• The maximum number of form submissions has been reached. This form is currently not available.

  • Session: Fall Summer
  • Church Affiliation: St. James St. Philip Our Lady of Peace
  • Father's Name Please enter valid data.
  • Mailing Address Please enter valid data.
  • Physical Address (if not the same as mailing address) Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • Phone: cell home work
  • Phone Number Maximum 20 characters Please enter a phone number.
  • Phone: home cell work
  • Email Please enter an email address.
  • Mother's name Please enter valid data.
  • Mailing Address Please enter valid data.
  • Physical Address - (if not the same as mailing address) Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • Phone: cell home work
  • Phone Number Maximum 20 characters Please enter a phone number.
  • Phone: home cell work
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Parents are married not married separated divorced
  • Primary Contact For Communications: Any changes to schedule/announcements are sent via text through Flocknote message service Check all that apply: Mother Father Other:
  • Please specify other: Please enter valid data.
  • • Student Information: Please select number of students from the drop-down menu: REQUIRED Please fill out this field.
    • Student 1
      • Last Name Please enter valid data.
      • First Name Please enter valid data.
      • Middle Name Please enter valid data.
      • Date of Birth Please enter valid data.
      • Orientation: Male Female
      • Religion Grade for 2023-24 Grade 1 Grade 2 Grade 3  Grade 4 Grade 5 Grade 6 Grade 7  Grade 8 Grade 9 Grade 10 Grade 11
    • Student 2
      • Last Name Please enter valid data.
      • First Name Please enter valid data.
      • Middle Name Please enter valid data.
      • Date of Birth Please enter valid data.
      • Orientation: Male Female
      • Religion Grade for 2023-24 Grade 1 Grade 2 Grade 3  Grade 4 Grade 5 Grade 6 Grade 7  Grade 8 Grade 9 Grade 10 Grade 11
    • Student 3
      • Last Name Please enter valid data.
      • First Name Please enter valid data.
      • Middle Name Please enter valid data.
      • Date of Birth Please enter valid data.
      • Orientation: Male Female
      • Religion Grade for 2023-24 Grade 1 Grade 2 Grade 3  Grade 4 Grade 5 Grade 6 Grade 7  Grade 8 Grade 9 Grade 10 Grade 11
    • Student 4
      • Last Name Please enter valid data.
      • First Name Please enter valid data.
      • Middle Name Please enter valid data.
      • Date of Birth Please enter valid data.
      • Orientation: Male Female
      • Religion Grade for 2023-24 Grade 1 Grade 2 Grade 3  Grade 4 Grade 5 Grade 6 Grade 7  Grade 8 Grade 9 Grade 10 Grade 11
    • Student 5
      • Last Name Please enter valid data.
      • First Name Please enter valid data.
      • Middle Name Please enter valid data.
      • Date of Birth Please enter valid data.
      • Orientation: Male Female
      • Religion Grade for 2023-24 Grade 1 Grade 2 Grade 3  Grade 4 Grade 5 Grade 6 Grade 7  Grade 8 Grade 9 Grade 10 Grade 11
  • School student attends: REQUIRED Please fill out this field. Please enter valid data.
  • Special Needs: Please enter valid data.
  • Student lives with: Both Parents Mother Father Grandparents Other
  • Please specify other: Please enter valid data.
  • Permissions
  • Flocknote options: REQUIRED Use Flocknote Opt out of Flocknote - if you choose this option you will not receive updates on class cancellations, or other pertinent information. Please fill out this field.
  • I nearby grant permission to The Catholic Church of West St. James Parish (Cane Catholics) to photograph, videotape, and/or record my child's voice and to use any photographs, videotapes or recordings in church publications or on the website. REQUIRED Please fill out this field. Please enter valid data.
  • The following people (other than parents/guardian) are authorized to pick up my child/children from Faith Formation: Please enter valid data.
  • Name Please enter valid data.
  • Name Please enter valid data.
  • Name Please enter valid data.
  • Name of Emergency Contact: (other than the parent) REQUIRED Please fill out this field. Please enter valid data.
  • Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • Relationship REQUIRED Please fill out this field. Please enter valid data.
  • Fees: REQUIRED

    40.0 –  1 child  - Grades 1, 3-10

    70.0 –  2 children - Grades 1. 3-10

    90.0 –  3 or More Children - Grades 1. 3-10

    55.0 –  2nd Grade - First Communion Class

    15.0 –  2nd Grade -First Communion - Catholic School - Sacramental Prep Only

    65.0 –  Confirmation = 11th Grade Please fill out this field.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • By initialing this box I am acknowledging that all of the information contained here is true and correct. REQUIRED Please fill out this field. Please enter valid data.

  Total:

  Submit

  Proceed to Payment

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