The Blood Drive scheduled for Sept 28th has been cancelled. We will try again in December.

Faith Formation Registration 2021-2022


Please fill out the following form and submit it on the website. Payment options will be found on the thank you page. If payment is a hardship, please contact Anna Steele at anna.steele@dor.org to make arrangements. Thank you!

Contact Information
Fee Information There is a fee of $65 for one child, $90 for two children and each additional child is $15. Please be sure to add up how much you will owe. Follow the payment link found on the thank you page and enter in that amount when paying. If you would prefer to pay by check or with cash, please make checks payable to: St. Martin de Porres and put Faith Formation in the memo field. Cash and checks can be mailed or dropped off at the church office. Thank you and contact Anna Steele with any questions at anna.steele@dor.org
Are you registered parishioners at St. Martin de Porres?
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Register Now If you would like to register now, please follow the link: https://www.stmartinrochester.org/_modules/form.php?id=27
Last Name
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Address
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Father's Name
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Mother's Name
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Primary Phone --
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Do you text?
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Secondary Phone --
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Email
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Preferred Method of Contact
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Choose one or more
Required Information
Emergency Contact Name
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Emergency Contact Relationship
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Emergency Phone Number --
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Other than parent/guardian, please give us the name of anyone allowed to pick your child(ren) up
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Relationship to Child(ren)
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Phone Number of Contact --
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Health Insurance Information
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Policy Holder Name
Health Insurance Company
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Policy Number
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Family Physician/Clinic
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Phone Number of Physician --
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Health Insurance Release In signing this health form, I hereby certify that the above information is correct and give permission for my child to be transported by ambulance for medical emergency purposes only, and for the release of medical records to an attending physician in case of illness. In case of medication emergency, I understand that every effort will be made to contact the parents or guardian. In the event that I cannot be reached, I hereby give permission to the physician selected to secure proper treatment for my child(ren) named herein.
Sunscreen and Bug Spray Permission New York State Law: Each children's overnight camp, summer day camp, and traveling summer day camp shall allow children attending such camp to carry and use topical sunscreen and bug spray products approved by the Federal Food and Drug Administration for over-the-counter use for the purpose of avoiding overexposure to the sun, as well as avoiding bug bites, and not for medical treatment of any injury or illness, with the permission of the parent or guardian of the child(ren). A record of such permission shall be maintained by the camp. A child who is unable to physically apply sunscreen or bug spray products may be assisted by unlicensed personnel when directed to do so by the child., if permission by a parent or guardian and authorized by the camp.
Permission
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Select all that apply.
Signature of Parent/Guardian
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Please enter your full name in the box given to give permission.
Child 1
Child's Name
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Birth Date //
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Gender
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Grade Entering '21-'22
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Sacraments Completed
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If not completed at St. Martin de Porres, please provide a copy of the certificate. If you need to register for Sacraments, please follow this link: https://www.stmartinrochester.org/_modules/form.php?id=70
Has child been registered in our Faith Formation program?
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Will your child be attending the Summer Intensive in person?
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The Summer Intensive runs from Monday, August 9th-Friday, August 13th.
Do you need the materials and assistance to complete the Summer Intensive at home?
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Class Choice
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In addition to the Summer Intensive, please choose at least one option.
Special Needs/Medication
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Please list child's name & needs. Send procedure plan to parish office if needed.
My child needs help applying sunscreen/bug spray
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Child 2
Child's Name
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Birth Date //
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Gender
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Grade Entering '21-'22
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Sacraments Completed
  •  
If not completed at St. Martin de Porres, please provide a copy of the certificate. If you need to register for Sacraments, please follow this link: https://www.stmartinrochester.org/_modules/form.php?id=70
Has child been registered in our Faith Formation program?
  •  
Will your child be attending the Summer Intensive in person?
  •  
The Summer Intensive runs from Monday, August 9th to Friday, August 13th
Do you need the materials and assistance to complete the Summer Intensive at home?
  •  
Class Choice
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In addition to the Summer Intensive, please choose at least one option.
Special Needs/Medication
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My child needs help applying sunscreen/bug spray
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Child 3
Child's Name
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Birth Date //
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Gender
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Grade Entering '21-'22
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Sacraments Completed
  •  
If not completed at St. Martin de Porres, please provide a copy of the certificate. If you need to register for Sacraments, please follow this link: https://www.stmartinrochester.org/_modules/form.php?id=70
Has child been registered in our Faith Formation program?
  •  
Will your child be attending the Summer Intensive in person?
  •  
The Summer Intensive runs from Monday, August 9th to Friday, August 13th.
Do you need the materials and assistance to complete the Summer Intensive at home?
  •  
Class Choice
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In addition to the Summer Intensive, please choose at least one option.
Special Needs/Medication
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My child needs help applying sunscreen/bug spray
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Child 4
Child's Name
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Birth Date //
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Gender
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Grade Entering '21-'22
  •  
Sacraments Completed
  •  
If not completed at St. Martin de Porres, please provide a copy of the certificate. If you need to register for Sacraments, please follow this link: https://www.stmartinrochester.org/_modules/form.php?id=70
Has child been registered in our Faith Formation program?
  •  
Will your child be attending the Summer Intensive in person?
  •  
The Summer Intensive runs from Monday, August 9th to Friday, August 13th.
Do you need the materials and assistance to complete the Summer Intensive at home?
  •  
Class Choice
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In addition to the Summer Program, please choose at least one option.
Special Needs/Medication
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My child needs help applying sunscreen/bug spray
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Child 5
Child's Name
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Birth Date //
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Gender
  •  
Grade Entering '21-'22
  •  
Sacraments Completed
  •  
If not completed at St. Martin de Porres, please provide a copy of the certificate. If you need to register for Sacraments, please follow this link: https://www.stmartinrochester.org/_modules/form.php?id=70
Has child been registered in our Faith Formation program?
  •  
Will your child be attending the Summer Intensive in person?
  •  
The Summer Intensive runs from Monday, August 9th to Friday, August 13th.
Do you need the materials and assistance to complete the Summer Intensive at home?
  •  
Class Choice
  •  
In addition to the Summer Intensive, please choose at least one option.
Special Needs/Medication
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My child needs help applying sunscreen/bug spray
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Photo Release
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I hereby grant permission to St. Martin de Porres Parish to use photographs and/or video of my child(ren) in publications, news releases, online, and in other communications related to the mission of the Faith Formation Department of the Parish of St. Martin de Porres.
Parent Signature
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Parent Signature
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Please enter your full name.
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