Catechist Discipleship Formation Registration

Please be sure you select your parish.

Which parish do you belong to? REQUIRED 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.

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.

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

Email 2 Please enter an email address.

Parent Phone Number 1 REQUIRED Please fill out this field. Please enter a phone number.

Parent Phone Number 2 REQUIRED Please fill out this field. Please enter a phone number.

Address 2 if Required (If a blended family, please include the names of all parents)

Be sure to select the total number of children below so the form provides you with fields for each one!

Children REQUIRED Please fill out this field.
Child 1
- If you are registering more than 3 children, please select "Child 4" or "Child 5" from the Grade listing below and add their grade information in the text box below. That will make sure that you are not charged for those children per our policy.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Grade in 2026-27 REQUIRED Please fill out this field.
- Sacrament Year? REQUIRED Yes - 2nd Grade (First Reconciliation, First Communion) Yes, 11th Grade (Confirmation) My child missed a sacrament (the parish will follow-up with you) No Please fill out this field.
- Primary Care Doctor Name REQUIRED Please fill out this field. Please enter valid data.
- Primary Care Doctor Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Allergies or Medical Conditions? REQUIRED
  If yes, please tell us more...
  Yes No Please fill out this field.
- More... Please enter valid data.
- Name of K-12 School Attending REQUIRED Please fill out this field. Please enter valid data.
- Grade/s if Registering 4th or 5th Children
  Please list the name and grade of your children if this is the 4th or 5th child.
  Please enter valid data.
Child 2
- If you are registering more than 3 children, please select "Child 4" or "Child 5" from the Grade listing below and add their grade information in the text box below. That will make sure that you are not charged for those children per our policy.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Grade in 2026-27 REQUIRED Please fill out this field.
- Sacrament Year? REQUIRED Yes - 2nd Grade (First Reconciliation, First Communion) Yes, 11th Grade (Confirmation) My child missed a sacrament (the parish will follow-up with you) No Please fill out this field.
- Primary Care Doctor Name REQUIRED Please fill out this field. Please enter valid data.
- Primary Care Doctor Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Allergies or Medical Conditions? REQUIRED
  If yes, please tell us more...
  Yes No Please fill out this field.
- More... Please enter valid data.
- Name of K-12 School Attending REQUIRED Please fill out this field. Please enter valid data.
- Grade/s if Registering 4th or 5th Children
  Please list the name and grade of your children if this is the 4th or 5th child.
  Please enter valid data.
Child 3
- If you are registering more than 3 children, please select "Child 4" or "Child 5" from the Grade listing below and add their grade information in the text box below. That will make sure that you are not charged for those children per our policy.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Grade in 2026-27 REQUIRED Please fill out this field.
- Sacrament Year? REQUIRED Yes - 2nd Grade (First Reconciliation, First Communion) Yes, 11th Grade (Confirmation) My child missed a sacrament (the parish will follow-up with you) No Please fill out this field.
- Primary Care Doctor Name REQUIRED Please fill out this field. Please enter valid data.
- Primary Care Doctor Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Allergies or Medical Conditions? REQUIRED
  If yes, please tell us more...
  Yes No Please fill out this field.
- More... Please enter valid data.
- Name of K-12 School Attending REQUIRED Please fill out this field. Please enter valid data.
- Grade/s if Registering 4th or 5th Children
  Please list the name and grade of your children if this is the 4th or 5th child.
  Please enter valid data.
Child 4
- If you are registering more than 3 children, please select "Child 4" or "Child 5" from the Grade listing below and add their grade information in the text box below. That will make sure that you are not charged for those children per our policy.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Grade in 2026-27 REQUIRED Please fill out this field.
- Sacrament Year? REQUIRED Yes - 2nd Grade (First Reconciliation, First Communion) Yes, 11th Grade (Confirmation) My child missed a sacrament (the parish will follow-up with you) No Please fill out this field.
- Primary Care Doctor Name REQUIRED Please fill out this field. Please enter valid data.
- Primary Care Doctor Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Allergies or Medical Conditions? REQUIRED
  If yes, please tell us more...
  Yes No Please fill out this field.
- More... Please enter valid data.
- Name of K-12 School Attending REQUIRED Please fill out this field. Please enter valid data.
- Grade/s if Registering 4th or 5th Children
  Please list the name and grade of your children if this is the 4th or 5th child.
  Please enter valid data.
Child 5
- If you are registering more than 3 children, please select "Child 4" or "Child 5" from the Grade listing below and add their grade information in the text box below. That will make sure that you are not charged for those children per our policy.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Grade in 2026-27 REQUIRED Please fill out this field.
- Sacrament Year? REQUIRED Yes - 2nd Grade (First Reconciliation, First Communion) Yes, 11th Grade (Confirmation) My child missed a sacrament (the parish will follow-up with you) No Please fill out this field.
- Primary Care Doctor Name REQUIRED Please fill out this field. Please enter valid data.
- Primary Care Doctor Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Allergies or Medical Conditions? REQUIRED
  If yes, please tell us more...
  Yes No Please fill out this field.
- More... Please enter valid data.
- Name of K-12 School Attending REQUIRED Please fill out this field. Please enter valid data.
- Grade/s if Registering 4th or 5th Children
  Please list the name and grade of your children if this is the 4th or 5th child.
  Please enter valid data.

Catechist Volunteer Discount -115.0 – per child Catechist Discount -50.0 – per child Helper Discount

If payment for classes is a concern, please talk with your coordinator. Assistance may be available from the parish.

