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Registration Form

- Faith Formation

If you are a member of the parish, you may complete the registration form below for Religious Education classes for your child(ren). If you are not registered, please join our parish by clicking on the link. https://www.sjy.org/join-our-parish

Sessions are from 9:00 AM - 11:15 AM. Mass is at 9:00 AM. Class is at 10:15 AM. Students will be dispersed to classes from the church by grade. All Parents are expected to attend 4 Family Catechesis presentations at 10:15 AM Oct 4, Nov 22, Jan 10 and Mar 7th.

Should you have questions, please call (717) 755-7503 x231.

If you would like to pay the tuition fee online,
there is a new option this year. Sign Up for Online Giving at https://www.osvonlinegiving.com/4613. Once you have an account created, click on "Give a New Gift" and then select, "Religious Education Tuition" and the Gift Type is "One-Time".
The maximum number of form submissions has been reached. This form is currently not available.
- Family Information
- FATHER
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- MOTHER
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- 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.
- Preferred Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Alternate Phone Number Please enter a phone number.
- Preferred Email REQUIRED Please fill out this field. Please enter an email address.
- Secondary email address Please enter valid data.
- IF PARENTS LIVE APART, ENTER OTHER PARENT INFORMATION BELOW.
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Address Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Phone Number Please enter a phone number.
- Email Please enter an email address.
- Preferred Session REQUIRED Please fill out this field.
- Tuition REQUIRED Please fill out this field.
- Does Your Family Participate in the Scrip Program REQUIRED Yes No Please fill out this field.
- I will volunteer by being a (select one): REQUIRED Office Help - need to submit paperwork for Youth Protection clearances if volunteering more than one time. Hall Monitor Gym Monitor N/A - Only select if you have picked Homeschool as the Preferred Session or if you are already assigned as a Catechist Please fill out this field.
- Number of Children Registering for Religious Ed Classes 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.
  
  Gender Male Female
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade (Fall 2020) REQUIRED Please fill out this field.
  
  Number of Years of Prior Religious Education None One Two or more
  
  Church/School where child attended religious education classes
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church or school Please enter valid data.
  
  Please list any behavioral or medical concerns your child may have:
  
  Sacramental Information
  NOTE: **This section is Optional if the returning student already has his/her sacramental information on file, you do not need to enter it again.**
  
  Baptismal Date Please enter a date.
  
  Name/City/State of Church where child was baptized
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
  
  First Penance Yes No
  
  First Holy Communion Date Please enter a date.
  
  Name/City/State of Church where child received First Holy Communion
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church 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.
  
  Gender Male Female
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade (Fall 2020) REQUIRED Please fill out this field.
  
  Number of Years of Prior Religious Education None One Two or more
  
  Church/School where child attended religious education classes
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church or school Please enter valid data.
  
  Please list any behavioral or medical concerns your child may have:
  
  Sacramental Information
  NOTE: **This section is Optional if the returning student already has his/her sacramental information on file, you do not need to enter it again.**
  
  Baptismal Date Please enter a date.
  
  Name/City/State of Church where child was baptized
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
  
  First Penance Yes No
  
  First Holy Communion Date Please enter a date.
  
  Name/City/State of Church where child received First Holy Communion
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church 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.
  
  Gender Male Female
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade (Fall 2020) REQUIRED Please fill out this field.
  
  Number of Years of Prior Religious Education None One Two or more
  
  Church/School where child attended religious education classes
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church or school Please enter valid data.
  
  Please list any behavioral or medical concerns your child may have:
  
  Sacramental Information
  NOTE: **This section is Optional if the returning student already has his/her sacramental information on file, you do not need to enter it again.**
  
  Baptismal Date Please enter a date.
  
  Name/City/State of Church where child was baptized
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
  
  First Penance Yes No
  
  First Holy Communion Date Please enter a date.
  
  Name/City/State of Church where child received First Holy Communion
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church 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.
  
  Gender Male Female
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade (Fall 2020) REQUIRED Please fill out this field.
  
  Number of Years of Prior Religious Education None One Two or more
  
  Church/School where child attended religious education classes
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church or school Please enter valid data.
  
  Please list any behavioral or medical concerns your child may have:
  
  Sacramental Information
  NOTE: **This section is Optional if the returning student already has his/her sacramental information on file, you do not need to enter it again.**
  
  Baptismal Date Please enter a date.
  
  Name/City/State of Church where child was baptized
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
  
  First Penance Yes No
  
  First Holy Communion Date Please enter a date.
  
  Name/City/State of Church where child received First Holy Communion
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church 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.
  
  Gender Male Female
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade (Fall 2020) REQUIRED Please fill out this field.
  
  Number of Years of Prior Religious Education None One Two or more
  
  Church/School where child attended religious education classes
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church or school Please enter valid data.
  
  Please list any behavioral or medical concerns your child may have:
  
  Sacramental Information
  NOTE: **This section is Optional if the returning student already has his/her sacramental information on file, you do not need to enter it again.**
  
  Baptismal Date Please enter a date.
  
  Name/City/State of Church where child was baptized
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
  
  First Penance Yes No
  
  First Holy Communion Date Please enter a date.
  
  Name/City/State of Church where child received First Holy Communion
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church 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.
  
  Gender Male Female
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade (Fall 2020) REQUIRED Please fill out this field.
  
