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Christian Formation Youth & Baptism

CHRISTIAN FORMATION REGISTRATION FORM
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- Please complete this registration form below for Youth Faith Formation.
  
  Note that you must be registered with the Parish. If not, please first complete the Parish Registration online form. If you are not sure if you are registered, please contact the Parish Office 434-812-2936.
  
  After completing the form, please pay registration fees at WeShareOnline.
- Family Last Name(s): REQUIRED Please fill out this field. Please enter valid data.
- Mother's First Name: Please enter valid data.
- Father's First Name: Please enter valid data.
- Guardian's Name (if applicable) Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Home Phone Number Maximum 20 characters Please enter a phone number.
- Mobile Phone Number Maximum 20 characters Please enter a phone number.
- Work Phone Number Maximum 20 characters Please enter a phone number.
- Preferred Phone Number Home Mobile Work
- Please enter the number of children in Grades K-12.
- Children Grades K-12 REQUIRED
  How many other people are in your household?
  Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in the Fall of current calendar year REQUIRED Please fill out this field.
  
  School Name
  
  School Name (if "Other" selected) Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.
  
  In the Richmond Diocese, children who are a minimum of 7 years old and in the 2nd grade may receive their First Sacraments. Children who are at least 15 years old and in 10th grade may be confirmed. Children must have been in a regular RE class for 1st /9th grade to enroll in the following Sacramental year. RCIC for children requirements differ.
  
  I would like to register my child for Sacramental Preparation: Baptism First Reconciliation First Holy Communion Confirmation N/A at this time
  
  Any medical, dietary, or educational needs? Please enter valid data.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in the Fall of current calendar year REQUIRED Please fill out this field.
  
  School Name
  
  School Name (if "Other" selected) Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.
  
  In the Richmond Diocese, children who are a minimum of 7 years old and in the 2nd grade may receive their First Sacraments. Children who are at least 15 years old and in 10th grade may be confirmed. Children must have been in a regular RE class for 1st /9th grade to enroll in the following Sacramental year. RCIC for children requirements differ.
  
  I would like to register my child for Sacramental Preparation: Baptism First Reconciliation First Holy Communion Confirmation N/A at this time
  
  Any medical, dietary, or educational needs? Please enter valid data.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in the Fall of current calendar year REQUIRED Please fill out this field.
  
  School Name
  
  School Name (if "Other" selected) Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.
  
  In the Richmond Diocese, children who are a minimum of 7 years old and in the 2nd grade may receive their First Sacraments. Children who are at least 15 years old and in 10th grade may be confirmed. Children must have been in a regular RE class for 1st /9th grade to enroll in the following Sacramental year. RCIC for children requirements differ.
  
  I would like to register my child for Sacramental Preparation: Baptism First Reconciliation First Holy Communion Confirmation N/A at this time
  
  Any medical, dietary, or educational needs? Please enter valid data.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in the Fall of current calendar year REQUIRED Please fill out this field.
  
  School Name
  
  School Name (if "Other" selected) Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.
  
  In the Richmond Diocese, children who are a minimum of 7 years old and in the 2nd grade may receive their First Sacraments. Children who are at least 15 years old and in 10th grade may be confirmed. Children must have been in a regular RE class for 1st /9th grade to enroll in the following Sacramental year. RCIC for children requirements differ.
  
  I would like to register my child for Sacramental Preparation: Baptism First Reconciliation First Holy Communion Confirmation N/A at this time
  
  Any medical, dietary, or educational needs? Please enter valid data.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in the Fall of current calendar year REQUIRED Please fill out this field.
  
  School Name
  
  School Name (if "Other" selected) Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.
  
  In the Richmond Diocese, children who are a minimum of 7 years old and in the 2nd grade may receive their First Sacraments. Children who are at least 15 years old and in 10th grade may be confirmed. Children must have been in a regular RE class for 1st /9th grade to enroll in the following Sacramental year. RCIC for children requirements differ.
  
  I would like to register my child for Sacramental Preparation: Baptism First Reconciliation First Holy Communion Confirmation N/A at this time
  
  Any medical, dietary, or educational needs? Please enter valid data.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in the Fall of current calendar year REQUIRED Please fill out this field.
  
  School Name
  
  School Name (if "Other" selected) Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.
  
  In the Richmond Diocese, children who are a minimum of 7 years old and in the 2nd grade may receive their First Sacraments. Children who are at least 15 years old and in 10th grade may be confirmed. Children must have been in a regular RE class for 1st /9th grade to enroll in the following Sacramental year. RCIC for children requirements differ.
  
  I would like to register my child for Sacramental Preparation: Baptism First Reconciliation First Holy Communion Confirmation N/A at this time
  
  Any medical, dietary, or educational needs? Please enter valid data.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in the Fall of current calendar year REQUIRED Please fill out this field.
  
