Faith Formation Registration

- Faith Formation

Welcome to another year of Faith Formation at St. James. Please enter your family information in the form below. For additional children or if your child has any special needs or allergies, please enter the information in the "Additional Information" box.
The fee per child is $20 with a $50 maximum per family. Fees may be waived in cases of need. Contact Lori Fritz at lfritz@sjknights.org or 319-653-4504 ext. 4 with any questions you may have.
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- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Father's First Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's First Name and Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Child/Children live with REQUIRED Please fill out this field.
- Names if different from above
- Address REQUIRED Please fill out this field. Please enter valid data.
- Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Father's Cell Phone Please enter a phone number.
- Father's Work Phone Please enter a phone number.
- Father's Email Address Please enter an email address.
- Mother's Cell Phone Please enter a phone number.
- Mother's Work Phone Please enter a phone number.
- Mother's Email Address Please enter an email address.
- Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact, Relationship to Child(ren) REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Child 1 Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Place of Birth (City and State) REQUIRED Please fill out this field. Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- School District REQUIRED Please fill out this field. Please enter valid data.
- Baptized? REQUIRED Please fill out this field.
- First Communion? REQUIRED Please fill out this field.
- Confirmed?
- Child 2 Name Please enter valid data.
- Age Please enter valid data.
- Date of Birth Please enter a date.
- Place of Birth (City and State) Please enter valid data.
- Grade in School Please enter valid data.
- School District Please enter valid data.
- Baptized?
- First Communion?
- Confirmed?
- Child 3 Name Please enter valid data.
- Age Please enter valid data.
- Date of Birth Please enter a date.
- Place of Birth (City and State) Please enter valid data.
- Grade in School Please enter valid data.
- School District Please enter valid data.
- Baptized?
- First Communion?
- Confirmed?
- Additional Information
Submit

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St. James parish

Washington, IA

Faith Formation Registration