St. Anne Catholic Church

Somerset, WI

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Faith Formation Registration

- Overview
  
  Get to know our programs
  
  We are excited to begin a new year of Faith Formation!
  Your early registration helps us to prepare for a new year of encountering Jesus and living as His disciples. Early registration is greatly appreciated.
  Cost: $75/child; $225/family max
  Please take a moment to register for the following programs:
  Catechesis of the Good Shepherd
  Levels 1 and 2 (ages 3-6 yrs old, and 6-9 yrs old, respectively)
  Note: These are limited class sizes and registration is first come, first serve. If Level 2 is full, then traditional Faith Formation classes will be available on Sunday mornings.
  Faith Formation
  Grades 1 to 10
  Start Dates:
  Catechesis of the Good Shepherd:
  Level 1: Sun from 8:45 - 10:15 am - Begins Sept 22
  Level 2: Wed from 3:30-5:00 pm - Begins Sept 18
  Level 1: Fri from 8:15 - 9:45 am - Begins Sept 20
  Faith Formation:
  Grades 1 to 5: Sun from 9:00 - 10:15 am - Begins Sept 22
  Grades 6 to 10: Wed - 7 to 8:30 pm - Begins Oct 2, 2024
  Middle School / High School Calendar:
  October 2:
  5:30-7:00 p.m. – The Rock Youth Group (house)
  7-8:30 p.m. – First sessions of Middle & High School Faith Formation (school)
  October 9:
  5:30-7:00 p.m. – The Rock Youth Group (house)
  7-8:30 p.m. – First sessions of Middle & High School Faith Formation (school)
  Open House Information:
  CGS: Registered families will receive an email to sign up for designated open house times.
  Grades 1 to 5: Sunday, Sept 22 from 9 AM to 10:15 AM in St. Anne Catholic School Gym
  Grades 6 to 10: TBD
- Questions?
  
  Reach out to us
  
  CGS: Rachel Witthoft or Rachel McGurran
  [email protected]
  Grades 1-5: Karoline Thompson
  [email protected]
  Grades 6-10: Sara Measner
  [email protected]
2024 - 2025 Registration Form
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Street 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.
  
  Address of Father or Mother (if different than primary address) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Are you a registered member of our parish cluster or another Catholic Church? REQUIRED Yes - St. Anne Yes - St. Joseph Yes - St. Assumption Yes - Other (Not Stated) No, then please go to the "About our Parish" section, click on Become a Member and fill out the form. Please fill out this field.
  
  Father/Parental Guardian First & Last Name Please enter valid data.
  
  Father/Parent Guardian Email Address Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Do you want this number used to receive pertinent text messages? REQUIRED Yes No Please fill out this field.
  
  Mother/Parental Guardian First & Last Name Please enter valid data.
  
  Mother/Parental Guardian Email Address Please enter valid data.
  
  Religion Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Do you want this number to receive pertinent text messages? Yes No
  
  Please respond to the next set of questions for all children being registered. Thank you!
  
  Emergency Contact First & Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Hospital REQUIRED Please fill out this field. Please enter valid data.
  
  Hospital Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Family Physician & Clinic Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Physician & Clinic Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Dentist Name REQUIRED Please fill out this field. Please enter valid data.
  
  Dentist Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Eye Doctor REQUIRED Please fill out this field. Please enter valid data.
  
  Eye Doctor Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  I hereby authorize the health care provider or designated person to contact the above listed physician in case of an emergency and parents cannot be reached. REQUIRED Yes No Please fill out this field.
  
  I hereby give permission to chaperones of St. Anne Parish to distribute non-prescription/over-the-counter medications and treatments to my child/ward. REQUIRED Yes No Please fill out this field.
  
  In the event of illness or injury and I am unable to be reached, I do hereby consent to whatever examination, x-ray, anesthetic, medical, surgical, dental diagnosis or treatment and hospital care considered necessary in the best judgement of the attending physician, surgeon, or dentist, and performed by or under the supervision of the medical staff of the hospital or facility furnishing medical or dental services.
  
  I have read the statement above and consent to medical treatment if I'm unable to be reached. REQUIRED Yes No Please fill out this field.
  
