FAITH FORMATION REGISTRATION

(337) 235-4618 | 818 12TH St., Lafayette La, 70501

Child (Children’s) Last Name:

Father Information

Father

Religion

Marital Status

Married
Single
Divorced

Father’s Address

Father’s Zip

Father’s Email

Father’s Phone

Mother Information

Mother

Religion

Marital Status

Married
Single
Divorced

Check if Same as Father’s Address

Mother's Address

Mother's Zip

Mother's Email

Mother's Phone

Emergency Contact

Phone

Are you a registered Parishioner?

I understand all fees are non-refundable. If your child(ren) is recieving a Sacrament (First Communion / Confirmation) there is an additional fee. Please contact Lana Pierre to take care of this payment.*