St. Mary of the Assumption Catholic Church - Online Registration - English

Religious Formation Online Registration for the 2021-2022 has begun! Please fill out the form below completely. If you have any questions, please contact Terry Hostler or Juanita Garcia in the Religious Formation Office.

Date REQUIRED Please fill out this field. Please enter a date.

Envelope Number REQUIRED Please fill out this field. Please enter an integer (number).

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. 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.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Emergency Contact- Phone Number REQUIRED Please fill out this field. Please enter an integer (number).

Email REQUIRED Please fill out this field. Please enter an email address.

Child #1- First Name, Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Grade in School as of September 2021 REQUIRED Please fill out this field. Please enter valid data.

Sacraments REQUIRED

Please check all that apply

My child has been baptized My child has made his 1st Communion My child has been Confirmed My child has not made any Sacraments Please fill out this field.

Child #2- First Name, Last Name Please enter valid data.

Date of Birth Please enter valid data.

Grade in School as of September 2021 Please enter valid data.

Sacraments

Please check all that apply

My child has been baptized My child has made his 1st Communion My child has been Confirmed My child has not made any Sacraments

Child #3- First Name, Last Name Please enter valid data.

Date of Birth Please enter valid data.

Grade in School as of September 2021 Please enter valid data.

Sacraments

Please check all that apply

My child has been baptized My child has made his 1st Communion My child has been Confirmed My child has not made any Sacraments

Child #4 - First Name, Last Name Please enter valid data.

Date of Birth Please enter valid data.

Grade in School as of September 2021 Please enter valid data.

Sacraments

Please check all that apply

My child has been baptized My child has made his 1st Communion My child has been Confirmed My child has not made any Sacraments

Child #5 - First Name, Last Name Please enter valid data.

Date of Birth Please enter valid data.

Grade in School as of September 2021 Please enter valid data.

Sacraments

Please check all that apply

My child has been baptized My child has made his 1st Communion My child has been Confirmed My child has not made any Sacraments

Do any of your children have special learning needs, medical conditions or allergies we need to be aware of REQUIRED Yes No Please fill out this field.

If yes, please list the name of the child and what help does this child need or what medical conditions do we need to be aware of? Please enter valid data.

Please list the people who are authorized to pick your child (children) up from class: REQUIRED Please fill out this field. Please enter valid data.

I will be paying Registration Fees REQUIRED

Please check one box below

online - through the Religious Formation Fund in the Religious Formation Office Please fill out this field.

I understand all Registration Fees must be paid to complete my child's registration.
I understand all fees are non-refundable.
I understand and give permission for my child/children to receive instruction on self-protection during the first class of the Religious Formation Year. This instruction is provided by the Diocese of Fort Worth.
I authorize my child's temperature to be take prior to entering the school building.
I understand my child will not be permitted into the building if my child has a fever.
I understand that I must submit a copy of my child's birth certificate if my child has not yet been baptized.
I understand that I must submit a copy of my child's baptism certificate if this is their first year in Religious Formation

I Agree Please select this field.

email REQUIRED Please fill out this field. Please enter an email address.

ST. MARY OF THE ASSUMPTION
Catholic Church est. 1909

509 W. Magnolia Avenue ~Fort Worth, Texas 76104

Online Registration - English