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A.Cords 2018-2019 Yearly Faith Formation Program (Grades 1-8)
Our Risen Savior and Presentation are considered as parishioners as we are a tri-parish.
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1
Did you receive a postcard notifying you of this program?
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Select NO if you are not a parishioner of Holy Family.
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2
Yearly Faith Formation Program Calendar: Please make note of these important dates!
*Notice that Mass days are a required event for parents/guardians. If a parent is not available, consider inviting a Grandparent or other family member to take your place. If you are unable to view this document, please visit the website.
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3
Christian Formation Dates and Deadlines: If you are unable to view this document, please visit the website.
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Early Bird Pricing Closes September 9 (9/9)
*Please e-mail acords@hffdl.org if you have children who attended the 2018 Summer Program as this may affect your pricing. If you are unable to view this document, please visit the website.
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5
Financial Aid or a payment plan is available. A separate form will need to be filled out to explain your family's situation. This form is available at the Holy Family parish office or can be e-mailed or mailed to you. I understand that if I would like to request Financial Aid/ Payment Plan for the 2018 Summer Program, I should contact Sabina Carter, Director of Christian Formation. Please note that anyone planning to apply for financial aid during the Yearly Program (fall of 2018) or Summer Program (summer 2019) must be a parish member for at least six months prior to applying for financial aid.
*
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(920) 921-0580 ext. 136 or scarter@hffdl.org
Yes, I understand
No, I do not understand and will contact Sabina for clarification.
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6
All mass communication will be sent via the Holy Family Catholic Community App and
WILL NOT
be sent via individual e-mail. This includes: cancelled class/reminders/etc. The app is available at the Google Play or Apple App Store. Please note that it is best to check the app frequently. Thank you!
YOU MUST TURN CHRISTIAN FORMATION NOTIFICATIONS ON TO RECEIVE AUTOMATIC MESSAGES
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7
I understand that the app is a vital piece of communication for this program.
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8
Safeguarding Training:
*
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In the pastoral effort to respond to the need for the protection of children and youth, the Archdiocese of Milwaukee requires that all children and youth in grades K4-12 in schools and faith formation programs be given additional information on how to protect themselves and become aware of their surroundings. As the primary caregiver of your child, it is your decision whether you would like your child to participate in this lesson, but the Parish is required to offer this information.Your child’s class will be discussing this information on October 10, 2018. You are welcomed and encouraged to attend with your child on this day. You are welcome to view the lesson plan that the teacher will use and can request a copy from Amanda Cords prior to October 10, 2018.
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9
Photo Permission: The Holy Family Parish photographer or coordinator will be present to take photos or videos of the students for use in program displays, the parish bulletin or website, or other publicity-related publications. These materials will only be used for appropriate purposes and names will not be listed.
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10
Family Last Name
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11
Email
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*This is our main form of *individual* communication so please include a valid e-mail address.
example@example.com
Confirm Email
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12
First person we should contact in case of emergency during class hours:
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First Name
Last Name
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13
Phone Number
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Area Code
Phone Number
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14
Second emergency contact name:
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First Name
Last Name
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15
Phone Number
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Area Code
Phone Number
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16
Other individuals (other than Mom, Dad, and emergency contacts) who are authorized to pick your child up from class:
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17
Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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18
Parish Database
In order to send you future information about our upcoming programs, it is crucial that we have your accurate information. If you have never updated your e-mail address, primary phone number, home address, etc. you may not be receiving all necessary information sent out regarding faith formation classes, sacramental preparation, etc. Would you like us to check if your information is current in our database?
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19
Mother's Name
First Name
Last Name
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20
Father's Name
First Name
Last Name
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21
Is the mother or the father a member of the Parish?
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*A "member of the Parish" means you have filed membership paperwork in order to be included in the database.
Yes
No
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22
If you answered "no," to which Parish do you belong?
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23
If neither parent belongs to Holy Family Catholic Community, you must provide a letter or e-mail from your parish Pastor AND Religious Education Director to Amanda Cords (acords@hffdl.org) to verify that our program will meet your formation requirements. I understand that this is my responsibility and my child will not be added to a class list until this letter is provided, therefore there is a possibility that classes will fill up during this time.
*
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If this question does not apply to you because you are a member, select "yes."
Yes, I understand
No, I do not understand and will contact Amanda Cords for clarification.
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24
Is at least one parent Catholic?
*
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In order for a child to receive the sacraments, it is essential that at least one parent is Catholic. If you are interested in entering the Catholic faith, or you would like to have your child baptized, please contact Sabina Carter at scarter@hffdl.org.
Yes, one or both parents are Catholic
No, neither parent is Catholic. I will contact Sabina Carter for more information.
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25
First Child
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First Name
Last Name
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26
Please complete the following information about this child
Grade entering in September 2018
Please Select
Male
Female
Please Select
Please Select
Male
Female
Gender
Please Select
No Sacraments Received
Baptism Only
Baptism, Reconciliation, and Eucharist
Please Select
Please Select
No Sacraments Received
Baptism Only
Baptism, Reconciliation, and Eucharist
Sacraments Already Received
Birthday (Month/Day/Year)
Please Select
Grade 1: 2030
Grade 2: 2029
Grade 3: 2028
Grade 4: 2027
Grade 5: 2026
Grade 6: 2025
Grade 7: 2024
Grade 8: 2023
Please Select
Please Select
Grade 1: 2030
Grade 2: 2029
Grade 3: 2028
Grade 4: 2027
Grade 5: 2026
Grade 6: 2025
Grade 7: 2024
Grade 8: 2023
High School Graduation Year
(Allergies, learning disabilities, etc.)