  Number of Years of Prior Religious Education None One Two or more
  
  Church/School where child attended religious education classes
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church or school Please enter valid data.
  
  Please list any behavioral or medical concerns your child may have:
  
  Sacramental Information
  NOTE: **This section is Optional if the returning student already has his/her sacramental information on file, you do not need to enter it again.**
  
  Baptismal Date Please enter a date.
  
  Name/City/State of Church where child was baptized
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
  
  First Penance Yes No
  
  First Holy Communion Date Please enter a date.
  
  Name/City/State of Church where child received First Holy Communion
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church 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.
  
  Gender Male Female
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade (Fall 2020) REQUIRED Please fill out this field.
  
  Number of Years of Prior Religious Education None One Two or more
  
  Church/School where child attended religious education classes
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church or school Please enter valid data.
  
  Please list any behavioral or medical concerns your child may have:
  
  Sacramental Information
  NOTE: **This section is Optional if the returning student already has his/her sacramental information on file, you do not need to enter it again.**
  
  Baptismal Date Please enter a date.
  
  Name/City/State of Church where child was baptized
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
  
  First Penance Yes No
  
  First Holy Communion Date Please enter a date.
  
  Name/City/State of Church where child received First Holy Communion
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church 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.
  
  Gender Male Female
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade (Fall 2020) REQUIRED Please fill out this field.
  
  Number of Years of Prior Religious Education None One Two or more
  
  Church/School where child attended religious education classes
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church or school Please enter valid data.
  
  Please list any behavioral or medical concerns your child may have:
  
  Sacramental Information
  NOTE: **This section is Optional if the returning student already has his/her sacramental information on file, you do not need to enter it again.**
  
  Baptismal Date Please enter a date.
  
  Name/City/State of Church where child was baptized
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
  
  First Penance Yes No
  
  First Holy Communion Date Please enter a date.
  
  Name/City/State of Church where child received First Holy Communion
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church 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.
  
  Gender Male Female
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade (Fall 2020) REQUIRED Please fill out this field.
  
  Number of Years of Prior Religious Education None One Two or more
  
  Church/School where child attended religious education classes
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church or school Please enter valid data.
  
  Please list any behavioral or medical concerns your child may have:
  
  Sacramental Information
  NOTE: **This section is Optional if the returning student already has his/her sacramental information on file, you do not need to enter it again.**
  
  Baptismal Date Please enter a date.
  
  Name/City/State of Church where child was baptized
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
  
  First Penance Yes No
  
  First Holy Communion Date Please enter a date.
  
  Name/City/State of Church where child received First Holy Communion
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church 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.
  
  Gender Male Female
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade (Fall 2020) REQUIRED Please fill out this field.
  
  Number of Years of Prior Religious Education None One Two or more
  
  Church/School where child attended religious education classes
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church or school Please enter valid data.
  
  Please list any behavioral or medical concerns your child may have:
  
  Sacramental Information
  NOTE: **This section is Optional if the returning student already has his/her sacramental information on file, you do not need to enter it again.**
  
  Baptismal Date Please enter a date.
  
  Name/City/State of Church where child was baptized
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
  
  First Penance Yes No
  
  First Holy Communion Date Please enter a date.
  
  Name/City/State of Church where child received First Holy Communion
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church 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.
  
  Gender Male Female
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade (Fall 2020) REQUIRED Please fill out this field.
  
  Number of Years of Prior Religious Education None One Two or more
  
  Church/School where child attended religious education classes
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church or school Please enter valid data.
  
  Please list any behavioral or medical concerns your child may have:
  
  Sacramental Information
  NOTE: **This section is Optional if the returning student already has his/her sacramental information on file, you do not need to enter it again.**
  
  Baptismal Date Please enter a date.
  
  Name/City/State of Church where child was baptized
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
  
  First Penance Yes No
  
  First Holy Communion Date Please enter a date.
  
  Name/City/State of Church where child received First Holy Communion
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church 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.
  
  Gender Male Female
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade (Fall 2020) REQUIRED Please fill out this field.
  
  Number of Years of Prior Religious Education None One Two or more
  
  Church/School where child attended religious education classes
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church or school Please enter valid data.
  
  Please list any behavioral or medical concerns your child may have:
  
  Sacramental Information
  NOTE: **This section is Optional if the returning student already has his/her sacramental information on file, you do not need to enter it again.**
  
  Baptismal Date Please enter a date.
  
  Name/City/State of Church where child was baptized
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
  
  First Penance Yes No
  
  First Holy Communion Date Please enter a date.
  
  Name/City/State of Church where child received First Holy Communion
  If Other, enter Name/City/State in the text field below
  
  Name/City/State of Other church Please enter valid data.
Submit

Registration Form

If you would like to pay the tuition fee online, there is a new option this year. Sign Up for Online Giving at https://www.osvonlinegiving.com/4613. Once you have an account created, click on "Give a New Gift" and then select, "Religious Education Tuition" and the Gift Type is "One-Time".

If you would like to pay the tuition fee online,
there is a new option this year. Sign Up for Online Giving at https://www.osvonlinegiving.com/4613. Once you have an account created, click on "Give a New Gift" and then select, "Religious Education Tuition" and the Gift Type is "One-Time".