Form Testing

Full Name (required)

Preferred Name / Nickname

Candidate's Phone (required)

Street Address (required)

City (required)

State (required)

Zip Code (required)

Candidate's Email (required)

Date of Birth (required)

Place of Birth (required)

Candidate's School (required)

Grade (required)

Preferred Gender Pronoun (required)

List of Allergies (required)

Guardian 1 (mother, father, stepmother, grandmother, etc)

Guardian 1 Name

Guardian 1 Occupation

Guardian 1 Faith Tradition

Guardian 1 is a member of...

Guardian 2 (mother, father, stepmother, grandmother, etc)

Guardian 2 Name

Guardian 2 Occupation

Guardian 2 Faith Tradition

Guardian 2 is a member of...

Student lives with...

Emergency Contact: Name

Emergency Contact Relationship

Emergency Contact Phone Number

Godparents

Baptised? (Check box if answer is YES)
Yes

Church where Baptised

Date of Baptism

Baptism City

Baptism State

Which liturgies and activities do you participate in? Please check the "YES" box for all that apply.
Eucharist 8AM
Yes

Eucharist 10AM
Yes

Eucharist 5PM
Yes

Church School
Yes

Youth Group
Yes

Diocesan Camp & Retreats
Yes

St. Matthew Retreats
Yes

Other Activities
Yes