  School Name
  
  School Name (if "Other" selected) Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.
  
  In the Richmond Diocese, children who are a minimum of 7 years old and in the 2nd grade may receive their First Sacraments. Children who are at least 15 years old and in 10th grade may be confirmed. Children must have been in a regular RE class for 1st /9th grade to enroll in the following Sacramental year. RCIC for children requirements differ.
  
  I would like to register my child for Sacramental Preparation: Baptism First Reconciliation First Holy Communion Confirmation N/A at this time
  
  Any medical, dietary, or educational needs? Please enter valid data.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in the Fall of current calendar year REQUIRED Please fill out this field.
  
  School Name
  
  School Name (if "Other" selected) Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.
  
  In the Richmond Diocese, children who are a minimum of 7 years old and in the 2nd grade may receive their First Sacraments. Children who are at least 15 years old and in 10th grade may be confirmed. Children must have been in a regular RE class for 1st /9th grade to enroll in the following Sacramental year. RCIC for children requirements differ.
  
  I would like to register my child for Sacramental Preparation: Baptism First Reconciliation First Holy Communion Confirmation N/A at this time
  
  Any medical, dietary, or educational needs? Please enter valid data.
  
  Child 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in the Fall of current calendar year REQUIRED Please fill out this field.
  
  School Name
  
  School Name (if "Other" selected) Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.
  
  In the Richmond Diocese, children who are a minimum of 7 years old and in the 2nd grade may receive their First Sacraments. Children who are at least 15 years old and in 10th grade may be confirmed. Children must have been in a regular RE class for 1st /9th grade to enroll in the following Sacramental year. RCIC for children requirements differ.
  
  I would like to register my child for Sacramental Preparation: Baptism First Reconciliation First Holy Communion Confirmation N/A at this time
  
  Any medical, dietary, or educational needs? Please enter valid data.
  
  Child 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in the Fall of current calendar year REQUIRED Please fill out this field.
  
  School Name
  
  School Name (if "Other" selected) Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.
  
  In the Richmond Diocese, children who are a minimum of 7 years old and in the 2nd grade may receive their First Sacraments. Children who are at least 15 years old and in 10th grade may be confirmed. Children must have been in a regular RE class for 1st /9th grade to enroll in the following Sacramental year. RCIC for children requirements differ.
  
  I would like to register my child for Sacramental Preparation: Baptism First Reconciliation First Holy Communion Confirmation N/A at this time
  
  Any medical, dietary, or educational needs? Please enter valid data.
  
  Child 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in the Fall of current calendar year REQUIRED Please fill out this field.
  
  School Name
  
  School Name (if "Other" selected) Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.
  
  In the Richmond Diocese, children who are a minimum of 7 years old and in the 2nd grade may receive their First Sacraments. Children who are at least 15 years old and in 10th grade may be confirmed. Children must have been in a regular RE class for 1st /9th grade to enroll in the following Sacramental year. RCIC for children requirements differ.
  
  I would like to register my child for Sacramental Preparation: Baptism First Reconciliation First Holy Communion Confirmation N/A at this time
  
  Any medical, dietary, or educational needs? Please enter valid data.
  
  Child 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in the Fall of current calendar year REQUIRED Please fill out this field.
  
  School Name
  
  School Name (if "Other" selected) Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.
  
  In the Richmond Diocese, children who are a minimum of 7 years old and in the 2nd grade may receive their First Sacraments. Children who are at least 15 years old and in 10th grade may be confirmed. Children must have been in a regular RE class for 1st /9th grade to enroll in the following Sacramental year. RCIC for children requirements differ.
  
  I would like to register my child for Sacramental Preparation: Baptism First Reconciliation First Holy Communion Confirmation N/A at this time
  
  Any medical, dietary, or educational needs? Please enter valid data.
- Anything we missed?
- I give permission to have pictures and/or video of my child(ren) in activities related to the parish or Diocesan events posted in parish or Diocesan publications, social media, or websites. Names will not be used without expressed permission from the parent or guardian.
- Photo/Video Permission? REQUIRED Yes, I agree No, I don't agree Please fill out this field.
- The Catholic Diocese of Richmond is committed to ensuring that diocesan institutions and ministries provide a safe and nurturing environment for children, young people and vulnerable individuals. The mission of the diocese Safe Environment Program is to create a safe environment incorporating the standards as outlined in the Charter for the Protection of Children and Young People. I understand, as parent or guardian, I will be instructing my own child(ren) and no VIRTUS training is needed.
  I Understand and Agree Please select this field.
- Please let us know if you are VIRTUS trained: REQUIRED Yes No Please fill out this field.
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Family celebrations of Our Lady of the Rosary

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