Enrollment form for Children's Faith Formation

Privacy Statement: At Star of the Sea Church, we take your right to privacy seriously. Any information that you submit to Star of the Sea will only be used for the purpose for which you are submitting such information. Any information about you will be stored in a secure database that is not shared with any third parties. We will not sell, rent or share any personal information obtained through our e-mail or our Web site about you to any third party. You can correct any information or submit questions or concerns by contacting us via e-mail at starofthesea@starofthesea.us. Please print this form and mail it to the church office at 180 Harrison Avenue, Sausalito, CA 94965

 

 

Family last name

 

Child's Name  D.O.B. School Grade

 

 

Child's Name  D.O.B. School Grade

 

 

Child's Name  D.O.B. School Grade

 

Email Address
Mother (include Maiden name)
Address
Mother's Home Phone # Work Phone #   
Mother's occupation       Mother's religion
Father's name
Address
Father's Home Phone # Work Phone #  
Father's occupation       Father's religion
Guardian's name if applicable
Address

In case of emergency, I authorize Star of the Sea and/or volunteers to call 911 and/or take my child to the nearest emergency medical facility for apropriate medical treatment and care.

 

 

If you are not available, who may pick up your child?

 

Name Telephone #

 

 

Please note : When this form is processed by the Church Staff you will receive a telephone call for                       verification.