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Special Needs Registration
Special Needs Registration 2024-2025
Form to register your children for the Parish Faith Formation Program 2024-2025
CAPTCHA
Family Last Name
(Required)
Last
Primary Email Address
(Required)
Parent/ Guardian Information
Father's Name
(Required)
First
Last
Cell Phone
(Required)
Email
(Required)
Gender
(Required)
Male
Female
Birth Date
(Required)
MM slash DD slash YYYY
Ethnicity
(Required)
African American
American
American/Hispanic
Asian
Brazil
Haitian
Hispanic
India
Philippines
Portuguese
Marital Status
(Required)
Married Civil
Married, in the Catholic Church
Single
Separated
Divorced
Remarried
Widowed
Language
(Required)
English
English/Spanish
Spanish
Mother's Name
(Required)
First
Last
Cell Phone
(Required)
Email
(Required)
Birth Date
(Required)
MM slash DD slash YYYY
Gender
(Required)
Male
Female
Ethnicity
(Required)
African American
American
American/Hispanic
Asian
Brazil
Haitian
Hispanic
India
Philippines
Portuguese
Marital Status
(Required)
Married Civil
Married, in the Catholic Church
Single
Separated
Divorced
Remarried
Widowed
Language
(Required)
English
English/Spanish
Spanish
Family Home Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Are you a registered parishioner of St. Catherine of Siena?
(Required)
Yes
No
I would like to register as a parishioner.
Consent
The Faith Formation program of St. Catherine of Siena educates and forms our community of God’s Holy People. We evoke the call to holiness began in Baptism and invite all to embrace the spirit of stewardship. We commit our efforts to nurturing the knowledge, faith, prayer, and Christian lives of our parishioners of all ages. We lead the community to participate in the sacraments of the Church, proclamation of the Gospel and the services to others. Our program utilizes a whole community catechesis model that is offered in the context of faith formation, service, hospitality, and prayer: The Four Pillars of Stewardship.
Consent the Statement of General Expectations for parents and children attending the Faith Formation Program.
(Required)
I agree to consent.
We agree with the Faith Formation Program expectation that each family become actively involved in the Faith Formation Program and in the life of the Parish in order to model a living, conscious, and active Christian faith and to reinforce the values and attitudes for living our faith. We also agree to act in accordance with these values and attitudes.
Agreement to the Faith Formation Program Attendance requirements.
(Required)
I agree to consent.
Since it is the policy of the Faith Formation Program at St. Catherine of Siena not to allow drop-offs, I agree to accompany my child(ren) to every session during the year and to attend and actively participate in the parent catechesis sessions.
Agreement to provide relevant documents.
(Required)
I agree to consent.
I agree that in order for this registration to be considered, I must submit the necessary documents for each child registered: Birth certificate and Baptismal certificate for each child.
Agreement to the fees. Payment needed upon registration.
(Required)
$60.00 One student per family
$110.00 Two students per family
$150.00 Three or more students per family
$75 Sacramental fee (for student receiving the Sacrament of First Penance, First Communion or Confirmation in 2024-2025 only)
I understand and agree that in order to provide the necessary material to children and parents for the program, parents must contribute for the formation of their children according to the following schedule: *** No refunds on registration after October 2, 2024
Permission for Image Disclosure of the Child
(Required)
Yes, I would like to authorize it.
No, I do NOT authorize it.
Please let us know if you authorize or do not authorize the use of the image of your child, by the Faith Formation department of St. Catherine of Siena Parish.
Permission for image disclosure.
(Required)
I agree to authorize.
Yes, I DO authorize the Faith Formation department of St. Catherine of Siena Parish, in Kissimmee, FL to take photos, videos or any type of recording of my child to be used in the Parish Bulletin, Parish Website, or any other parish form. I waive from any claims, and release all the staff members, volunteers of St. Catherine of Siena Catholic Church in Kissimmee, FL, and/or the Diocese of Orlando, weather former, future, or current, from any and all claims, actions, cause of actions, suits, costs, expenses, liabilities, or/and damages.
Student Information
SPECIAL NOTE: Students must complete a prior year of formation before registering for First Communion or Confirmation Preparation.
Student's Name
(Required)
First
Last
Gender
(Required)
Male
Female
Date of Birth
(Required)
MM slash DD slash YYYY
Age
(Required)
Place of birth
(Required)
Please provide City, State, and Country.
