Flocknote Facebook

Faith Formation/Youth Registration Form

- eCommunity
Faith Formation Forms
- 20-21 Registration Form
Contact Us
- Adrian Johnson
  
  Director of Religious Education
  
  806-655-3302
  ajohnsonstannsofcanyon.org
- Joshua Dutchover
  
  Director of Youth Ministry
  
  jdutchoverstannsofcanyon.org

Due to the pandemic, St. Ann's Faith Formation program will consist of a family catechesis curriculum called A Family of Faith. Parents will have the opportunity to teach the faith to their children at home! This curriculum is designed for K-8^th grade but many activities are appropriate for high school students as well. High school students interested in the online option (catholic.social) for Faith Formation should fill out the registration form below and contact Adrian Johnson or Joshua Dutchover.

*Fees are $15 for families with one student, $25 for two students, and $30 for three or more students. Anyone needing financial assistance should contact Adrian Johnson.
Parent Contact
The maximum number of form submissions has been reached. This form is currently not available.
- *If your household has special circumstances due to COVID-19 and/or concerns about teaching the faith at home, please contact Adrian Johnson at ajohnson@stannsofcanyon.org. We are here to help and support parents. Please do not hesitate to reach out!
- Mother's Information:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Father's Information:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- 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.
- Emergency Contact:
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's/Children's Information
- Number of Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 13
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 14
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
  
  Child 15
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED
  Please input date in MM/DD/YYYY format
  Please fill out this field. Please enter valid data.
  
  Sacraments Received
  Please check the sacraments that your child has already celebrated.
  None Baptism First Reconciliation First Eucharist Confirmation
  
  Current School Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field.
  
  Teen Cell Phone: Please enter a phone number.
  
  Teen Email: Please enter an email address.
  
  Allergies REQUIRED Yes None Please fill out this field.
  
  If Yes, please specify: Please enter valid data.
- Safe Environment Training
- All minors in Faith Formation and Youth Ministry are required to receive Safe Environment Training, either from the parish, or from their parents. There will be a training provided during the school year by the parish but, if your child is unable to participate, the training materials will be sent to the parents. The material discussed in the training helps teach your child how to stay safe and what to do if he/she is put in an inappropriate situation. Parents may and are encouraged to particpate in the training. Please indicate whether you give the parish of St. Ann's in Canyon permission to give your child Safe Environment Training.
- Safe Environment Training Permission REQUIRED Please fill out this field.
- Photography/Videography Waiver
- I, we understand that video or pictures may be taken of our child/children and used for advertising, promotions, and public relations purposes. Examples being, but not limited to, bulletin boards, flyers, videos, virtual meetings, slide shows, Facebook, Insatgram, and the website of St. Ann's Parish. First names only will be posted on the website. I, we further understand that we are not entitled to any compensation if a picture is used. Please select one of the following options indicating whether you grant or do not grant permission for the use of your child's/children's pictures and sign below.
- Photography/Videography Waiver REQUIRED Please fill out this field.
- By typing my name below, I confirm the above permissions or restrictions I have indicated and I understand that typing in my name is the equivalent of my signature.
- E-Signature REQUIRED Please fill out this field. Please enter valid data.
- Registration Fee REQUIRED Please fill out this field.
Total:

Submit

Proceed to Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Faith Formation/Youth Registration Form

Faith Formation Forms

Contact Us

Parent Contact

Child's/Children's Information

St. Joseph's School

Contact

Register