  Image & Likeness Release: I give St. Anne’s permission to use any image of my child in both print and electronic publicity. The videotape, photograph, slide, audiotape, or any other visual or audio reproduction in which my child may appear may include promotional activities such as, but not limited to, websites, social media sites, newsprint, flyers or brochures. St. Anne’s reserves the right to determine which image and likeness is used and how long it will remain on the site or is used in media materials.
  
  I have read the Image & Likeness Release. REQUIRED NO, I do not give permission to St. Anne’s to use my child’s image and likeness YES, I give permission to St. Anne’s to use my child’s image and likeness for above-said use Please fill out this field.
  
  Code of Conduct Statement: I fully understand that students are to abide by all rules and regulations governing conduct and safety while attending religious education and related activities. Any violation of these rules and regulations may result in that individual being sent home.
  
  I have read the Code of Conduct statement. REQUIRED Yes, I agree to the Code of Conduct for Faith Formation No, I do not agree to the Code of Conduct for Faith Formation Please fill out this field.
  
  How many Children will you be registering? REQUIRED Please fill out this field.
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade
  
  If your child will be in CGS, choose which session preferred (limit of 10 per class)
  
  Place Baptized (Name of Place, City, State) Please enter valid data.
  
  Place of First Eucharist (Name of Place, City, State) Please enter valid data.
  
  Place of First Reconciliation (Church Name, City, State) Please enter valid data.
  
  List here any necessary: 1) learning & behavior considerations, 2) medical information, and/or 3) special needs. Please type n/a if there are none. REQUIRED Please fill out this field. Please enter valid data.
  
  List Known Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade
  
  If your child will be in CGS, choose which session preferred (limit of 10 per class)
  
  Place Baptized (Name of Place, City, State) Please enter valid data.
  
  Place of First Eucharist (Name of Place, City, State) Please enter valid data.
  
  Place of First Reconciliation (Church Name, City, State) Please enter valid data.
  
  List here any necessary: 1) learning & behavior considerations, 2) medical information, and/or 3) special needs. Please type n/a if there are none. REQUIRED Please fill out this field. Please enter valid data.
  
  List Known Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade
  
  If your child will be in CGS, choose which session preferred (limit of 10 per class)
  
  Place Baptized (Name of Place, City, State) Please enter valid data.
  
  Place of First Eucharist (Name of Place, City, State) Please enter valid data.
  
  Place of First Reconciliation (Church Name, City, State) Please enter valid data.
  
  List here any necessary: 1) learning & behavior considerations, 2) medical information, and/or 3) special needs. Please type n/a if there are none. REQUIRED Please fill out this field. Please enter valid data.
  
  List Known Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade
  
  If your child will be in CGS, choose which session preferred (limit of 10 per class)
  
  Place Baptized (Name of Place, City, State) Please enter valid data.
  
  Place of First Eucharist (Name of Place, City, State) Please enter valid data.
  
  Place of First Reconciliation (Church Name, City, State) Please enter valid data.
  
  List here any necessary: 1) learning & behavior considerations, 2) medical information, and/or 3) special needs. Please type n/a if there are none. REQUIRED Please fill out this field. Please enter valid data.
  
  List Known Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade
  
  If your child will be in CGS, choose which session preferred (limit of 10 per class)
  
  Place Baptized (Name of Place, City, State) Please enter valid data.
  
  Place of First Eucharist (Name of Place, City, State) Please enter valid data.
  
  Place of First Reconciliation (Church Name, City, State) Please enter valid data.
  
  List here any necessary: 1) learning & behavior considerations, 2) medical information, and/or 3) special needs. Please type n/a if there are none. REQUIRED Please fill out this field. Please enter valid data.
  
  List Known Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade
  
  If your child will be in CGS, choose which session preferred (limit of 10 per class)
  
  Place Baptized (Name of Place, City, State) Please enter valid data.
  
  Place of First Eucharist (Name of Place, City, State) Please enter valid data.
  
  Place of First Reconciliation (Church Name, City, State) Please enter valid data.
  
  List here any necessary: 1) learning & behavior considerations, 2) medical information, and/or 3) special needs. Please type n/a if there are none. REQUIRED Please fill out this field. Please enter valid data.
  
  List Known Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Number of Children Registering - $75 per child, $225 max per family REQUIRED Please fill out this field.
  
  Total:
  
  Submit
  
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