• Faith formation Online Registration Form

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  • Parent/Guardian Information
    • Which parish are you registered with? REQUIRED St. Anthony's - Cumberland St. Ann's - Turtle Lake Sacred Heart - Almena Not registered. Please contact me for registration. Please fill out this field.
    • First Name REQUIRED Please fill out this field. Please enter valid data.

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

      Last Name Please enter valid data.
    • Mailing Address REQUIRED Please fill out this field. Please enter valid data.
    • City REQUIRED Please fill out this field. Please enter valid data.

      State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

      Zip REQUIRED Please fill out this field. Please enter a zip code.
    • Home Number Please enter a phone number.
    • Cell Phone Number Please enter a phone number.
    • Work Number Please enter a phone number.
    • Email Please enter an email address.
  • Student Information
    • 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.
    • Cell Phone Number Please enter a phone number.
    • Email Please enter an email address.
    • Student's Grade in School REQUIRED Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Please fill out this field.
    • Has your child been baptized? REQUIRED Yes No I'm not sure. I need to talk with someone. Please fill out this field.
    • Where was your child baptized? REQUIRED St. Anthony's - Cumberland St. Ann's - Turtle Lake Sacred Heart - Almena Outside of the Parish Cluster Please fill out this field.
    • If outside of cluster, where was child baptized? Parish Name, City & State. Please enter valid data.
    • Has your child received any of the following Sacraments? 1st Reconciliation 1st Eucharist My child has not received these Sacraments
    • Does your child have any special educational needs? REQUIRED Yes No Please fill out this field.
    • If yes, please explain. Please enter valid data.
    • Does your child have any health problems we need to be aware of, i.e., allergies, diabetes, asthma, etc.? REQUIRED Yes No Please fill out this field.
    • If yes, please explain. Please enter valid data.
    • Please list persons, other than yourself, who are allowed to pickup your child from class. (Required for students in Kindergarten through 4th Grade).
    • First Name Please enter valid data.

      Last Name Please enter valid data.
    • First Name Please enter valid data.

      Last Name Please enter valid data.
  • Emergency Contact Information
    • In the event of an emergency, if you are unable to reach me at the above numbers, please contact:
    • First Name Please enter valid data.

      Last Name Please enter valid data.
    • Phone Number Please enter a phone number.
    • First Name Please enter valid data.

      Last Name Please enter valid data.
    • Phone Number Please enter a phone number.
  • In the event of an emergency, I give permission to transport my child/ward to a hospital for emergency medical treatment. I wish to be advised prior to any further treatment by the hospital or doctor.
  • I Agree Please select this field.
  • Registration fee for religious education is $15.00 per student, with a $45.00 maximum per household.
    
    Catechists receive free registration for their children.
    
    Payment can be made online by clicking the Online Religious Education Payment link on the Religious Education page after registration is complete, or by cash or check. Please make checks payable to your home parish. St. Anthony, St. Ann or Sacred Heart.
    
    Fee includes all program materials for the year.
    
    If you require financial assistance or relief for program fees please call the cluster parish office.
    (715) 822-2948
    
    Registration fees not already paid will be collected at the first regularly scheduled class period. They may also be sent to the cluster parish office at:
    
    St. Anthony, St. Ann & Sacred Heart Churches
    Religious Education Registration
    900 St. Anthony Street
    Cumberland, WI 54829

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