Instructions
For each student select if they are going to be registering for:
- 1st Grade
- 2nd/3rd Grade First Communion
- 4th-6th Grade First Communion
- 7th/8th Grade First Communion
- 8th Grade Confirmation
- 9th-12th Grade First Communion & Confirmation
- 9th-12th Grade Confirmation
**First Holy Communion - must be baptized (2nd-12th Grades)
**Confirmation - must be baptized and made their First Communion (8th-12th Grades)
RCIC - Baptism/First Communion/Confirmation (Grade School)
RCIA - Baptism/First Communion/Confirmation (Adults)
**Choose (Adult) for Grade Level
Registration for Adults:
- Needing Baptism, First Communion and Confirmation
- Needing First Communion and Confirmation
- Needing Confirmation
Family Faith Formation (Students in Kindergaren, 3rd-6th grade and have made First Communion
Registration for families and students that are not being prepared for a Sacrament
- Kindergarten, 3rd-6th Grades
- At least one parent attends with the students on the 3rd Sundays of the month
Head of Household 1
Mr./Mrs./Ms./Dr
None
Mr.
Ms.
Mrs.
Dr.
M/M
* First Name
* Last Name
Maiden Name
Birth Date
* Gender
Male
Female
PrimaryLanguage
1-English
1-English/Spanish
2-English/Spanish
2-Spanish
3-Spanish
4-English/Portuguese
5-English/Tagalog
6-Other
English
English/French
English/Italian
Portuguese/English
* Marital Status
1-Single
2-Engaged
3-Married
4-Separated
5-Divorced
6-Widowed
Annulled
Engaged
Partnered
Religious
Separated
* Religion
Assembly of God
Baptist
Buddhist
Catholic
Christian
Church of God
Congregational
Eastern Rite Orthodox
Episcopalian
Evangelical
Greek Orthodox
Hindu
Jewish
Latter Day Saints
Lutheran
Methodist
Muslim
Nazarene
Non-Denominational
None
Other
Pentecostal
Presbyterian
Protestant
Phone Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
Phone 1
1-Preferred
2-Cellular
4-Office
Text-Alltel
Text-At&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPcs
Text-Nex-Tech
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Republic Wirele
Text-Revol
Text-Simple Mobile
Text-Spectrum Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Telus Mobility
Text-Ting
Text-T-Mobile
Text-Us Cellular
Text-Usa Mobility
Text-Verizon
Text-Viaero
Text-Virgin Mobile
Text-Voyager Mobile
Text-Xfinity Mobile
( )
-
Unlisted
Email 1
Preferred E-mail
Secondary
Unlisted
Head of Household 2
Mr./Mrs./Ms./Dr
None
Mr.
Ms.
Mrs.
Dr.
M/M
First Name
Last Name
Relationship
1-Head
2-Head of Household 2
4-Child
Daughter
Son
Maiden Name
Birth Date
Gender
Male
Female
PrimaryLanguage
1-English
1-English/Spanish
2-English/Spanish
2-Spanish
3-Spanish
4-English/Portuguese
5-English/Tagalog
6-Other
English
English/French
English/Italian
Portuguese/English
Marital Status
1-Single
2-Engaged
3-Married
4-Separated
5-Divorced
6-Widowed
Annulled
Engaged
Partnered
Religious
Separated
Religion
Assembly of God
Baptist
Buddhist
Catholic
Christian
Church of God
Congregational
Eastern Rite Orthodox
Episcopalian
Evangelical
Greek Orthodox
Hindu
Jewish
Latter Day Saints
Lutheran
Methodist
Muslim
Nazarene
Non-Denominational
None
Other
Pentecostal
Presbyterian
Protestant
Phone Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
Phone 1
1-Preferred
2-Cellular
4-Office
Text-Alltel
Text-At&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPcs
Text-Nex-Tech
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Republic Wirele
Text-Revol
Text-Simple Mobile
Text-Spectrum Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Telus Mobility
Text-Ting
Text-T-Mobile
Text-Us Cellular
Text-Usa Mobility
Text-Verizon
Text-Viaero
Text-Virgin Mobile
Text-Voyager Mobile
Text-Xfinity Mobile
( )
-
Unlisted
Email 1
Preferred E-mail
Secondary
Unlisted
Family Street Address
* Line 1
* City
* State
Alabama (AL)
Alaska (AK)
American Samoa (AS)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
District of Columbia (DC)
Federated States of Micronesia (FM)
Florida (FL)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Marshall Islands (MH)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Northern Mariana Islands (NP)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Palau (PW)
Pennsylvania (PA)
Puerto Rico (PR)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virgin Islands (VI)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland and Labrador (NL)
Northwest Territories (NT)
Nova Scotia (NS)
Nunavut (NU)
Prince Edward Island (PE)
Saskatchewan (SK)
Ontario (ON)
Quebec (QC)
Yukon (YT)
Other
* ZIP
Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
* Primary
1-Preferred
2-Cellular
4-Office
Text-Alltel
Text-At&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPcs
Text-Nex-Tech
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Republic Wirele
Text-Revol
Text-Simple Mobile
Text-Spectrum Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Telus Mobility
Text-Ting
Text-T-Mobile
Text-Us Cellular
Text-Usa Mobility
Text-Verizon
Text-Viaero
Text-Virgin Mobile
Text-Voyager Mobile
Text-Xfinity Mobile
( )
-
Unlisted
Other
1-Preferred
2-Cellular
4-Office
Text-Alltel
Text-At&T
Text-BellSouth
Text-Boost Mobile
Text-Cingular
Text-Cricket Mobile
Text-Hawaiian Telcom
Text-MetroPcs
Text-Nex-Tech
Text-Nextel
Text-Page Plus
Text-Qwest Wireless
Text-Republic Wirele
Text-Revol
Text-Simple Mobile
Text-Spectrum Mobile
Text-Sprint
Text-Straight Talk
Text-SunCom
Text-Telus Mobility
Text-Ting
Text-T-Mobile
Text-Us Cellular
Text-Usa Mobility
Text-Verizon
Text-Viaero
Text-Virgin Mobile
Text-Voyager Mobile
Text-Xfinity Mobile
( )
-
Unlisted
Family Email Address
* Email
Preferred E-mail
Secondary
Unlisted
Fee Total = $0.00
Enroll Student 1 Do Not Enroll Student 1
Student 1
Type
Head of Household
Spouse
Adult
Young Adult
Child
Other
* First Name
* Last Name
Middle Name
Son/Daughter?
