Mid Mon Valley Region Faith Formation Registration 2025-2026

Please fill in all of the required information below to register. Once submitted, you will redirected to the payment form and a link will also be emailed to you. If needed, you can also access the payment form by clicking here.

Name of person filling out form(Required)

First Last

Relationship to child(Required)

Family Information

Registered Parish(Required)

Mom

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Do you receive text messages?(Required)

Yes

Email address (you check regularly)(Required)

Dad

Address same as Mom's?

Address is same as Mom’s

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Do you receive text messages?(Required)

Yes

Email address (you check regularly)(Required)

Legal Guardian

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Do you receive text messages?(Required)

Yes

Email address (you check regularly)(Required)

With whom does the child(ren) reside?(Required)

Are there any custody arrangements we should be aware of?(Required)

Yes

Emergency Contact other than parent/legal guardian

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Relationship to Child(ren)(Required)

Children

Child #1

Name(Required)

First Last

Gender(Required)

Birthday(Required)

Grade(Required)

School(Required)

Food Allergies

Other Allergies

Medical Issues

Learning Disabilities

Physical Disabilities

Sacraments

Baptism – Where

Baptism – When

Reconciliation – Where

Reconciliation – When

Eucharist – Where

Eucharist – When

Confirmation – Where

Confirmation – When

Program Choice

Registration fees for programs are: 1 child = $40, 2 children = $70, 3 children or more = $100 (flat fees, not per child).

Kindergarten Through 5th Grade — Please choose the best option that fits your child’s schedule. Please note that the school year for the younger grades will run from September 7th through May 19th. With a longer break during the winter: December 15th through February 14th .

Please select program option for your Pre-K through 5th grader(Required)

NOTE: More sub-options are available once a program is selected.

Please select a Weekly Traditional option(Required)

Please select a Catechesis of the Good Shepherd option(Required)

Select a Catechesis of the Good Shepherd age level(Required)

Home study – Will receive the same program that in-person traditional does, however they will have to complete online lessons to show proof of participation for Grades 1st – 5th. They are to keep up with the schedule for the region and are strongly encouraged to choose a supplemental activity to attend and/or help at least Mass once a month, if of the age to altar serve, or be part of the choir.

Kindergarten book study and packets
1st through 5th online

Supplemental Activities (optional)
Extra activities that are optional for K-5th grade students. These activities are made to enrich their faith experience and build a stronger sense of community. These are not required.

Select Supplemental Activity(ies), if desired (optional)

Book Club – 1st Tuesday of the Month 6pm-7pm at Epiphany of Our Lord

Saints Club – 3rd Tuesday of the Month 6pm-7pm at Holy Family

Upper Grades (6th-12th)

Please select a program option for your 6th-12th grader(Required)

Sacrament Preparation

Registration fee is $25 per child.

Please select if you are registering your child for Sacrament Preparation

Add Child 2

ADD ANOTHER CHILD

(Check box to add a second child. WARNING: unchecking this box will erase ALL children entered below this point.)

Child #2

Name(Required)

First Last

Gender(Required)

Birthday(Required)

Grade(Required)

School(Required)

Food Allergies

Other Allergies

Medical Issues

Learning Disabilities

Physical Disabilities

Sacraments

Baptism – Where

Baptism – When

Reconciliation – Where

Reconciliation – When

Eucharist – Where

Eucharist – When

Confirmation – Where

Confirmation – When

Program Choice

Registration fees for programs are: 1 child = $40, 2 children = $70, 3 children or more = $100 (flat fees, not per child).

Please select program option for your Pre-K through 5th grader(Required)

NOTE: More sub-options are available once a program is selected.

Please select a Weekly Traditional option(Required)

Please select a Catechesis of the Good Shepherd option(Required)

Select a Catechesis of the Good Shepherd age level(Required)

Kindergarten book study and packets
1st through 5th online

Select Supplemental Activity(ies), if desired (optional)

Book Club – 1st Tuesday of the Month 6pm-7pm at Epiphany of Our Lord

Saints Club – 3rd Tuesday of the Month 6pm-7pm at Holy Family

Upper Grades (6th-12th)

Please select a program option for your 6th-12th grader(Required)

Sacrament Preparation

Registration fee is $25 per child.

Please select if you are registering your child for Sacrament Preparation

Add Child 3

ADD ANOTHER CHILD

(Check box to add a third child. WARNING: unchecking this box will erase ALL children entered below this point.)

Child #3

Name(Required)

First Last

Gender(Required)

Birthday(Required)

Grade(Required)

School(Required)

Food Allergies

Other Allergies

Medical Issues

Learning Disabilities

Physical Disabilities

Sacraments

Baptism – Where

Baptism – When

Reconciliation – Where

Reconciliation – When

Eucharist – Where

Eucharist – When

Confirmation – Where

Confirmation – When

Program Choice

Registration fees for programs are: 1 child = $40, 2 children = $70, 3 children or more = $100 (flat fees, not per child).

Please select program option for your Pre-K through 5th grader(Required)

NOTE: More sub-options are available once a program is selected.

