Christian Formation 9 - 12 Registration - St. Andrew's Catholic Church

Parent Name (First and Last Name) REQUIRED Please fill out this field. Please enter valid data.

Student Name (First and Last) REQUIRED Please fill out this field. Please enter valid data.

Student Preferred Name Please enter valid data.

Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number (Parent) REQUIRED Please fill out this field. Please enter a phone number.

Email (Parent) REQUIRED Please fill out this field. Please enter an email address.

Email (Student- part of group email only)(not required) Please enter an email address.

Student Date of Birth REQUIRED Please fill out this field. Please enter a date.

Are you a registered Parishioner of St. Andrew? REQUIRED Please fill out this field.

What school do you attend? REQUIRED Please fill out this field. Please enter valid data.

Grade (grade rising to in the fall) REQUIRED 9th Grade 10th Grade 11th Grade 12th Grade Please fill out this field.

What Sacraments have your received? (check all that apply) REQUIRED Baptism Reconciliation Eucharist Confirmation haven't received any Sacraments Please fill out this field.

Sacramental Prep REQUIRED Please fill out this field.

Payment:

Early Registration closes on 8/15/23. If submitting payment on or before that date, the fee is $35; if after that date, the fee is $40.
Make checks payable to St. Andrew's Catholic Church. Drop off at office or mail to 631 N Jefferson St. Roanoke, VA 24016 Attn: Christian Formation. Please note students name and grade in memo section.
Pay online using 'Online Giving'. Note students name in Special Intentions section.

I have paid: REQUIRED by check online through 'On-Line Giving' requesting confidential financial assistance Please fill out this field.

Any additional comments