Saint Jerome Faith Formation Registration 2019-2020 Family Information Father’s Full Name: Religion: Address: City/State: Zip: Home Phone Number : Cell Phone Number : Email Address: Can you receive text messages? □ Yes □ No Mother’s Full Name: Religion: If different than Father’s, please provide Mother’s address and phone number Address: City/State: Zip: Home Phone Number : Cell Phone Number : Email Address: Can you receive text messages? □ Yes □ No If two addresses are listed, where would you like information sent? □ Father □ Mother Parish Status (Check One) □ We are current members of Saint Jerome □ We would like to register with Saint Jerome Volunteering This year we will be requiring two events from each family; One Parish event and one Faith Formation event. Further information will be sent out in the fall for sign up preferences. *All Catechists and Catechist Aide’s family Faith Formation fees & volunteer requirements are waived.* Fees Please check one box according to the number of children in Grades K3-10 □ 1 ……………. $105 □ 2 ……………. $200 □ 3…………….. $295 □ 4+………….. $390 **Please turn in checks with this registration form made payable to: Saint Jerome Parish** *** Early-Bird Discount of $30 per child if received by 7/1/2019.*** Archdiocese of Milwaukee, Release of Information, Photography & Video Consent I, the parent/legal guardian listed on this form, hereby consent that any still or electronic image and/or audio recording, in which I or my child listed above may appear, may be used by Saint Jerome Parish and/or by the Archdiocese of Milwaukee. I understand that these materials are being used for the promotion of Saint Jerome Parish and/or the Archdiocese of Milwaukee. The images and/or recordings may be used to support recruitment, fundraising, evangelization, and other communication efforts. I release the staff and volunteers and I understand and agree that the use of my picture is not an invasion of privacy. Neither I, nor anyone claiming to be speaking on my behalf, will later object to the Archdiocese’s use of this/these photographs. Signature of Parent/Legal Guardian:_____________________________________________ Date:__________________ (OVER) For Office Use Only Date Received: ______________ Staff Initials: __________ ; __________ PDS Date: ________ □ Cash ____________ Date___________ □ Check # __________ Date___________ By entering my full name, I attest that this constitutes my legal electronic signature on this form.