St. Clare of Assisi Catholic Church
3131 El Dorado Blvd, Houston, TX 77059
(281) 286-7729

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Faith Formation Registration
2020-2021

- Faith Formation

For Adult Faith Formation programs, please see Adult Faith Formation programs
Programs available for registration on this form are:

ARISE- preK 3- 5th grade
ARISE + Sacramental prep- 2nd grade & as needed for Reconciliation & First Communion
IMPACT- 6th- 8th grade
THRIVE- 9th-12th grade
THRIVE + Confirmation Prep- 9th & 10th grade

For more detailed information about your child(ren)'s program, please refer to the appropriate section in the Faith Formation Handbook as well as their respective webpages.

Faith Formation Handbook
The maximum number of form submissions has been reached. This form is currently not available.
- Parent/ Guardian 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.
- 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.
- Occupation Please enter valid data.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Preferred Email for Correspondence REQUIRED Please fill out this field. Please enter an email address.
- Are you a registered parishioner of St. Clare's? REQUIRED Please fill out this field.
- Parent/ Guardian 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.
- 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.
- Occupation Please enter valid data.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Are you a registered parishioner of St. Clare's? REQUIRED Please fill out this field.
- Number of Children to be Registered REQUIRED 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.
  
  Sex REQUIRED Please fill out this field.
  
  Grade Level in Fall 2020 REQUIRED Please fill out this field.
  
  Please select which Sacraments your child has already received REQUIRED Baptism ( Non- Catholic ) Baptism First Reconciliation First Eucharist Confirmation None Please fill out this field.
  
  Which program would you like to register this child for? REQUIRED Please fill out this field.
  
  Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in activities? If yes, please list. If no, please write None in the box below.
  
  Special Accommodations, Support, Health Concerns, or Allergies REQUIRED Please fill out this field.
  
  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.
  
  Sex REQUIRED Please fill out this field.
  
  Grade Level in Fall 2020 REQUIRED Please fill out this field.
  
  Please select which Sacraments your child has already received REQUIRED Baptism ( Non- Catholic ) Baptism First Reconciliation First Eucharist Confirmation None Please fill out this field.
  
  Which program would you like to register this child for? REQUIRED Please fill out this field.
  
  Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in activities? If yes, please list. If no, please write None in the box below.
  
  Special Accommodations, Support, Health Concerns, or Allergies REQUIRED Please fill out this field.
  
  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.
  
  Sex REQUIRED Please fill out this field.
  
  Grade Level in Fall 2020 REQUIRED Please fill out this field.
  
  Please select which Sacraments your child has already received REQUIRED Baptism ( Non- Catholic ) Baptism First Reconciliation First Eucharist Confirmation None Please fill out this field.
  
  Which program would you like to register this child for? REQUIRED Please fill out this field.
  
  Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in activities? If yes, please list. If no, please write None in the box below.
  
  Special Accommodations, Support, Health Concerns, or Allergies REQUIRED Please fill out this field.
  
  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.
  
  Sex REQUIRED Please fill out this field.
  
  Grade Level in Fall 2020 REQUIRED Please fill out this field.
  
  Please select which Sacraments your child has already received REQUIRED Baptism ( Non- Catholic ) Baptism First Reconciliation First Eucharist Confirmation None Please fill out this field.
  
  Which program would you like to register this child for? REQUIRED Please fill out this field.
  
  Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in activities? If yes, please list. If no, please write None in the box below.
  
  Special Accommodations, Support, Health Concerns, or Allergies REQUIRED Please fill out this field.
  
  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.
  
  Sex REQUIRED Please fill out this field.
  
  Grade Level in Fall 2020 REQUIRED Please fill out this field.
  
  Please select which Sacraments your child has already received REQUIRED Baptism ( Non- Catholic ) Baptism First Reconciliation First Eucharist Confirmation None Please fill out this field.
  
  Which program would you like to register this child for? REQUIRED Please fill out this field.
  
  Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in activities? If yes, please list. If no, please write None in the box below.
  
  Special Accommodations, Support, Health Concerns, or Allergies REQUIRED Please fill out this field.
  
  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.
  
  Sex REQUIRED Please fill out this field.
  
  Grade Level in Fall 2020 REQUIRED Please fill out this field.
  
  Please select which Sacraments your child has already received REQUIRED Baptism ( Non- Catholic ) Baptism First Reconciliation First Eucharist Confirmation None Please fill out this field.
  
  Which program would you like to register this child for? REQUIRED Please fill out this field.
  
  Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in activities? If yes, please list. If no, please write None in the box below.
  
