saint jerome faith formation registration 2019-2020 · saint jerome faith formation registration...

Saint Jerome Faith Formation Registration 2019-2020

Family Information

Father’s Full Name: Religion:

Address: City/State: Zip:

Home Phone Number : Cell Phone Number :

Email Address: Can you receive text messages? □ Yes □ No

Mother’s Full Name: Religion:

If different than Father’s, please provide Mother’s address and phone number

Address: City/State: Zip:

Home Phone Number : Cell Phone Number :

Email Address: Can you receive text messages? □ Yes □ No

If two addresses are listed, where would you like information sent? □ Father □ Mother

Parish Status (Check One) □ We are current members of Saint Jerome □ We would like to register with Saint Jerome

Volunteering This year we will be requiring two events from each family; One Parish event and one Faith Formation event.

Further information will be sent out in the fall for sign up preferences.

*All Catechists and Catechist Aide’s family Faith Formation fees & volunteer requirements are waived.*

Fees

Please check one box according to the number of children in Grades K3-10

□ 1 ……………. $105□ 2 ……………. $200

□ 3…………….. $295□ 4+………….. $390

**Please turn in checks with this registration form made payable to: Saint Jerome Parish**

*** Early-Bird Discount of $30 per child if received by 7/1/2019.*** Archdiocese of Milwaukee, Release of Information, Photography & Video Consent

I, the parent/legal guardian listed on this form, hereby consent that any still or electronic image and/or audio recording, in which I or my child listed above may appear, may be used by Saint Jerome Parish and/or by the Archdiocese of Milwaukee. I understand that these materials are being used for the promotion of Saint Jerome Parish and/or the Archdiocese of Milwaukee. The images and/or recordings may be used to support recruitment, fundraising, evangelization, and other communication efforts.

I release the staff and volunteers and I understand and agree that the use of my picture is not an invasion of privacy. Neither I, nor anyone claiming to be speaking on my behalf, will later object to the Archdiocese’s use of this/these photographs.

Signature of Parent/Legal Guardian:_____________________________________________ Date:__________________

(OVER) For Office Use Only

Date Received: ______________ Staff Initials: __________ ; __________

PDS Date: ________ □ Cash ____________ Date___________

□ Check # __________ Date___________

By entering my full name, I attest that this constitutes my legal electronic signature on this form.

Saint Jerome Faith Formation Registration 2019-2020 K3-10th Grade

Please complete and return to: Saint Jerome Faith Formation Office • 995 S. Silver Lake St. • Oconomowoc, WI 53066 Any questions, please call the Faith Formation Office at 262-569-3025 or email [email protected]

Child Information (Please provide information for all students who will be in Grades K3-10th Grade Faith Formation.)

Child #1 Child #2 Child #3 Child #4

Name:

Gender: □ Male □ Female □ Male □ Female □ Male □ Female □ Male □ Female

Date of Birth:

School Student Attends:

Grade in Sept. 2019:

Child Lives With:

(Please write “Both”, “Only Mom”, “Only Dad”, or “Shared”)

Please list any special needs child may have: (Ex: allergies, learning challenges, IEP, etc.)

Please check all the Sacraments child has received:

□ Baptism □ Baptism □ Baptism □ Baptism

□ Reconciliation □ Reconciliation □ Reconciliation □ Reconciliation

□ Communion □ Communion □ Communion □ Communion

□ Confirmation □ Confirmation □ Confirmation □ Confirmation

Class Registration (please check one option): Max of 15 Students (1st come, 1st serve) □ CGS Sunday 9:15-10:15am □ CGS Sunday 9:15-10:15am □ CGS Sunday 9:15-10:15am □ CGS Sunday 9:15-10:15am

Max of 15 Students (1st come, 1st serve)

□CGS Level 2, Tuesday 12-2pm

Homeschool GroupCGS Level 2, Tuesday 12-2pm



Homeschool Group

□ Grades 1-8, Sunday9:15-10:15am








□ Grades 6-8, Select Sundays12-4pm




□ Grades 9-10, Retreat Day □ Grades 9-10, Retreat Day □ Grades 9-10, Retreat Day □ Grades 9-10, Retreat Day

saint jerome faith formation registration 2019-2020 · saint jerome faith formation registration...

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