St. Michael Faith Formation
Step
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20%
Name
First
Last
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
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Colorado
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Delaware
District of Columbia
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Northern Mariana Islands
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Puerto Rico
Rhode Island
South Carolina
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Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Cell Phone
Work Phone (if applicable)
Email
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Date of Birth
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Emergency Contact Information
1. Name
First
Last
1. Phone
1. Email
2. Name
First
Last
2. Phone
2. Email
Virtus Questions
Have you completed Virtus classroom training?
*
Yes
No
Have you completed a background search?
Yes
No
Have you signed a Volunteer Code of Conduct?
(if 18 or older)
Yes
No
Have you submitted 2 letters of recommendation?
(if under 18)
Yes
No
If 19 or over please complete this section, if not continue to the next section.
Volunteer Preferences
Select all that apply
Catechist
Assistant Catechist
Substitute Catechist
Musician
Kitchen Help
Hall Monitor
Childcare
Small Group Leader
Chaperone
If selecting multiple please indicate order of preference, if you have one:
Are you requesting a Catechist / Small Group Leader Tuition Credit for a registered student?
Yes
No
Student Name
First
Last
Grade
Preschool
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Tenth
Please indicate grade of choice
Select all that apply
Preschool
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Tenth
If selecting multiple please indicate order of preference, if you have one:
Consent
Photo Release
*
I understand that any photograph/video tape would be used solely to publicize church programs or to illustrate church activities and the photo or videos may be used in our website. I consent to have photographs and/or videos taken of myself for use by St. Michael Catholic Church:
Yes
No
SMS Text Release
*
I agree to receive Text/SMS communication from St. Michael Catholic Church. I understand this may result in a charge depending on my phone plan.
Yes
No
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