About Us
Mass Times
Directions /Map
Contact Us
Staff
Parish Membership
Parish Mission Statement
Catholic Funerals
Cemeteries
Announcements & Messages
Our Faith
Our Faith
Being Catholic Today
What is the Catholic Church
We are the Church
What Do Catholics Believe
Prayer
Scripture
Saints
Mary
Liturgical Calendar
Catholic Essentials
Papacy & Christian Unity
Sacraments
Faith Formation
Religious Education
Forms
Parish & Rel. Ed. Registration Form
Adult Faith Formation
Small Christian Community
RCIA
Becoming Catholic
What is RCIA
Returning Catholics
Youth Ministry
Bishop's Vision
Parish Ministries
Liturgical Ministries
Parish Councils
Parish Groups & Organizations
CMC/DMP Parish Nursing
American Heritage Girls
Parish Outreach
Sacraments
Baptism
Eucharist
Confirmation
Penance (Reconciliation)
Anointing of the Sick
Marriage
Holy Orders
Online Giving & Bulletin
Give Online
Sunday's Bulletin
Photo Albums, & Links
Calendar
Divine Mercy Facebook
Videos
Photo Albums
Forms
CCD Registration Form
Newsletters
|||
12 Church Street, Peterborough, NH 03458
Phone: (603) 924-7647
[email protected]
Home
Contact Us
Mass Times
Calendar
Give Online
Search
Search
About Us
Mass Times
Directions /Map
Contact Us
Staff
Parish Membership
Parish Mission Statement
Catholic Funerals
Cemeteries
Announcements & Messages
Our Faith
Our Faith
Being Catholic Today
What is the Catholic Church
We are the Church
What Do Catholics Believe
Sacraments
Faith Formation
Religious Education
Adult Faith Formation
Youth Ministry
Bishop's Vision
Parish Ministries
Liturgical Ministries
Parish Councils
Parish Groups & Organizations
Parish Outreach
Sacraments
Baptism
Eucharist
Confirmation
Penance (Reconciliation)
Anointing of the Sick
Marriage
Holy Orders
Online Giving & Bulletin
Give Online
Sunday's Bulletin
Photo Albums, & Links
Calendar
Divine Mercy Facebook
Videos
Photo Albums
Forms
Newsletters
Faith Formation
Religious Education
Forms
Parish & Rel. Ed. Registration Form
Adult Faith Formation
Youth Ministry
Bishop's Vision
Parish & Religious Ed. Registration
The maximum number of form submissions has been reached. This form is currently not available.
Parent-Family Information
Date
REQUIRED
Please fill out this field.
Please enter a date.
Registered in this Parish?
REQUIRED
Yes
No
Please fill out this field.
Registration Type
REQUIRED
Parish
Religious Education
Please fill out this field.
Family Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Mailing Address Line 1:
REQUIRED
Enter Street or PO Box
Please fill out this field.
Please enter valid data.
Mailing Address Line 2:
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.
Primary Phone #
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Secondary Phone Number
Maximum 20 characters
Please enter a phone number.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Marital Status
REQUIRED
Married
Single
Separated
Divorced
Single Parent
Widow/Widower
Please fill out this field.
Date of Marriage
Please enter a date.
Fathers Full Name
REQUIRED
Please fill out this field.
Please enter valid data.
Mother Name: (Please Include Maiden Name)
REQUIRED
Please fill out this field.
Please enter valid data.
Send Envelopes
To Request Parish Collection Envelopes
Yes
No
Emergency Contact 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.
Emergency Contact Relationship:
REQUIRED
Please fill out this field.
Please enter valid data.
Emergency Contact Primary Phone #
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Emergency Contact Secondary Phone #
Maximum 20 characters
Please enter a phone number.
Photograph Permission
:
Photographs are sometimes taken during faith formation sessions and events. They are displayed publicly; e.g., on parish website, in the newspaper, in a brochure, on bulletin boards, etc. and used to keep the community aware and informed of parish events and activities. If you do not want images taken and used as described, please send a written notice to that effect to the parish. Attention to Catechetical Leader, Jackie Capes at Divine Mercy Parish, 12 Church Street, Peterboorugh, NH 03458.
Number of Children in Family
REQUIRED
Please fill out this field.
Child Family Member 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.
Suffix (Jr., Sr,, II, III, etc.)
Jr. Sr. II III IV or blank
None
Jr.
Sr.
II
III
IV
Gender
None
Male
Female
Grade (Select Grade)
Required for Rel. Ed Registration - Select School Grade, College or Not in School
None
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
None
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
City & State of Birth
Please enter valid data.
Sacraments Completed (Check all received)
Check all received.
Baptism
Reconciliation
Eucharist
Confirmation
Date of Baptism
Please enter a date.
Place of Baptism
Please enter valid data.
Child Family Member 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.
Suffix (Jr., Sr,, II, III, etc.)
Jr. Sr. II III IV or blank
None
Jr.
Sr.
II
III
IV
Gender
None
Male
Female
Grade (Select Grade)
Required for Rel. Ed Registration - Select School Grade, College or Not in School
None
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
None
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
City & State of Birth
Please enter valid data.
Sacraments Completed (Check all received)
Check all received.
Baptism
Reconciliation
Eucharist
Confirmation
Date of Baptism
Please enter a date.
Place of Baptism
Please enter valid data.
Child Family Member 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.
Suffix (Jr., Sr,, II, III, etc.)
Jr. Sr. II III IV or blank
None
Jr.
Sr.
II
III
IV
Gender
None
Male
Female
Grade (Select Grade)
Required for Rel. Ed Registration - Select School Grade, College or Not in School
None
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
None
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
City & State of Birth
Please enter valid data.
