2026-2027 Family Faith Formation and Sacramental Prep Registration

Registered Family Last Name REQUIRED Please fill out this field. Please enter valid data.

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

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

Father's Full Legal Name

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Father's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

Mother's Full Legal Name:

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Mother's Maiden Name: REQUIRED Please fill out this field. Please enter valid data.
Mother's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

Marital Status: REQUIRED Married Single Separated Divorced Widowed Please fill out this field.

Child Custody: REQUIRED Father Mother Both Legal Guardian (Documentation Required) Please fill out this field.

Family Home 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.

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

Secondary Email (to receive communications - optional) Please enter an email address.

Authorized Family Pick-Up Contacts: Please include name, relationship and phone number.

Emergency Contact

In the event of an emergency, if you are unable to reach me at the above number, contact
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

Are you interested in volunteering in a classroom? Yes (requires Diocesan Background Clearance) No I need more information

Medical Matters

Medical Matters
Diocese of St. Augustine
Catholic Center
11625 Old St. Augustine Rd.
Jacksonville, Fl 32258
To my knowledge, my child is in good health, and I assume all responsibility for the health of my child.
In the event of an emergency, I hereby give permission to Diocese of St. Augustine's employees, volunteers, or representatives to seek medical treatment for my child above named. In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the Diocesan representatives or volunteers to hospitalize, secure proper treatment for, and order injection and/or anesthesia and/or surgery for my child above named.
Medical Matters REQUIRED Agree Disagree Please fill out this field.

Media Release

Diocese of St. Augustine |Photography and Media Release Form for Minor Children

Without compensation, I hereby grant the Catholic Diocese of St. Augustine (the “Diocese of St. Augustine”), its ministries, parishes, schools and other affiliated entities, permission to record my child’s appearance, physical likeness and/or voice on videotape, on film, or digital video disk, or other means, and/or take photographs of my child. Notwithstanding any prohibition as may be contained in Section 540.08, Florida Statutes, I hereby freely and voluntarily consent to the use, reproduction, and distribution of photographs, video recordings or other media capturing my child’s image, physical likeness, or voice for an indefinite period of time or until such time I expressly revoke my consent in writing. These materials may include, but are not limited to news, editorial content, publications, promotional materials, electronic media (websites, social media channels, podcasts, videos), and/or printed brochures.
In addition, I understand and agree that:

* The Diocese of St. Augustine, its ministries, parishes, schools, and other affiliated entities may alter, edit or modify these materials as needed, without restriction.
* The Diocese of St. Augustine retains the sole ownership and right to copyright any such materials.
* My consent is voluntary, and I waive any rights to inspect or approve the finished products or the specific use of such materials.

I agree to hold the Diocese of St. Augustine, the Bishop of the Diocese of St. Augustine, its employees and agents, and any media outlet or representatives involved in the creation of distribution of the materials harmless against claim, liability, loss, or damage caused by, or arising from any claims, demands or liability arising from or related the creation, use, production, or distribution of these materials. This Photography and Media Release Form for Minor Children is binding and applies to any claims of defamation, invasion of privacy, or rights of publicity. I have read this Photography and Media Release Form for Minor Children before signing and fully understand the contents, meaning, and impact of this release. I understand that I am free to address any specific questions and have done so prior to signing this release.

Diocese of St. Augustine Catholic Center Last updated: 2/6/25
Address: 11625 Old St. Augustine Road, Jacksonville, FL 32258
Phone: (904) 262-3200
Media Release REQUIRED I Agree I Disagree Please fill out this field.

Signature

After you click SUBMIT below, the form will take you to our payment page, please use the Family Faith Formation button to complete online payment. Thank you!

Family Faith Formation		First Sacraments (Reconciliation & Eucharist)		Confirmation
Family with 1 child: $65 Family with 2 children: $100 Family with 3+ children: $130		$50 per child (add this to the Family Faith Formation fee unless your child attends a Catholic school)		$125 per child