  Special Accommodations, Support, Health Concerns, or Allergies REQUIRED Please fill out this field.
  
  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.
  
  Sex REQUIRED Please fill out this field.
  
  Grade Level in Fall 2020 REQUIRED Please fill out this field.
  
  Please select which Sacraments your child has already received REQUIRED Baptism ( Non- Catholic ) Baptism First Reconciliation First Eucharist Confirmation None Please fill out this field.
  
  Which program would you like to register this child for? REQUIRED Please fill out this field.
  
  Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in activities? If yes, please list. If no, please write None in the box below.
  
  Special Accommodations, Support, Health Concerns, or Allergies REQUIRED Please fill out this field.
  
  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.
  
  Sex REQUIRED Please fill out this field.
  
  Grade Level in Fall 2020 REQUIRED Please fill out this field.
  
  Please select which Sacraments your child has already received REQUIRED Baptism ( Non- Catholic ) Baptism First Reconciliation First Eucharist Confirmation None Please fill out this field.
  
  Which program would you like to register this child for? REQUIRED Please fill out this field.
  
  Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in activities? If yes, please list. If no, please write None in the box below.
  
  Special Accommodations, Support, Health Concerns, or Allergies REQUIRED Please fill out this field.
- * If any of the following medical information and/or waivers and consent vary by child, please indicate this in the "Additional Notes" at the end of this registration form. Otherwise the medical information, waivers, and consent indicated below will apply to all children registered on this form.
  
  Family Medical Information
- Family Doctor's Name REQUIRED Please fill out this field. Please enter valid data.
- Doctor's Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Insurance Name REQUIRED Please fill out this field. Please enter valid data.
- Insurance Group Number REQUIRED Please fill out this field. Please enter valid data.
- Insurance Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Emergency Medical Contact if Parent Cannot Be Reached
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Relationship to the Child(ren) REQUIRED Please fill out this field. Please enter valid data.
- Medical Consent/Liability Waiver
  In the event of an emergency, I hereby bive permission to the staff of St. Clare of Assisi Catholic Church to seek emergency medical transport or treatment for my child(ren) named above. I wish to be advised before further care is given by the hospital or doctor and I understand that all financial obligations are my responsibility. If I cannot be reached please contact the person listed above.
  
  In consideration of my child's participation in Faith Formation, I agree on behalf of myself, my child(ren) named above, and our heirs, successors, and assigns, to indemnify, hold harmless and defend the Daniel Cardinal DiNardo, Archdiocese of Galveston-Houston, St. Clare of Assisi Catholic church, its pastor or any representative of Faith Formation or Youth Ministry (collectively the "indemnitees") from any and all injuries, losses or claims arising out of my child's participation in the program. I further agree that if anyone on my child's behalf makes a claim against the indemnitees, I will indemnify, save, and hold harmless each of the indemnitees from any litigation, expenses, attorney fees, loss, liability, damage or cost which may incur as a result of such claim.
- Medical/ Liability Waiver REQUIRED Please fill out this field.
- Video/Photography Consent
  As parent/guardian, I understand that promotional pictures and videos (individual and group) may be taken during Faith Formation Classes and/or Youth Ministry Activities. I give permission for my child(ren)'s (named above) pictures to be used for church promotional materials such as newsletters, web pages, calendars, power point presentations, or videos to promote or highlight these classes or activities.
- Video/ Photography Consent REQUIRED Please fill out this field.
- It truly takes a villiage to run these ministries and we cannot do it without you! Please consider sharing your time and talent with our parish through some of the many volunteer opportunities listed below. While not an official commitment, please check the choice(s) below so that you can be notified about training dates and meetings.
- Parent Volunteer Opportunities High School CORE Team Middle School CORE Team Youth Ministry- Retreat Team Youth Ministry Attendance Assistant Office Help during the week- YM Office Help during the week- IFF Service Saturday Chaperone Youth Ministry Special Events & Conferences Team Prayer Warriors
- Additional Notes
- Faith Formation Handbook REQUIRED I have read, fully understand, and accept the policies and guidelines listed in St. Clare's 2020-2021 Faith Formation Handbook. I agree that both myself and my child(ren) will abide by these policies and guidelines to the best of our ability. Please fill out this field.
- Complete Registration REQUIRED I understand that this registration will not be considered complete until final payment and/or a payment plan has been received and approved by St. Clare of Assisi Catholic Church. Please fill out this field.
- Electronic Signature REQUIRED Please fill out this field. Please enter valid data.
Submit

Faith Formation Registration 2020-2021

Faith Formation Registration
2020-2021