2021 / 2022 Registration Forms

HEAD OF HOUSEHOLD

Family Last Name: REQUIRED Please fill out this field. Please enter valid data.

Registered Member: REQUIRED Sacred Heart Parish St. Bernadette Parish Other Please fill out this field.

If other, please provide. Please enter valid data.

FATHER'S INFORMATION

Father's LAST Name: REQUIRED Please fill out this field. Please enter valid data.

Father's FIRST Name: REQUIRED Please fill out this field. Please enter valid data.

Father's Email: Please enter an email address.

Father's Phone/Cell Number: Please enter a phone number.

Father's Occupation: Please enter valid data.

Father's Religion: Catholic Other

If other, please provide. Please enter valid data.

MOTHER'S INFORMATION

Mother's LAST Name: REQUIRED Please fill out this field. Please enter valid data.

Mother's FIRST Name: REQUIRED Please fill out this field. Please enter valid data.

Mother's Email: Please enter an email address.

Mother's Phone/Cell Number: Please enter a phone number.

Mother's Occupation: Please enter valid data.

Mother's Religion: Catholic Other

If other, please provide. Please enter valid data.

ADDITIONAL INFORMATION

In order to best serve your family, please share any family dynamics, situations, or other contacts, our program should be aware of (step parents, divorce, raised by grandparents, parents are non-practicing, deceased parent, etc.) Please explain.

EMERGENCY CONTACT INFORMATION

Emergency Contact Last Name: (other than parents listed above) REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact First Name: REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Relationship to Child: REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone/Cell Number: REQUIRED Please fill out this field. Please enter a phone number.

STUDENT REGISTRATION

Number of Students to Register REQUIRED Please fill out this field.
Student 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth: REQUIRED Please fill out this field. Please enter a date.
- Grade: REQUIRED Please fill out this field.
- This year, 2021/2022 my child is looking to receive:
- Special Needs (medical, allergies, learning / physical disabilities) or N/A
Student 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth: REQUIRED Please fill out this field. Please enter a date.
- Grade: REQUIRED Please fill out this field.
- This year, 2021/2022 my child is looking to receive:
- Special Needs (medical, allergies, learning / physical disabilities) or N/A
Student 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth: REQUIRED Please fill out this field. Please enter a date.
- Grade: REQUIRED Please fill out this field.
- This year, 2021/2022 my child is looking to receive:
- Special Needs (medical, allergies, learning / physical disabilities) or N/A
Student 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth: REQUIRED Please fill out this field. Please enter a date.
- Grade: REQUIRED Please fill out this field.
- This year, 2021/2022 my child is looking to receive:
- Special Needs (medical, allergies, learning / physical disabilities) or N/A

2021/2022 VOLUNTEER SIGN UP

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Catechist (if yes, please select the grade)

Substitute Catechist (if yes, please select the grade)

Classroom Aide (if yes, please select the grade)

Hall Monitor (1 week each month)

Parking Lot Attendant (1 week each month)

My family can volunteer in the parish (1 weekend each month) Altar Servers Greeters/Hospitality Cleaning Music Ministry Hosting our Pastor for Dinner (once a school year)

I am able to help with events in the following ways Baking Retreat Volunteer - Reconciliation/First Communion Retreat Volunteer - Middle/High School Retreat/Mission Trip Chaperone Cornerstone Youth Ministry Helper (6:00-6:30 pm Wed of Faith Formation)

FAMILIES FOR CHRIST

A parent group that meets with the Family Ministry Team staff to brainstorm exciting family activities, build community within the parish, to get acquainted with other parents. (Meets Monthly)

I am interested in joining. Please select which parish group.

U.S. BISHOP'S DIRECTIVES

All volunteers working with children under 18 years of age or vulnerable adults will be asked to comply with the U.S. Bishop's directives to ensure the protection of our children and vulnerable adults in all ministries sponsored by the parish.

This includes:

A background check
Signature on the Diocesan "Code of Conduct"
Completion of VIRTUS training

Thank you for your commitment! Any questions, please call Gina at 920-739-4157 or email lead@faithministryteam.org

2021/2022 CONSENT FOR SOCIAL MEDIA

I understand that the Faith Formation Handbook is available in the Family Ministry Team office and on the parish website, (website link BELOW). I agree to abide by the rules and guidelines as stated in the Handbook. I understand that representatives from the program will communicate electronically with myself and my family on a weekly basis, and around the time of events/activities. Photos, slides, and videos of all participating in Faith Formation will be used at the discretion of the Coordinators for publicity, unless otherwise directed by the parent in writing for the 2021-2022 year. Our yearly Safe Environment Information will be integrated into one lesson per year, and if a parent chooses not to have the student participate, the parent will complete the opt out form that will be sent home prior to the training. I agree, on behalf of myself and my family, to hold harmless the Faith Formation / Youth Ministry program and the Diocese of Green Bay, as stated in the Handbook.

https://www.gbdioc.org/protecting-our-children/safe-environment

Parent / Guardian Signature
(this constitutes the signed and agreed upon statements above)

Electronic Signature (First & Last Name) REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Sacred Heart Parish

222 E. Fremont St.

Appleton, WI 54915

920-739-3196

2021 / 2022 Registration Forms

FAITH FORMATION REGISTRATION FORM