1-Head
2-Head of Household 2
4-Child
Daughter
Son
Birth Date
* Gender
Male
Female
* Grade/Fall 2024
10th
11th
12th
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Adult
Kindergarten
PrimaryLanguage
1-English
1-English/Spanish
2-English/Spanish
2-Spanish
3-Spanish
4-English/Portuguese
5-English/Tagalog
6-Other
English
English/French
English/Italian
Portuguese/English
Religion
Assembly of God
Baptist
Buddhist
Catholic
Christian
Church of God
Congregational
Eastern Rite Orthodox
Episcopalian
Evangelical
Greek Orthodox
Hindu
Jewish
Latter Day Saints
Lutheran
Methodist
Muslim
Nazarene
Non-Denominational
None
Other
Pentecostal
Presbyterian
Protestant
School
*Other
Bishope Moore HS
Boggy Creek Elementary
Circle Christian School
Colonial HS
Conder Academy
Creative Inspiration Journey
Eagle Creek Elementary
East Lake
Florida Virtual School
Good Shepherd Catholic School
Groveland
Harmony High School
Homeschool
Ilingo
Innovation MS
Kiddie Academy of WP
Lake Nona HS
Lake Nona MS
Laureate Park Elementary
Liberty MS
Mater Academy
Military Project Manager
Montverde Academy
Narcoossee Elementary
Narcoossee MS
Nona Park Montessori
Northlake Park Elementary
Orlando Science
Partin Elementary
Pinecrest Prep Academy
Pleasant Hill
Primrose
Renaissance Charter
Saint James Cathedral
School Clerk
SDOC
Seminole State College
Seton Home School
Stonewyck
Sun Blaze
Sunrise Elementary
The Learning Experience
Timber Creek High School
Toho High School
Tohopekaliga HS
Tulane University
UCF
University of Central Florida
University of Florida
Village Park Elementary
Winter Springs HS
Sacraments
Baptism
Yes
No
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
2056
2057
2058
2059
2060
2061
2062
2063
2064
2065
2066
2067
2068
2069
2070
2071
2072
2073
2074
2075
2076
2077
2078
2079
2080
2081
2082
2083
2084
2085
2086
2087
2088
2089
2090
2091
2092
2093
2094
2095
2096
2097
2098
2099
2100
2101
2102
2103
2104
2105
2106
2107
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2118
2119
2120
2121
2122
2123
2124
2125
2126
2127
2128
2129
2130
2131
2132
2133
2134
2135
2136
2137
2138
2139
2140
2141
2142
2143
2144
1st Holy Communion
Yes
No
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
2056
2057
2058
2059
2060
2061
2062
2063
2064
2065
2066
2067
2068
2069
2070
2071
2072
2073
2074
2075
2076
2077
2078
2079
2080
2081
2082
2083
2084
2085
2086
2087
2088
2089
2090
2091
2092
2093
2094
2095
2096
2097
2098
2099
2100
2101
2102
2103
2104
2105
2106
2107
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2118
2119
2120
2121
2122
2123
2124
2125
2126
2127
2128
2129
2130
2131
2132
2133
2134
2135
2136
2137
2138
2139
2140
2141
2142
2143
2144
Confirmation
Yes
No
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
2056
2057
2058
2059
2060
2061
2062
2063
2064
2065
2066
2067
2068
2069
2070
2071
2072
2073
2074
2075
2076
2077
2078
2079
2080
2081
2082
2083
2084
2085
2086
2087
2088
2089
2090
2091
2092
2093
2094
2095
2096
2097
2098
2099
2100
2101
2102
2103
2104
2105
2106
2107
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2118
2119
2120
2121
2122
2123
2124
2125
2126
2127
2128
2129
2130
2131
2132
2133
2134
2135
2136
2137
2138
2139
2140
2141
2142
2143
2144
Class Choice One per Student
* Class
Information
Comments
Allergies
Emerg. Contact
Other Info