Enrollment

Father's Name Please enter valid data.

Date of Birth Please enter a date.

Phone Number Please enter a phone number.

Mother's Name Please enter valid data.

Date of Birth Please enter a date.

Phone Number Please enter a phone number.

Street Adress 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.

Flocknote

Keep in touch with us via email and text! Flocknote Comunication system will alert you about your childs class. SaintMaryGoldsboro.flocknote.com
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.

Emergency Contact

I give permission for my child in case of an emergency, to be taken to a physician or hospital by the parish personnel. I understand that every effort will be made to contact me. If cannot be reached, I hear by give my permission to the emergency physician to hospitalize and secure proper treatment for my son/daughter.
I Agree Please select this field.
Emergency Contact (other than parent) Please enter valid data.
Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Photo Autherization

There may times throughout the year in which your child’s photo maybe taken. These photos are sometimes displayed in the church or used on our parish website. No names will be use in connection with these photographs. Please indicate permission for each child/youth. If not checked it will be assumed photos are permitted.
Photo Authorization
Includes parish website and church displays
Yes No

Sacramental Prepartation

In the Diocese of Raleigh First Reconciliation and First Eucharist are usually celebrated in second grade and confirmation is usually celebrated after Tenth Grade. In the Diocese of Raleigh all sacramental preparation last two years. If in the previous year student participated in faith formation in another parish or Catholic school, they will be registered in the second year of the program upon receipt of a letter from their former parish/school. Children preparing to receive sacraments must be baptized Catholic.
Sacraments pepration for the school year of 2020-2021 will be diffrent. Classes will be blended meaning some will be in the classroom and some online. By you summiting this form you agree with these terms.
Maximun Payment$150.00

Saint Mary Roman Catholic Church