Family of Faith

Name of Person Completing this Form

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

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

Primary Contact Info

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Youth REQUIRED Please fill out this field.
Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

Additional Guardian

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to Youth REQUIRED Please fill out this field.
Address - if different Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

Permission & Release:
As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor/s. I agree on behalf of myself, my child named herein, or our heirs, and successors, to hold harmless and defend St, Bernard Parish, its officers, directors, employees, volunteers and agents, and the Diocese of Madison, Bishop Donald Hying, its employees and agents, chaperones, or representatives associated with any faith formation events, from any claim arising from or in connection with my child attending these events or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the parish, its officers, directors and agents, and the Diocese of Madison, its employees and agents and chaperones, or representatives associated with these events for reasonable attorney’s fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the parish or the Diocese of Madison.

Please check REQUIRED I agree Please fill out this field.

Photo & Media Release:
By your participation in parish events, you are allowing St. Bernard parish, its staff and volunteers, to capture photographs, videos and audio of you and your child/ren to be used for promotional materials, photo albums, bulletin boards, the St. Bernard and affiliated parishes/organizations websites and various social media platforms including, but not limited to, Facebook and Instagram.
On printed medium and our website, students may be identified by first name and last initial.
On social media, no student in or below eighth grade will be “tagged” or identified by name. Staff may tag High School students who have Facebook and Instagram accounts and have opted to be friends with or follow staff/parish accounts.
At the request of parents, the parish will within a reasonable amount of time remove any tags, identifying information, or photographs/videos containing an image of anyone in your family.
To Opt-Out an individual or your entire fmaily from this policy and release, please send an email to Ellen Krenke in the parish office making that request for the 2021-22 acedmic year.

Please check REQUIRED I agree Please fill out this field.

Participation Clause:
My family agrees to offer our help for at least one of the monthly events this school year (behind the scenes like running copies or with a mailer, bringing baked goods, etc.). More info and a sign-up will be presented at the first session.

Please check REQUIRED I agree Please fill out this field.

Registration Fees

Please check the appropriate boxes below to figure what your payment will be. You may either submit payment online now or you may opt to send a check into the parish office. If you choose to send a check, please drop it off at the office or mail it right away to:

St. Bernard Office of Faith Formation
2015 Parmenter St
Middleton, WI 53562
Family Faith Formation Fee75.0
Sacrament Prep Fees
35.0 – Eucharist & Reconciliation (normally gr. 2)
85.0 – Confirmation (normally gr. 10)
Additional needed $ Please enter a positive decimal.
Optional Donations
10.0 – Scholarship for registration fee
25.0 – Food/Meal costs donation

Family of Faith

Contact Us

Family of Faith (Scroll down to register)

Schedule

Reflections/Suggested Activities for Families

Family of Faith Registration