Faith Formation 2023-2024 Class Registration
Please email the completed form and a copy of the Baptism Certificate* to:
secretary@saintpatrickmystic.org
Child’s Name: ______________________________________________________________________________
First Middle Last
______Male _______Female
Date of Birth: ___________________________________
Place of Birth: ___________________________________
Date of Baptism: ________________________________
Church where child was Baptized: ________________________________________*
What grade is the child in_________________
Father’s Name ____________________________________________________________
Religion: _______________________________________________________
Mother’s First and Maiden Name: _________________________________________
Religion: ________________________________________________________
Church where parents were married: ______________________________________
Residence: ____________________________________________________________
Telephone Number: ___________________________ Email: ___________________________________
*A copy of the child’s Baptism Certificate is required if he/she was not baptized at
Saint Patrick Church, Mystic