Faith Formation Registration

After completing this form, please pay your registration fees online by clicking the "Give Online" box and choosing Religious Education Fund. Fee schedule in side bar.
Please indicate that you are paying registration fees in the "Comments" box while making the payment.
Or mail your payment to
Holy Spirit Catholic Church
2399 Holder Road
Mims, FL 32754

Family Name (Last Name of Head of Household) REQUIRED Please fill out this field. Please enter valid data.

Parents' 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.

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.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

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.

Child(ren)'s Information
Please complete all fields for all your children.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Grade REQUIRED Please fill out this field.

Sex REQUIRED Male Female Please fill out this field.

If your child is in the 2nd grade, are you registering for 1st Reconciliation and 1st Communion classes? Yes No

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

What school does your child attend? (St. Teresa, Mims, Sculpter, Home School, etc.) REQUIRED Please fill out this field. Please enter valid data.

Additional Children

First Name Please enter valid data.

Last Name Please enter valid data.

Grade

Sex Male Female

If your child is in the 2nd grade, are you registering for 1st Reconciliation and 1st Communion classes? Yes No

Date of Birth Please enter valid data.

What school does your child attend? (St. Teresa, Mims, Sculpter, Home School, etc.) Please enter valid data.

First Name Please enter valid data.

Last Name Please enter valid data.

Grade

Sex Male Female

If your child is in the 2nd grade, are you registering for 1st Reconciliation and 1st Communion classes? Yes No

Date of Birth Please enter valid data.

What school does your child attend? (St. Teresa, Mims, Sculpter, Home School, etc.) Please enter valid data.

If you have additional children to register,
please submit this form first!
Then complete it again (as many times as necessary) for the additional children.

Please email faithformation@holyspiritmims.com with any questions.

Payment REQUIRED Paying Online Mailing Check Other I will bring cash to the church office Please fill out this field.

ANY ADDITIONAL INFORMATION WE NEED TO KNOW ABOUT YOUR CHILD(REN). (allergies, etc.)