Holy Spirit Catholic Church For Office Use Only

537 NC 16 Business Date: ____________ On Master List ___

Denver, NC 28037 Check #: _________ In FO__ In CO __
704-483-6448 x303 Cash Receipt:______ Student Folder ___
faithformation@holyspirit.org Amount: _________ On Class List ____

Holy Spirit Faith Formation

Registration Form 2017-2018
Date: _________

_________________________________ ________________________________
(Family Last Name) (Phone)

_________________________________ ________________________________
(Address) (Cell Phone)

_________________________________ ________________________________
(City) (State) (Zip) (E-Mail)

______________________________________________________________________________________
(Parents/Guardians Names)

_________________________________ ________________________________
(Emergency Contact Name) (Emergency Contact Phone Number)

MEDICAL INFORMATION

Name of Physician: _______________________________ Phone:________________________

Medical Insurance Company: _______________________________ Policy #: ______________

Class Sessions: Registration Fees:

All Faith Formation Students:
Sunday K-8 9:45 am - 10:50 am By June 1st: $35 per child (or $90/family max.)
Sunday K-8 4:00 pm - 5:50 pm*
After June 1st: $50 per child (or $125/family max.)
Wednesday 6-8 6:00 pm - 7:50 pm*
Sacrament additional Fee: $30
*Faith Formation Classes on Sunday night and
Please note: Registration fee is reduced by 50% for
Wednesday night will only meet twice per
volunteers and catechists. This is not applicable for the
month.
sacrament fee.

Class placement will be on a first-come, first- Scholarships are available through the Knights of
serve basis. Columbus for those who are unable to cover the cost.
Please speak to the Director of Religious Education.

AUDIO/VISUAL RECORDING AND PHOTOGRAPHY CONSENT (Please check one below)

On occasion, video recordings, audio recordings, and photographs are taken of children and youth during church and
diocesan sponsored activities. These are utilized in newsletters, websites, event promotion, advertisements and other
printed media.
I ___ consent I ___ do not consent (check one) to the use of such materials in which my child may appear. I release the
staff and volunteers of Holy Spirit Catholic Parish and the Roman Catholic Diocese of Charlotte from any liability
connected with the use of my childs picture or audio/video recording as part of any of the above or similar activities.
PLEASE COMPLETE ENTIRELY. *Remember to include school names and grades for UPCOMING: FALL 2017

Childs Name: ________________________ Nickname_____________________ Please Circle: Male/Female

Birth date_____________School Name 2017-18: ____________________School Grade Fall 2017: _________

Allergies (CHECK THOSE THAT APPLY AND ADD SPECIFICS):

___ Epi-Pen ___ Insect Bites/Stings ___ Food ___ Plants ___ Other

Medical History (CHECK THOSE THAT APPLY AND ADD SPECIFICS):

___ Diabetes ___Convulsions ___Epilepsy ___ADD/ADHD ___Asthma ___Other

Please specify if any are checked: __________________________________________________

Childs Name: ________________________ Nickname_____________________ Please Circle: Male/Female

Birth date_____________School Name 2017-18: ____________________School Grade Fall 2017: _________

Allergies (CHECK THOSE THAT APPLY AND ADD SPECIFICS):

___ Epi-Pen ___ Insect Bites/Stings ___ Food ___ Plants ___ Other

Medical History (CHECK THOSE THAT APPLY AND ADD SPECIFICS):

___ Diabetes ___Convulsions ___Epilepsy ___ADD/ADHD ___Asthma ___Other

Please specify if any are checked: __________________________________________________

Childs Name: ________________________ Nickname_____________________ Please Circle: Male/Female

Birth date_____________School Name 2017-18: ____________________School Grade Fall 2017: _________

Allergies (CHECK THOSE THAT APPLY AND ADD SPECIFICS):

___ Epi-Pen ___ Insect Bites/Stings ___ Food ___ Plants ___ Other

Medical History (CHECK THOSE THAT APPLY AND ADD SPECIFICS):

___ Diabetes ___Convulsions ___Epilepsy ___ADD/ADHD ___Asthma ___Other

Please specify if any are checked: __________________________________________________

Childs Name: ________________________ Nickname_____________________ Please Circle: Male/Female

Birth date_____________School Name 2017-18: ____________________School Grade Fall 2017: _________

Allergies (CHECK THOSE THAT APPLY AND ADD SPECIFICS):

___ Epi-Pen ___ Insect Bites/Stings ___ Food ___ Plants ___ Other

Medical History (CHECK THOSE THAT APPLY AND ADD SPECIFICS):

___ Diabetes ___Convulsions ___Epilepsy ___ADD/ADHD ___Asthma ___Other

Please specify if any are checked: __________________________________________________

 PARENT VOLUNTEER FORM
The success of our program is possible only because of volunteers.
We would appreciate your help in any of the areas below.
All adults (18 or over) are required to attend the Protecting Gods Children Workshop and complete all Diocesan legal
requirements. High school volunteers are required to complete the Volunteer Profile form. In addition, August
catechist training is required, and continued adult enrichment classes are provided.

Faith Formation Grades K-8

___Adult Co-Catechist 2 Catechists per class (Do you want to teach your child? Y N NA)
Grade Level: ___ Day/Time:__________ Co-Teacher Name (Optional): ________________________

___Substitute Catechist: Teaches a lesson prepared by one of the co-catechists when one is unable to be
present, with the help of the classs other co-catechist.
Day/Time: __________ Nominate Someone to be a Sub! Name: ______________ Phone:_____________

Elementary Volunteer Opportunities Middle Grade Volunteer Opportunities

___Childrens Liturgy of the Word: Shares the
Gospel with children ages 4-7 using the weekly
readings during the 11:00 Mass using provided
lesson and materials. Scheduled approximately once
a month, or once every two months depending on
the number of volunteers.
___ Christmas Pageant: Direct, make costumes, be
a scene leader, or help with music!
___ Vacation Bible School: Man a rotation,
chaperone a group of children, build eye-catching
decorations, donate materials/funds, help with
registration! Check here if you want more
information!
__ I am interested in being the lead
Elementary Volunteer Coordinator.
Youth Ministry Volunteer Opportunities
__ YM Core Team: I would like more information.
Adult Faith Formation Volunteer(s)
__ I would like more information about volunteering.
___ Middle School Youth Ministry Core Team
Lead by Youth Minister
What is a Core Team Leader Responsible for?
Chaperone 2 MSYM events a year.
Help plan MSYM events/suggest ideas at your
convenience!
___ MSYM Prayer Partners: Pray for our Middle
School Youth Ministry participants and volunteers
during the MSYM events! (Prayer group in the
Church, participate at your convenience.)
___ MSYM Meal Team: Pre-teens are happy when
they are not hungry! Volunteer to help with meals
once a year.
FF Community Volunteer Opportunities
__ Team Member: Brainstorm ideas, decorate, and
help organize Community Building events at your
convenience. This includes but is not limited to:
All Saints Celebration, Advent Craft Prayer Service,
Christmas Pageant, etc.
__ I would like to be the lead Community
Building Coordinator.

Name:_____________________________ Contact Phone: ____________________________

Contact Email: __________________________________________________________
Questions? Contact Nicole Waer at 704-483-6448 x303 or faithformation@holyspirit.og