Tosa Tri-Parish Youth Ministry Registration
Instructions
We are gearing up for a great year of youth ministry at St. Pius X, Christ King, and St. Bernard parishes, and we can't wait to have you join us! To register for our middle school, high school, or Confirmation program, please fill out the below form to register for the 2018-2019 school year.

After you have registered, we will contact you about payment. You will have the option to pay online or by check. The Program fees are below. We never want finances to be the reason your family doesn’t participate in our formation program. Contact Sarah if you need financial assistance.
-6-8th Grade: $90 program fee + $35 retreat fee = $125
-9-10th Grade: $150 program fee + $40 overnight retreat = $190
-Confirmation: $150 program fee + $115 overnight retreat = $265
-Non-Parishioner Fee: $60

If you have any questions, please do not hesitate to contact Sarah Daszczuk, the Tri-Parish Director of Youth Ministry at daszczuks@christkingparish.org.

Family Information
Parent(s) Name (first & last) *
Your answer
Preferred Phone Number(s) *
Please list parent phone number(s). If you have multiple, separate with a semicolon.
Your answer
Preferred E-mail Address(es) *
Please list ALL parent e-mail addresses where you would like to receive information, separate with a semicolon .
Your answer
Primary Mailing Address *
Your answer
Secondary Mailing Address (optional)
Please also indicate who lives at this address:
Your answer
Emergency Contact Information *
In the event that we are unable to reach you in an emergency, please indicate who we should call and their number.
Your answer
Home Parish *
Required
Photo Release *
I hereby consent that any still or electronic image and/or audio recording, in which I or my child may appear, may be used by Christ King Parish, St. Bernard Parish, St. Pius X Parish and/or by the Archdiocese of Milwaukee. I understand that these materials are being used for promotion of Christ King Parish, St. Bernard Parish, St. Pius X Parish, and/or the Archdiocese of Milwaukee. The images and/or recordings may be used to support recruitment, fundraising, evangelization and other communication efforts. Images of my 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 Christ King Parish, St. Bernard Parish, St. Pius X Parish and/or the Archdiocese’s use of this/these photographs.
Please provide any additional information we should know to better serve your family.
Your answer
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