you for your
 interest in to St. Patrick Children Faith Formation, Edge Middle School Ministry,
 Confimation Journey, and Youth Ministry/LifeTeen. If you have any questions, please feel
 free to contact usat 510-799-4434 or email ffe@stpatrickrodeo.org. God Bless!!!

Click Submit Form to send this information to St Patrick Church.

*Required fields

Student Rates

1st Student 2nd Student 3rd Student All Others
$70.00 $50.00 $40.00 $30.00


Student 1
*First Name *Last Name Suffix
  Middle Name   Nickname Maiden Name
Ethnicity   Birth Date *Gender Female   Male
*Grade/Degree   Language
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Sacraments   Name Received Date
   Baptism
   1st Comm
   Penance
   Confirm
*Class Choices
*Class 1
Student Remarks
  Health Problems
  Other Conditions
  Misc. Information

Student Contact 1
*First Name *Last Name
  Relationship
Address
  Line 1
  Line 2
  City
  State
  ZIP
Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email Address
  Email

Student Contact 2
  First Name   Last Name
  Relationship
Address
  Line 1
  Line 2
  City
  State
  ZIP
Phone Numbers
  Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email Address
  Email

Family Options  New Family  Update Existing Family  - ID/Env 
Head of Household
*First Name *Last Name Suffix
  Middle Name   Nickname Maiden Name
Ethnicity   Birth Date *Gender Female   Male
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted

Spouse
  First Name   Last Name Suffix
  Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email   Unlisted


*Registration Payment (Required)
Note: Please fill out the Head of Household and Family Street Address sections above before entering payment information.
Total Amount (Calculated Automatically)                 
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