Welcome Families for another year of Faith Formation (2021-2022). Thank you for your
 interest in to St. Patrick Children Faith Formation, Edge Middle School Ministry,
 Confimation Journey, and Youth Ministry/LifeTeen. We hope the a academic year of
 2021-2022 all meetings will be held at St. Patrick Church/School. More information will
 be sent to you as soon we can. If you have any questions, please feel free to contact us
 at 510-313-4009 or email ffe@stpatrickrodeo.org. God Bless!!!

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Instructions

Family Options  New Family  Update Existing Family   ID Number: 
  Call St Patrick Church at (510) 799-4406, if you do not know your ID Number.

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
  Email 1   Unlisted

Spouse
  First Name   Last Name
  Middle Name 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

Enroll Student 1         Do Not Enroll Student 1
Student 1
*First Name *Last Name Suffix
  Middle Name   Nickname
Ethnicity *Birth Date *Gender Female   Male
*Grade/Degree   Language
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Sacraments   Name Received Date Place
   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
Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email Address
  Email


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