OFFICE OF SAFE ENVIRONMENT DIGITAL COMMUNICATION POLICY FOR THE DIOCESE OF GREEN BAY

Digital communication offers individuals, groups and the Catholic Church an opportunity to connect in positive ways. We are able to encourage one another, strengthen community ties and boldly proclaim the Gospel of Jesus Christ.

While communication has advanced technically, it is at its core a human interaction. This Office of Safe Environment Digital Communication Policy creates clear standards and expectations for digital communication to protect children, and youth in digital communications. A Diocesan location, parish or school, may adopt a stricter standard than this policy but may not adopt a practice that fails to meet the standards and expectations of this policy.

Adherence to Diocesan Codes of Conduct

Clergy, employees of the Diocese of Green Bay, and employees of parishes and schools within the Diocese of Green Bay, digitally communicating with non-related minors must conform to the “Our Promise to Protect” - Safe Environment Policy, Diocese of Green Bay (“Our Promise to Protect…” (gbdioc.org)

Volunteers who minister to children, digitally communicating with non-related minors must conform to the “Diocesan Code of Pastoral Conduct for Volunteers (“Diocesan Code of Pastoral Conduct for Volunteers “ (gbdioc.org)

Clergy, employees, and volunteers must always remember that they are representatives of their parish, school or Catholic organization, and must conduct themselves accordingly, sharing a positive, joyful witness to the Gospel with others at all times.

A standard of transparency and accountability

Clergy, employees, and volunteers are always witnesses and disciples of Jesus Christ. Therefore, complete transparency is imperative and necessary regarding the use of digital communication with unrelated minors.

When using digital communication with the school or parish, clergy, employees, and volunteers must be identified by their common name or photo. Aliases are not to be used. It is expected of clergy, employees, and volunteers that an email account connected to the parish, school, or diocese must be used for all email communication with unrelated minors.

When using digital communication clergy, employees, and volunteers must respect boundaries and must communicate using appropriate language. The TWO PLUS ONE rule must be applied whereby there are always two background checked and safe environment trained adults included in digital communication with an unrelated minor. The adult is always responsible for maintaining clear professional boundaries.

Any parish, school or organization that creates a parish or school page, social media or other digital presence is required to designate at least one paid staff member to maintain administrator-level privileges to each digital communications outlet. The staff member should be able to access and retrieve a record of digital communication between staff/volunteers and minor individuals at will if requested by parents, law enforcement or other legitimate authorities.

Prohibited Digital Communication with Unrelated Minors

Personal Social Media (ie: Snapchat, Instagram, Facebook, Tik Tok, Spotify, etc.)
Personal Cellphone Information (ie: text messaging, phone call, video call, etc.)
Personal Email Address

Mandatory reporting

Clergy, employees, and volunteers must immediately report any form of digital communication they receive which indicates existing or imminent harm or danger of sexual abuse of a minor to civil authorities. The content of the communication must also be reported to parish and/or school leadership, and the Diocesan Assistance Coordinator (920-272-8174) in collaboration for the safety of the individual

Questions

Any questions about this policy may be directed to the Office of Safe Environment at 920-272-8174.

*The consent form for permission to use media(pictures/videos) is the Media Release Form and is different than the Digital Communications Policy

I Agree, I have been made aware of the Safe Environment Social Communications Policy for the Diocese of Green Please select this field.

2026-2027 PROMOTIONAL/MEDIA RELESE (Ref. Policy 5027)

During the 2026-2027 class year, St. Mary and St. Francis Xavier Discipleship Formation Program may reproduce or participate in videotape, motion picture, audio recording, web posting or still photograph productions that involve the use of students' names, likenesses or voices. Such productions may be used for educational or exhibition purposes by St. Mary and St. Francis Xavier Discipleship Formation Program and may be copied, copyrighted, edited, and distributed by St. Mary and St. Francis Xavier Discipleship Formation Program.

News media, including representatives of television, radio, newspapers, and magazines, also may be permitted on parish property and may take notes, still photos, sound recordings, and/or moving pictures that may include your child. These items may appear or be used in news or feature stories by print, television, website posting, or radio media.

You have the right to object to the use of your child's name, picture or voice in these productions and may do so by completing a requested form below through our office and returning it to the administrator of our program. This form must be received in our office by August 31, 2026.

If you have any questions, please contact the Discipleship Formation office at 920-337-2003.

By registering my child, I agree that permission is granted to use my child's name, picture, voice, or other likenesses for news releases, media, and promotional activities. This request is valid for the current Discipleship Formation Program year, 2026-2027. Should I not agree, permission is granted until I provide the Discipleship Formation Program office with the appropriate form not agreeing that permission is granted. I understand that I must give the office a two-week advance for permission to be changed.

I agree with the terms and conditions outlined in the Promotional/Media Release form. Please select this field.

Permission for ministry representatives to digitally communicate with your minor:
Do you authorize communication with you minor/individual at risk electronically, including via social media or other digital means, in accordance with the Safe Environment Social Communications Policy for the Diocese of Green Bay by staff ministry representatives of or diocesan-affiliated ministry representatives of the Diocese of Green Bay?

Select One: REQUIRED Yes, I authorize communication with my minor/individual at risk electronically. No, I do not authorize communication with my minor/individual at risk electronically. Please fill out this field.

Saints of De Pere

De Pere, WI

Catechist Discipleship Formation Registration