2024-2025 K-11 Grade Faith Formation Registration Form

2024-2025 Faith Formation

Registration Form

K-11th Grade
Main communication email*
example@example.com
Father's Full Name*

First NameMiddle NameLast Name
Father's Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father's Phone Number*
Please enter a valid phone number.
Father's Email Address
example@example.com
Father's Religion (Please select one)*

CatholicLutheranOther *
*If you selected Other above, please provide what Religion you are:
Father Parish Member of*

Holy TrinitySt. MichaelOther *
*If you selected Other above, please provide where you are a member of:
A student may be eligible to play on a parish/school-based teams if the following criteria are met:
 The student is enrolled in good standing in the school
 The student is enrolled in good standing in the parish religious education program
 The parent/guardian is a registered member of the sponsoring parish

 The student is in a parish-approved, home-based catechetical program
 The parent/guardian is a registered member of the sponsoring parish
Are you S.E.E. trained? *See below*

YesNo
*S.E.E. Trained (Safe Environment Education)

The Archdiocese requires a one-time class for any adult volunteers in class OR fieldtrips.
Mother's Full Name*

First NameMiddle NameLast Name
Mother's Maiden Name*
Mother's Mailing Address (if different than above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Phone Number*
Please enter a valid phone number.
Mother's Email Address*
example@example.com
Mother's Religion (Please select one)*

CatholicLutheranOther *
*If you selected Other above, please provide what Religion you are:
Mother Parish Member of*

Holy TrinitySt. MichaelOther *
*If you selected Other above, please provide where you are a member of:
A student may be eligible to play on a parish/school-based teams if the following criteria are met:
 The student is enrolled in good standing in the school
 The student is enrolled in good standing in the parish religious education program
 The parent/guardian is a registered member of the sponsoring parish

 The student is in a parish-approved, home-based catechetical program
 The parent/guardian is a registered member of the sponsoring parish
Are you S.E.E. trained? *See below*

YesNo
*S.E.E. Trained (Safe Environment Education)

The Archdiocese requires a one-time class for any adult volunteers in class OR fieldtrips.
Child(ren) live with: (Please select one)*

Both Father and Mother (same household)FatherMotherOther:
Emergency Contact (other than Mother or Father) - Name, Relationship, Phone Number*
K-11 Session Registration

2024-2025
Please list individually ALL children to be registered for the K-11 Faith Formation program.

IF your child was baptized at a Parish other than Holy Trinity or St. Michael's, please provide a copy of the baptismal certificate to the Faith Formation office.
Child 1 Full Name*

First NameMiddle NameLast Name
Child 1 Birth Date*

MonthDayYear
Date
Child 1 Gender*

MaleFemale
List any Special Needs: (Health, Allergies, Learning Difficulties)
Child 1 School Attending*
2024-2025 School year
Child 1 Grade*
2024-2025 School year
Child 1 Baptism Date and Parish*
Received Sacrament of Reconciliation and First Holy Communion?*

YesNo
Child 2 Full Name

First NameMiddle NameLast Name
Child 2 Birth Date

MonthDayYear
Date
Child 2 Gender

MaleFemale
List any Special Needs: (Health, Allergies, Learning Difficulties)
Child 2 School Attending
2024-2025 School year
Child 2 Grade
2024-2025 School year
Child 2 Baptism Date and Parish
Received Sacrament of Reconciliation and First Holy Communion?

YesNo
Child 3 Full Name

First NameMiddle NameLast Name
Child 3 Birth Date

MonthDayYear
Date
Child 3 Gender

MaleFemale
List any Special Needs: (Health, Allergies, Learning Difficulties)
Child 3 School Attending
2024-2025 School year
Child 3 Grade
2024-2025 School year
Child 3 Baptism Date and Parish
Received Sacrament of Reconciliation and First Holy Communion?

YesNo
Child 4 Full Name

First NameMiddle NameLast Name
Child 4 Birth Date

MonthDayYear
Date
Child 4 Gender

MaleFemale
List any Special Needs: (Health, Allergies, Learning Difficulties)
Child 4 School Attending
2024-2025 School year
Child 4 Grade
2024-2025 School year
Child 4 Baptism Date and Parish
Received Sacrament of Reconciliation and First Holy Communion?

YesNo
Permissions
Safeguarding God's Children/Family*

I consent to the participation of my child(ren) in the Safeguarding lesson that is a once a year requirement of the Archdiocese of Milwaukee.I DO NOT want my child(ren) to participate in the Safeguarding lesson.
Photography/Video Release*

I consent that one or more photographs or videos may be taken of my child(ren). I authorize the Archdiocese of Milwaukee to use the photos or videos in any way it deems appropriate.I DO NOT consent to have photographs or videos taken of my child(ren).
Parent/Guardian Contact Release (ONLY for 9th-11th Grade)*

YES, you MAY contact my child directly.NO, you MAY NOT contact my child directly.My child is in K-8th Grade
By selecting Yes, it allows ONLY the Director of High School Faith Formation Program to communicate with your minor child(ren) by email or text.
- We are intending to communicate only for a specific class, event or student information to your child (service hour opportunities, assignment due dates, Youth Nights, etc.)
- Students will NOT receive the weekly parent/guardian updates unless requested.
If you answered Yes, please provide your teens contact number and email. (We are not able to email to a student's school email.)
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.*

YesNo
2024-2025 Faith Formation Program Payment Fees

2024-2025 Tuition/Fee schedule (Non-refundable)*Retreat fees & Formational Opportunities to be billed at a later date. Please select all that apply below.
Tuition for Parish Members of Holy Trinity or St. Michael

$85.00 Discount pricing if paid BY July 1, 2024$105.00 Standard pricing if paid AFTER July 1, 2024
Tuition for Non-Parish Members

$115.00 Discount pricing if paid BY July 1, 2024$135.00 Standard pricing if paid AFTER July 1, 2024
Sacramental Fees (Only for 2nd grade and 11th grade)

$40.00 First Reconciliation/First Communion$40.00 Confirmation
One tuition fee waived if weekly volunteer (Catechist, Aide, Office or Building Aide)

Yes, I will be volunteering weekly in the Grade School Faith Formation program.No, I will not be volunteering weekly in the Grade School Faith Formation program.Yes, I will be volunteering weekly in the High School Faith Formation program.No, I will not be volunteering weekly in the High School Faith Formation program.
Select your payment option below*

Debit or Credit through WeShareI would like to be contacted to set up a payment plan or financial assistance.
WeShare Link will be provided after submitting form. (WeShare is through our Parish website)
- Select the Give Now tab.
- Click Fund dropdown and select Faith Formation fees
- ONLY if you are unable to pay online, contact Mrs. Jessica Herriges.
Payment plans are available, contact Mrs. Jessica Herriges at herrigesj@htschool.net ; 262-626-2650
You may print the fee form for your own records.
Electronic Consent

By entering my full name, I attest that this constitutes my legal electronic signature on this form and I acknowledge I reviewed the Faith Formation Handbook, Permissions and Payment fee agreements.
Full Name*

First NameLast Name
Date*

MonthDayYear
Date Signed
Grade School & High School Faith Formation Office

305 Main Street
Kewaskum, WI 53040
262-626-2650
herrigesj@htschool.net
Should be Empty:

K-11 Session Registration

Permissions

2024-2025 Faith Formation Program Payment Fees

Electronic Consent