2023-24 SM and SOZ Returning Family Religious Education Registration Grades 1-11

Form for Returning Family Only (Please note: This form does not include Sacramental Enrollment!)

Child(ren) previously enrolled and attended the 2024-2025 Religious Education program. If your child is entering a sacramental year (2nd grade or 11th grade), you must fill out the additional 2024-2025 Sacramental Registration Form!
Returning Family Religious Education Registration Form 2023-2024 Grades 1-11

St. Mary and Sons of Zebedee Faith Formation Program
Date*

MonthDayYear
Parish Belong to
Parent or Guardian Name*

First NameLast Name
Parent or Guardian Name

First NameLast Name
Preferred method of communication for newsletters and announcements*
Primary email*
Primary Number to Text

Area CodePhone Number
FULL NAME(S) AND GRADE(S) OF CHILD(REN) ENROLLING IN RELIGIOUS EDUCATION PROGRAM
CHILD*

First NameMiddle NameLast NameGrade Entering
CHILD

First NameMiddle NameLast NameGrade Entering
CHILD

First NameMiddle NameLast NameGrade Entering
CHILD

First NameMiddle NameLast NameGrade Entering
CHILD (if more than 5 children, please email DRE)

First NameMiddle NameLast NameGrade Entering
WHAT ARE THE TUITION FEES?

Registration Fees are as follows:

Number of Children	St. Mary & Sons of Zebedee Parish Members	Non-parish Member
1	$65.00	$130.00
2	$115.00	$230.00
3+	$155.00	$310.00

*Tuition does not include retreat fees or sacramental fees and is nonrefundable.

HOW DO I PAY MY TUITION FEES?

Payment should be sent upon completion of this form.

Completed forms/payment DUE August 1st, 2023

Memo line of check: REL ED FEES

Mail payment to: St. Mary Parish, Attn: DRE 699 Milwaukee St., Lomira, WI 53048

Drop payment in collection in a plain (noncontribution) envelope: Attn: Lesa Staehler, DRE

Drop envelope with a payment in the SM Parish Office Mail Slot: Attn: Please give to Lesa Staehler, DRE
*Volunteer Discount: Anyone who volunteers as a Catechist, Aide, or Hall Monitor will receive a discount on religious education fees of One Free Tuition of an Immediate Family Member enrolled in grades 1-10. This does not include Sacramental Fees.*

Yes, I would like to Volunteer for the Religious Ed ProgramSorry, unavailable
If yes, please include best time to contact:
If yes, please select volunteer option
Required Forms

Please complete and electronically sign and date the following forms below.
I give my consent for the following Child(ren)/Youth Communication Methods (check off all that apply) (This mainly applies to middle and high school youth as some prefer to be texted or emailed information regarding class or for them to correspond about missing work, etc. Social Media Platforms would only be used in the event that we are not allowed to meet in-person per an Archdiocese order)*

PhoneTextE-mailSocial Media Platform (i.e. Google Meet, Zoom, etc.)I DO NOT give my permission for any of the above Child(ren)/Youth Communication Methods to be used with my child.
SIGNATURE OF PARENT/ LEGAL GUARDIAN:*

Clear
Archdiocese of Milwaukee Release of Information Photography & Video Consent Form*

I consent that any still or electronic image and/or audio recording, in which I or my child may appear, may be used by St. Mary and Sons of Zebedee Religious Education/Family Faith Program. I understand that these materials are being used for promotion St. Mary and Sons of Zebedee Parishes. 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 use of this/these photographs by the parish.I DO NOT consent to have photographs or videos taken of my children.
SIGNATURE OF PARENT/ LEGAL GUARDIAN*

Clear
Safeguarding God’s Children / Family*

I consent to the participation of my child(ren) in The Safeguarding All of God’s Family lesson. As a requirement from the Archdiocese, our children must have one class each year for Safeguarding All of God’s Family.I DO NOT want my child(ren) to participate in The Safeguarding All of God’s Family lesson.
SIGNATURE OF PARENT/ LEGAL GUARDIAN*

Clear
Additional Child & Youth optional parish activities offered by Faith Formation Ministry (non class nights)*

I consent to the participation of my child(ren) in 2023-24 optional activities, in example, Youth Night, Bible Study, Service Projects, Retreats by the Faith Formation MinistryI DO NOT give my child(ren) consent to participate in optional activities offered by Faith Formation.
SIGNATURE OF PARENT/ LEGAL GUARDIAN*

Clear
Family email and phone permission to share:*

I give permission to share my family’s email and/or phone number with families in our parish i.e.youth fellowship mealI DO NOT permit my family’s email and/or phone number to be shared.
SIGNATURE OF PARENT/ LEGAL GUARDIAN*

Clear
All Required Forms signed on this date:*

MonthDayYear
Date
Emergency Contact Information
In the event of a last minute cancellation or medical emergency, please list two phone numbers to contact you (parents):
Name to contact in the event of an emergency*

First NameLast Name
Name to contact in the event of an emergency

First NameLast Name
phone number*

Area CodePhone Number
phone number

Area CodePhone Number
Other Emergency Contacts (not parents - please list at least one)
Name*

First NameLast Name
Name

First NameLast Name
Phone Number*

Area CodePhone Number
Phone Number

Area CodePhone Number
Relationship to the Parent*
Relationship to the Parent
(OPTIONAL) My child(ren) may be released to the following people (non guardian or parent) at class dismissal:
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Emergency Medical Treatment*

In the event of an emergency, I give permission to transport my child to a hospital for emergency medical treatment. I wish to be advised prior to any further treatment by the hospital or doctor.
SIGNATURE OF PARENT/ LEGAL GUARDIAN*

Clear
Signed on this date:*

MonthDayYear
Date
SCROLL TO BOTTOM AND PUSH SUBMIT IF NO CHANGES!

ONLY COMPLETE THIS SECTION IF THERE ARE CHANGES TO PREVIOUS YEAR'S REGISTRATION :

Please indicate any changes to the registration information we have on file for your family, including contact information (email, phone or address) and information about your children (i.e. allergies, medical conditions, etc.) on the next page. Also, if you are registering a family member new to our program, please fill out the next page.
Family Information Update

TO BE COMPLETED FOR CHANGES ONLY
Please indicate below any changes to registration information we have on file for your family: including contact information (email, phone or address) and information about your children (i.e. allergies, medical information, etc)
Changes in Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other Changes:
ONLY FILL OUT IF NEW CHILD REGISTERING! REGISTRATION FOR FAMILY MEMBERS “NEW” TO THE SM & SOZ FAITH FORMATION PROGRAM

*Copy of the baptismal certificate is required of all new students regardless where they were baptized.
Name

First NameMiddle NameLast Name
GENDER
CHILD'S BIRTH DATE

MonthDayYear
Date
Church Baptized
Date Baptized

MonthDayYear
Date
Should be Empty:

Form for Returning Family Only (Please note: This form does not include Sacramental Enrollment!)

Returning Family Religious Education Registration Form 2023-2024 Grades 1-11

Required Forms

Emergency Contact Information

Family Information Update