Medical Information
(Required)
Indicate any medical conditions your child may have. Please write “N/A” if there is no information to provide.
Nature of Disability- Check all apply.
Autism
Asperger’s (High Functioning Autism)
Down’s Syndrome
ADHD
Anxiety
Other
Grade Entering in 2024-2025
(Required)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Special Needs
School Attending
(Required)
Did this child attend Faith Formation program last year?
(Required)
Yes
No -Never had Faith Formation before
Moved from another parish
What Parish did your child attend Faith Formation?
Child resides with:
(Required)
Father and mother
Mother only
Father only
mother and stepfather
Father and stepmother
Other
If a court order is in effect that establishes custodial parental rights of the children specifically addressing religious issues, please provide a copy.
Student Sacramental History
Sacraments Received
(Required)
Baptism
First Holy Communion
Confirmation
What sacraments has the child already celebrated? (please provide a copy of certificates of every sacrament received)
Copy of Certificates
Drop files here or
Select files
Max. file size: 200 MB.
Date of Baptism
(Required)
MM slash DD slash YYYY
Church Name (Baptism)
(Required)
Please provide us with a copy of your Baptism Certificate.
Church Address (Baptism)
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Is child's baptism certificate on file?
(Required)
Yes
No
Please submit a copy of child’s baptism certificate to St. Catherine of Siena if not already on file.
Will student make First Communion this year?
(Required)
Yes
No
SPECIAL NOTE: Students must complete a prior year of formation before registering for First Communion.
Will student make First Reconciliations this year?
(Required)
Yes
No
SPECIAL NOTE: Students must complete a prior year of formation before registering for First Communion.
Will student make Confirmation this year?
(Required)
Yes
No
SPECIAL NOTE: Students must complete a prior year of formation before registering for Confirmation.
Faith Formation Class Schedule
Class Choices
(Required)
Monday- 6:00 pm- 7:00 pm
Wednesday- 6:00 pm- 7:00 pm
Emergency Contact Information
Important: Used in the event a parent/legal guardian cannot be reached.
Primary Emergency Contact
(Required)
First
Last
Relationship to Student or parent/Legal Guardian
(Required)
Primary Phone number
(Required)
Do you wish to register another child?
(Required)
Yes
No
Student Information
SPECIAL NOTE: Students must complete a prior year of formation before registering for First Communion or Confirmation Preparation.
Student's Name
(Required)
First
Last
Gender
(Required)
Male
Female
Date of Birth
(Required)
MM slash DD slash YYYY
Age
(Required)
Place of birth
(Required)
Please provide City, State, and Country.
Medical Information
(Required)
Indicate any medical conditions your child may have. Please write “N/A” if there is no information to provide.
Nature of Disability- Check all apply.
Autism
Asperger’s (High Functioning Autism)
Down’s Syndrome
ADHD
Anxiety
Other
Grade Entering in 2024-2025
(Required)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
School Attending
(Required)
Did this child attend Faith Formation program last year?
(Required)
Yes
No -Never had Faith Formation before
Moved from another parish
What Parish did your child attend Faith Formation?
Child resides with:
(Required)
Father and mother
Mother only
Father only
mother and stepfather
Father and stepmother
Other
If a court order is in effect that establishes custodial parental rights of the children specifically addressing religious issues, please provide a copy.
Student Sacramental History
Sacraments Received
(Required)
Baptism
First Holy Communion
Confirmation
What sacraments has the child already celebrated? (please provide a copy of certificates of every sacrament received)
Copy of Certificates
Drop files here or
Select files
Max. file size: 200 MB.
Date of Baptism
(Required)
MM slash DD slash YYYY
Church Name (Baptism)
(Required)
Please provide us with a copy of your Baptism Certificate.
Church Address (Baptism)
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Is child's baptism certificate on file?
(Required)
Yes
No
Please submit a copy of child’s baptism certificate to St. Catherine of Siena if not already on file.
Will student make First Communion this year?
(Required)
Yes
No
SPECIAL NOTE: Students must complete a prior year of formation before registering for First Communion.
Will student make First Reconciliations this year?
(Required)
Yes
No
SPECIAL NOTE: Students must complete a prior year of formation before registering for First Communion.
Will student make Confirmation this year?
(Required)
Yes
No
SPECIAL NOTE: Students must complete a prior year of formation before registering for Confirmation.