Religious Formation and CYM 2025-2026

St. Mark Religious Formation and CYM Registration Grades 1-12

2026-2027
Registration Due: Monday, August 24, 2026

Registration Fee: $25.00/student (maximum of $50.00/family).

First Class: August 26 at 6:30pm (grade school) Still setting a date for High School's first night
Questions? Contact Jessie Schoech at jschoech@stmarkks.org

or 796-1604.
PARENT/GUARDIAN INFORMATION
Parent/Guardian 1

First NameLast Name
Phone Number 1

Area CodePhone Number
Parent/Guardian 2

First NameLast Name
Phone Number 2

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Zip Code
E-mail
EMERGENCY CONTACT

In the event that the Parent(s)/Guardian(s) listed above cannot be reached, please provide at least one alternate Emergency Contact to be called in case of an emergency.
Emergency Contact

First NameLast Name
Phone Number

Area CodePhone Number
- Name
  
  First NameLast Name
- Grade
  for 2026-2027 school year
- Gender
- Birthdate
  
  MonthDayYear
- HIGH SCHOOL ONLY: Phone Number (used for direct reminders and communication from leaders)
  
  Area CodePhone Number
- Programs
- Sacraments Received
- Learning/Medical Concerns/Allergies
- Name
  
  First NameLast Name
- Grade
  for 2026-2027 school year
- Gender
- Birthdate
  
  MonthDayYear
- HIGH SCHOOL ONLY: Phone Number (used for direct reminders and communication from leaders)
  
  Area CodePhone Number
- Programs
- Sacraments Received
- Learning/Medical Concerns/Allergies
- Name
  
  First NameLast Name
- Grade
  for 2026-2027 school year
- Gender
- Birthdate
  
  MonthDayYear
- HIGH SCHOOL ONLY: Phone Number (used for direct reminders and communication from leaders)
  
  Area CodePhone Number
- Programs
- Sacraments Received
- Learning/Medical Concerns/Allergies
- Name
  
  First NameLast Name
- Grade
  for 2026-2027 school year
- Gender
- Birthdate
  
  MonthDayYear
- HIGH SCHOOL ONLY: Phone Number (used for direct reminders and communication from leaders)
  
  Area CodePhone Number
- Programs
- Sacraments Received
- Learning/Medical Concerns/Allergies
- Name
  
  First NameLast Name
- Grade
  for 2026-2027 school year
- Gender
- Birthdate
  
  MonthDayYear
- HIGH SCHOOL ONLY: Phone Number (used for direct reminders and communication from leaders)
  
  Area CodePhone Number
- Programs
- Sacraments Received
- Learning/Medical Concerns/Allergies
- PERMISSION
  
  I, the parent/guardian of the participant(s) named above ("child"), request that my child be allowed to participate in, and do hereby give permission for my child to attend and participate in: St. Mark Religious Formation and CYM (2026-2027)
- Permission
- MEDICAL AUTHORIZATION
  
  I understand that the Catholic Diocese of Wichita and the Parish of St. Mark the Evangelist assumes no responsibility for accidents which may occur in association with diocesan events and activities. I agree to use my personal insurance to cover any such incidents. I understand that, in the event medical intervention is needed, every attempt will be made to contact the persons listed above. In the event those individuals cannot be reached, I hereby give permission to the physician or any other qualified medical staff selected by the event leader to hospitalize, secure medical treatment, and/or order injection, anesthesia or surgery for Participant as deemed necessary.
- Medical Authorization
- INSURANCE INFORMATION
- Insurance Company
- Policy Number
- Physician Name
  
  First NameLast Name
- Physician Phone
  
  Area CodePhone Number
- PERMISSION FOR OTHER MEDICAL MATTERS
  
  In the event it comes to the attention of the diocesan and/or parish chaperones that my child complains of illness, I grant permission for non-prescription medication (such as Tylenol, lozenges, etc.) to be given to my child.
- Other Medical Matters
- RELEASE OF LIABILITY FOR YOUTH AND ADULTS
  
  I understand all reasonable safety precautions will be taken at all times by the Catholic Diocese of Wichita and the Parish of St. Mark the Evangelist and its agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree to indemnify and hold harmless the Catholic Diocese of Wichita and/or the Parish of St. Mark the Evangelist, its leaders, employees and volunteer staff from any claim arising from or in connection with attending this event.
- Release of Liability
- CODE OF BEHAVIOR FOR YOUTH AND ADULTS
- Code of Behavior: I agree to abide by and/or instruct my child to abide by all rules and regulations as outlined by the aforementioned chaperones/representatives. I agree that if my child fail(s) to abide in any way by the rules, that my child can be dismissed and sent home immediately at my expense. In addition, I agree to the Religious Formation Code of Conduct and Release listed above.
- PHOTO RELEASE
  
  I hereby authorize the Parish of St. Mark the Evangelist, and its agents to utilize photographic and/or video images of me or my child by the Parish of St. Mark the Evangelist. In giving my consent, I hereby indemnify and hold harmless the Parish of St. Mark the Evangelist and its agents from any and all responsibility or liability. I understand that I will receive no compensation, should any photograph and/or video of my child be used.
- Photo Release
- PAYMENT
  
  The registration fee for all youth formation activities is $25 per child ($50 maximum per family). Payments can be made to the parish office by cash or check (payable to "St. Mark Parish) or online at https://abundant.co/stmark/give (please select "Religious Education" under the "Fund" dropdown). If you are in need of financial assistance, please contact the parish office.
- Signature of Parent/Guardian
- Name of Parent/Guardian
- Comments:
- Should be Empty:

St. Mark Religious Formation and CYM Registration Grades 1-12

PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACT

PERMISSION

MEDICAL AUTHORIZATION

INSURANCE INFORMATION

PERMISSION FOR OTHER MEDICAL MATTERS

RELEASE OF LIABILITY FOR YOUTH AND ADULTS

CODE OF BEHAVIOR FOR YOUTH AND ADULTS

PHOTO RELEASE

PAYMENT