Saint Mary Roman Catholic Church

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Enrollment

- Faith Formation Enrollment
  
  Classes are Sundays staring at 11:30am to 12:30pm.
  Classes will start on September 12, 2021.
  Class calender will be posted in August 2021.
  
  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.
  
  You may sign up to Flocknote on your own recieve text messages or emails from your child teacher if you have more then one child.
  
  Registered Saint Mary Parishioner? If NO, please complete Parish Registration From by clicking the button below.
  
  Register to Saint Mary
- Print Form
  
  English Registration Form
  
  Spanish Registration Form
- Contact Us
  
  Mrs. Diana Ponce
  
  Director of Faith Formation / Youth Ministry
  
  ext 229
  faithformationsaintmarygoldsboro.org
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Father's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Mother's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  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.
  
  Registered Saint Mary Parishioner? REQUIRED Yes No Please fill out this field.
  
  Flocknote
  
  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.
  
  Number of Child/Youth Registering REQUIRED Please fill out this field.
  
  Child/Youth 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 REQUIRED Please fill out this field.
  
  Sacraments Received Already REQUIRED
  Click all that apply
  Baptism First Eucharist Confirmation None Please fill out this field.
  
  Medical Condition (put N/A if none) REQUIRED Please fill out this field. Please enter valid data.
  
  Faith Formation Fees REQUIRED
  Please select which applies to you.
  Please fill out this field.
  
  Child/Youth 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 REQUIRED Please fill out this field.
  
  Sacraments Received Already REQUIRED
  Click all that apply
  Baptism First Eucharist Confirmation None Please fill out this field.
  
  Medical Condition (put N/A if none) REQUIRED Please fill out this field. Please enter valid data.
  
  Faith Formation Fees REQUIRED
  Please select which applies to you.
  Please fill out this field.
  
  Child/Youth 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 REQUIRED Please fill out this field.
  
  Sacraments Received Already REQUIRED
  Click all that apply
  Baptism First Eucharist Confirmation None Please fill out this field.
  
  Medical Condition (put N/A if none) REQUIRED Please fill out this field. Please enter valid data.
  
  Faith Formation Fees REQUIRED
  Please select which applies to you.
  Please fill out this field.
  
  Child/Youth 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 REQUIRED Please fill out this field.
  
  Sacraments Received Already REQUIRED
  Click all that apply
  Baptism First Eucharist Confirmation None Please fill out this field.
  
  Medical Condition (put N/A if none) REQUIRED Please fill out this field. Please enter valid data.
  
  Faith Formation Fees REQUIRED
  Please select which applies to you.
  Please fill out this field.
  
  Child/Youth 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 REQUIRED Please fill out this field.
  
  Sacraments Received Already REQUIRED
  Click all that apply
  Baptism First Eucharist Confirmation None Please fill out this field.
  
  Medical Condition (put N/A if none) REQUIRED Please fill out this field. Please enter valid data.
  
  Faith Formation Fees REQUIRED
  Please select which applies to you.
  Please fill out this field.
  
  Child/Youth 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 REQUIRED Please fill out this field.
  
  Sacraments Received Already REQUIRED
  Click all that apply
  Baptism First Eucharist Confirmation None Please fill out this field.
  
  Medical Condition (put N/A if none) REQUIRED Please fill out this field. Please enter valid data.
  
  Faith Formation Fees REQUIRED
  Please select which applies to you.
  Please fill out this field.
  
  Child/Youth 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 REQUIRED Please fill out this field.
  
  Sacraments Received Already REQUIRED
  Click all that apply
  Baptism First Eucharist Confirmation None Please fill out this field.
  
  Medical Condition (put N/A if none) REQUIRED Please fill out this field. Please enter valid data.
  
  Faith Formation Fees REQUIRED
  Please select which applies to you.
  Please fill out this field.
  
  Child/Youth 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 REQUIRED Please fill out this field.
  
  Sacraments Received Already REQUIRED
  Click all that apply
  Baptism First Eucharist Confirmation None Please fill out this field.
  
  Medical Condition (put N/A if none) REQUIRED Please fill out this field. Please enter valid data.
  
  Faith Formation Fees REQUIRED
  Please select which applies to you.
  Please fill out this field.
  
  Child/Youth 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 REQUIRED Please fill out this field.
  
  Sacraments Received Already REQUIRED
  Click all that apply
  Baptism First Eucharist Confirmation None Please fill out this field.
  
  Medical Condition (put N/A if none) REQUIRED Please fill out this field. Please enter valid data.
  
  Faith Formation Fees REQUIRED
  Please select which applies to you.
  Please fill out this field.
  
  Child/Youth 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 REQUIRED Please fill out this field.
  
  Sacraments Received Already REQUIRED
  Click all that apply
  Baptism First Eucharist Confirmation None Please fill out this field.
  
  Medical Condition (put N/A if none) REQUIRED Please fill out this field. Please enter valid data.
  
  Faith Formation Fees REQUIRED
  Please select which applies to you.
  Please fill out this field.
  
  Emergency Contact (other than parent)
  
  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.
  
  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.
  
  Photo Authorization
  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.
  
  Photo Autherization REQUIRED Yes No Please fill out this field.
  
  Total:
  
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Enrollment

Photo Authorization