Actions we should take in the event of emergency
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27
Would you like to register another child?
YES
NO
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28
Second Child
First Name
Last Name
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29
Please complete the following information about this child
Please Select
1
2
3
4
5
6
7
8
Please Select
Please Select
1
2
3
4
5
6
7
8
Grade Entering in September 2018
Please Select
Male
Female
Please Select
Please Select
Male
Female
Gender
Please Select
No Sacraments Received
Baptism Only
Baptism, Reconciliation, Eucharist
Please Select
Please Select
No Sacraments Received
Baptism Only
Baptism, Reconciliation, Eucharist
Sacraments Already Received
Birthday (MM/DD/YYYY)
Please Select
Grade 1: 2030
Grade 2: 2029
Grade 3: 2028
Grade 4: 2027
Grade 5: 2026
Grade 6: 2025
Grade 7: 2024
Grade 8: 2023
Please Select
Please Select
Grade 1: 2030
Grade 2: 2029
Grade 3: 2028
Grade 4: 2027
Grade 5: 2026
Grade 6: 2025
Grade 7: 2024
Grade 8: 2023
High School Graduation Year
Allergies, learning disabilities, etc.
Actions we should take in the event of an emergency
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30
Would you like to register another child?
YES
NO
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31
Third Child
First Name
Last Name
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32
Please complete the following information about this child
Please Select
1
2
3
4
5
6
7
8
Please Select
Please Select
1
2
3
4
5
6
7
8
Grade Entering in September 2018
Please Select
Male
Female
Please Select
Please Select
Male
Female
Gender
Please Select
No Sacraments Received
Baptism Only
Baptism, Reconciliation, Eucharist
Please Select
Please Select
No Sacraments Received
Baptism Only
Baptism, Reconciliation, Eucharist
Sacraments Already Received
Birthday (MM/DD/YYYY)
Please Select
Grade 1: 2030
Grade 2: 2029
Grade 3: 2028
Grade 4: 2027
Grade 5: 2026
Grade 6: 2025
Grade 7: 2024
Grade 8: 2023
Please Select
Please Select
Grade 1: 2030
Grade 2: 2029
Grade 3: 2028
Grade 4: 2027
Grade 5: 2026
Grade 6: 2025
Grade 7: 2024
Grade 8: 2023
High School Graduation Year
Allergies, learning disabilities, etc.
Actions we should take in the event of an emergency
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33
Would you like to register another child?
YES
NO
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34
Fourth Child
First Name
Last Name
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35
Please complete the following information about this child
Please Select
1
2
3
4
5
6
7
8
Please Select
Please Select
1
2
3
4
5
6
7
8
Grade Entering in September 2018
Please Select
Male
Female
Please Select
Please Select
Male
Female
Gender
Please Select
No Sacraments Received
Baptism Only
Baptism, Reconciliation, Eucharist
Please Select
Please Select
No Sacraments Received
Baptism Only
Baptism, Reconciliation, Eucharist
Sacraments Already Received
Birthday (MM/DD/YYYY)
Please Select
Grade 1: 2030
Grade 2: 2029
Grade 3: 2028
Grade 4: 2027
Grade 5: 2026
Grade 6: 2025
Grade 7: 2024
Grade 8: 2023
Please Select
Please Select
Grade 1: 2030
Grade 2: 2029
Grade 3: 2028
Grade 4: 2027
Grade 5: 2026
Grade 6: 2025
Grade 7: 2024
Grade 8: 2023
High School Graduation Year
Allergies, learning disabilities, etc.
Actions we should take in the event of an emergency
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36
My child(ren) would like the following textbook:
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37
I understand that if I have instructed the staff to give any sort of medication to any of my children in the event of an emergency, I will provide that medication for the duration of the program. Example: Epi-Pen, Benadryl, ibuprofen, etc.
*
This field is required.
If this does not apply to you, please select "yes."
Yes, I understand that if I do not provide the mentioned medication, I will need to deliver it or my child will be sent home.
No, I do not understand and will contact Amanda Cords for clarification.
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38
Absence Policy: In order to ensure that we are making our best effort to offer our students the proper instruction and faith development they need, any student with 4 or more total absences at the end of the program (13% or more of the required class time) will need to attend a make-up meeting at the end of May. I understand that my child(ren) will be marked absent if I do not call in before the start of class.
*
This field is required.
Please call the Sacred Heart School and leave a message at (920) 933-6880.
Yes, I understand.
No, I do not understand and will contact Amanda Cords for clarification.
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39
All mass communication will be sent via the Holy Family Catholic Community App and
WILL NOT
be sent via individual e-mail. This includes: cancelled class/reminders/etc. The app is available at the Google Play or Apple App Store. Please note that it is best to check the app frequently. Thank you!
YOU MUST TURN CHRISTIAN FORMATION NOTIFICATIONS ON TO RECEIVE AUTOMATIC MESSAGES
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40
I understand that payment must be called in to the office (920)921-0580 to pay by card OR mailed/dropped off at the Holy Family Office to pay by check. I understand that a spot will not be saved for my child until payment has been received or a payment plan or financial aid plan has been approved.
I understand that I must contact Amanda Cords if she has not sent a confirmation e-mail to me stating that my payment has been received within one week of payment submission.
YES, I understand and will look for e-mail confirmation.
NO
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