Student Registration

Student Registration Form
for Faith Formation and Youth Ministry

Please fill out the following form to register. Families must be registered parishioners. If not, please provide a letter of permission from your local parish.

Note: By clicking submit, I commit to attending Saturday vigil / Sunday Mass, holy days of obligation, and attend mandatory gatherings and retreat(s), as part of fulfilling the requirements of Diocesan expectations for curriculum, (and complete volunteer work for the sacrament of Confirmation).

Teens only: I give the Youth MInistry permission to email and text my teen regarding church events andor any information pertaining to the Confirnation program.

Please pay via check (Attn: Mission San Diego, Memo: Faith Formation) or cash in an envelope (Attn: Mission San Diego, Memo: Faith Formation). Envelopes may be returned to the parish by way of the usual collection baskets, the Visitor Center and Gift Shop, or the US Mail.

Student's full name

Date of Birth

Age

Sex

Home address

City

Zip code

Home phone

Baptized

1st Holy Communion (date, church)

Confirmation (date, church)

New Field:

Grade

Student is enrolling into ...

Father cell phone

Father email

Father religion

Mother full name

Mother cell phone

Mother email

Mother religion

Medical emergency (allergies or problems)

Specific medical info

Emergency contact name

Emergency contact phone

Authorized person (s) to pick up student

Emergency medical treatment permission

Photo and video release authorization

Medical administration authorization

Participation and code of coduct agreement student

Participation and code of coduct agreement parent guardian

Does student have an IEP?

Are there any physical or mental limitations you would like us to be aware of?

Parent agrees

Parent date

Student agrees

Student date

All families must be registered at Mission Basilica San Diego de Alcalá. Otherwise, they must provide a letter from their pastor at their local church that gives them permission to have their child receive faith formation at Mission San Diego de Alcalá.

Student Registration