Sacraments Completed (Check all received)
Check all received.
Baptism
Reconciliation
Eucharist
Confirmation
Date of Baptism
Please enter a date.
Place of Baptism
Please enter valid data.
Child Family Member 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.
Suffix (Jr., Sr,, II, III, etc.)
Jr. Sr. II III IV or blank
None
Jr.
Sr.
II
III
IV
Gender
None
Male
Female
Grade (Select Grade)
Required for Rel. Ed Registration - Select School Grade, College or Not in School
None
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
None
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
City & State of Birth
Please enter valid data.
Sacraments Completed (Check all received)
Check all received.
Baptism
Reconciliation
Eucharist
Confirmation
Date of Baptism
Please enter a date.
Place of Baptism
Please enter valid data.
Child Family Member 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.
Suffix (Jr., Sr,, II, III, etc.)
Jr. Sr. II III IV or blank
None
Jr.
Sr.
II
III
IV
Gender
None
Male
Female
Grade (Select Grade)
Required for Rel. Ed Registration - Select School Grade, College or Not in School
None
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
None
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
City & State of Birth
Please enter valid data.
Sacraments Completed (Check all received)
Check all received.
Baptism
Reconciliation
Eucharist
Confirmation
Date of Baptism
Please enter a date.
Place of Baptism
Please enter valid data.
Child Family Member 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.
Suffix (Jr., Sr,, II, III, etc.)
Jr. Sr. II III IV or blank
None
Jr.
Sr.
II
III
IV
Gender
None
Male
Female
Grade (Select Grade)
Required for Rel. Ed Registration - Select School Grade, College or Not in School
None
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
None
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
City & State of Birth
Please enter valid data.
Sacraments Completed (Check all received)
Check all received.
Baptism
Reconciliation
Eucharist
Confirmation
Date of Baptism
Please enter a date.
Place of Baptism
Please enter valid data.
Child Family Member 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.
Suffix (Jr., Sr,, II, III, etc.)
Jr. Sr. II III IV or blank
None
Jr.
Sr.
II
III
IV
Gender
None
Male
Female
Grade (Select Grade)
Required for Rel. Ed Registration - Select School Grade, College or Not in School
None
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
None
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
City & State of Birth
Please enter valid data.
Sacraments Completed (Check all received)
Check all received.
Baptism
Reconciliation
Eucharist
Confirmation
Date of Baptism
Please enter a date.
Place of Baptism
Please enter valid data.
Child Family Member 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.
Suffix (Jr., Sr,, II, III, etc.)
Jr. Sr. II III IV or blank
None
Jr.
Sr.
II
III
IV
Gender
None
Male
Female
Grade (Select Grade)
Required for Rel. Ed Registration - Select School Grade, College or Not in School
None
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
None
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
City & State of Birth
Please enter valid data.
Sacraments Completed (Check all received)
Check all received.
Baptism
Reconciliation
Eucharist
Confirmation
Date of Baptism
Please enter a date.
Place of Baptism
Please enter valid data.
Child Family Member 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.
Suffix (Jr., Sr,, II, III, etc.)
Jr. Sr. II III IV or blank
None
Jr.
Sr.
II
III
IV
Gender
None
Male
Female
Grade (Select Grade)
Required for Rel. Ed Registration - Select School Grade, College or Not in School
None
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
None
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
City & State of Birth
Please enter valid data.
Sacraments Completed (Check all received)
Check all received.
Baptism
Reconciliation
Eucharist
Confirmation
Date of Baptism
Please enter a date.
Place of Baptism
Please enter valid data.
Child Family Member 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.
Suffix (Jr., Sr,, II, III, etc.)
Jr. Sr. II III IV or blank
None
Jr.
Sr.
II
III
IV
Gender
None
Male
Female
Grade (Select Grade)
Required for Rel. Ed Registration - Select School Grade, College or Not in School
None
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
None
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
City & State of Birth
Please enter valid data.
Sacraments Completed (Check all received)
Check all received.
Baptism
Reconciliation
Eucharist
Confirmation
Date of Baptism
Please enter a date.
Place of Baptism
Please enter valid data.
Additional Details
Registration Fees:
Early registration special $40 per child ($60 per family)
After June 30: $50 per child ($75 per family) These fees help support the cost of texts, materials, and supplies. Financial hardship should never keep a child away from Religious Education. If there is a need please speak to Jackie Capes immediately.
Special Needs/Allergies/Medications:
Special Needs:
Please list child's name & needs. Send procedure plan to parish office if needed.
Snacks:
Catechists occasionally provide snacks- please contact Jackie Capes in writing if you do not want your child to receive snacks.
Medical Forms:
If your child needs an epi-pen, inhaler, or any other medical equipment on hand during a session or event please speak with Catechetical Leader, Jackie Capes.
Was each child registered here in Faith Formation last year?
REQUIRED
Yes
No
Please fill out this field.
If No, list who, where and what grade?
Baptismal Certificates are required for all students when first registering at this Parish. Please Submit ASAP. Students Baptized at Divine Mercy Parish are exempt from this requirement but must supply the date of Baptism.
Parent Commitment
-Attendance at weekly Mass is an essential part of your child’s religious education. Parents who choose to participate in our program are making a firm commitment to see that their child attends Mass on a regular basis.
Parent Signature Required* I acknowledge that as the parent/guardian, this information will be submitted to the parish for use in registration.
REQUIRED
Yes
Please fill out this field.
Submit
This site is protected by reCAPTCHA and the Google
Privacy Policy
and
Terms of Service
apply.