Please select a Weekly Traditional option(Required)

Please select a Catechesis of the Good Shepherd option(Required)

Select a Catechesis of the Good Shepherd age level(Required)

Kindergarten book study and packets
1st through 5th online

Select Supplemental Activity(ies), if desired (optional)

Book Club – 1st Tuesday of the Month 6pm-7pm at Epiphany of Our Lord

Saints Club – 3rd Tuesday of the Month 6pm-7pm at Holy Family

Upper Grades (6th-12th)

Please select a program option for your 6th-12th grader(Required)

Sacrament Preparation

Registration fee is $25 per child.

Please select if you are registering your child for Sacrament Preparation

Add Child 4

ADD ANOTHER CHILD

(Check box to add a fourth child. WARNING: unchecking this box will erase ALL children entered below this point.)

Child #4

Name(Required)

First Last

Gender(Required)

Birthday(Required)

Grade(Required)

School(Required)

Food Allergies

Other Allergies

Medical Issues

Learning Disabilities

Physical Disabilities

Sacraments

Baptism – Where

Baptism – When

Reconciliation – Where

Reconciliation – When

Eucharist – Where

Eucharist – When

Confirmation – Where

Confirmation – When

Program Choice

Registration fees for programs are: 1 child = $40, 2 children = $70, 3 children or more = $100 (flat fees, not per child).

Please select program option for your Pre-K through 5th grader(Required)

NOTE: More sub-options are available once a program is selected.

Please select a Weekly Traditional option(Required)

Please select a Catechesis of the Good Shepherd option(Required)

Select a Catechesis of the Good Shepherd age level(Required)

Kindergarten book study and packets
1st through 5th online

Select Supplemental Activity(ies), if desired (optional)

Book Club – 1st Tuesday of the Month 6pm-7pm at Epiphany of Our Lord

Saints Club – 3rd Tuesday of the Month 6pm-7pm at Holy Family

Upper Grades (6th-12th)

Please select a program option for your 6th-12th grader(Required)

Sacrament Preparation

Registration fee is $25 per child.

Please select if you are registering your child for Sacrament Preparation

Add Child 5

ADD ANOTHER CHILD

(Check box to add a fifth child. WARNING: unchecking this box will erase ALL children entered below this point.)

Child #5

Name(Required)

First Last

Gender(Required)

Birthday(Required)

Grade(Required)

School(Required)

Food Allergies

Other Allergies

Medical Issues

Learning Disabilities

Physical Disabilities

Sacraments

Baptism – Where

Baptism – When

Reconciliation – Where

Reconciliation – When

Eucharist – Where

Eucharist – When

Confirmation – Where

Confirmation – When

Program Choice

Registration fees for programs are: 1 child = $40, 2 children = $70, 3 children or more = $100 (flat fees, not per child).

Please select program option for your Pre-K through 5th grader(Required)

NOTE: More sub-options are available once a program is selected.

Please select a Weekly Traditional option(Required)

Please select a Catechesis of the Good Shepherd option(Required)

Select a Catechesis of the Good Shepherd age level(Required)

Kindergarten book study and packets
1st through 5th online

Select Supplemental Activity(ies), if desired (optional)

Book Club – 1st Tuesday of the Month 6pm-7pm at Epiphany of Our Lord

Saints Club – 3rd Tuesday of the Month 6pm-7pm at Holy Family

Upper Grades (6th-12th)

Please select a program option for your 6th-12th grader(Required)

Sacrament Preparation

Registration fee is $25 per child.

Please select if you are registering your child for Sacrament Preparation

Add Child 6

ADD ANOTHER CHILD

(Check box to add a sixth child. WARNING: unchecking this box will erase ALL children entered below this point.)

Child #6

Name(Required)

First Last

Gender(Required)

Birthday(Required)

Grade(Required)

School(Required)

Food Allergies

Other Allergies

Medical Issues

Learning Disabilities

Physical Disabilities

Sacraments

Baptism – Where

Baptism – When

Reconciliation – Where

Reconciliation – When

Eucharist – Where

Eucharist – When

Confirmation – Where

Confirmation – When

Program Choice

Registration fees for programs are: 1 child = $40, 2 children = $70, 3 children or more = $100 (flat fees, not per child).

Please select program option for your Pre-K through 5th grader(Required)

NOTE: More sub-options are available once a program is selected.

Please select a Weekly Traditional option(Required)

Please select a Catechesis of the Good Shepherd option(Required)

Select a Catechesis of the Good Shepherd age level(Required)

Kindergarten book study and packets
1st through 5th online

Select Supplemental Activity(ies), if desired (optional)

Book Club – 1st Tuesday of the Month 6pm-7pm at Epiphany of Our Lord

Saints Club – 3rd Tuesday of the Month 6pm-7pm at Holy Family

Upper Grades (6th-12th)

Please select a program option for your 6th-12th grader(Required)

Sacrament Preparation

Registration fee is $25 per child.

Please select if you are registering your child for Sacrament Preparation

PAYMENT

Once you have successfully completed this form and all required fields you can click Submit below and it will automatically redirect you to the payment form to complete your payment. You will also receive an email confirmation that contains a link to this same payment form in case you close your browser and need to get back to it.

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