Registration also available online at www.qopparish.org
Queen of Peace Catholic Church
Creed Night and Family Faith Formation for 2014-2015
All Students Grades K-11
Family Name _________________ Parent(s) First Name(s)______________________________Registered in Parish? Y/N _____
Street Address________________________ City ___________________ State____ Zip ____________ Phone__________________
Parent Email__________________________________
Sacraments Received
Student’s Name
Grade
Sept ‘14
Registration Instructions
Complete form. Mark an X indicating which
sacraments your child(ren) have received.
Submit this form to Queen of Peace Church
by Sept. 19th in one of the following ways:
 Place in collection basket at Mass
 Turn in to parish office
 Mail to: Queen of Peace Church
102 4th Street
Cloquet, MN 55720
Date of
Birth
Student’s school
Baptism
Penance
First
Comm
(QofP, Cloquet, Esko, Carlton, Home School,
etc. )
Nursery
Please list any children who will need nursery
care during Family Faith Formation Sundays.
Office Use Only
Name
_____________________________
Age
____
_____________________________
____
_____________________________
____
Date Received _______