St. Matthew’s Episcopal Church Annual Christian Formation Registration & Permission Packet (2026–2027)
Welcome (Pre-K through 12th Grade)

We are grateful for your family and honored to support children and youth as they grow in faith, prayer, Scripture, and service in the life of the Church. Please complete this packet each program year to provide the information and permissions needed for participation in Christian Formation ministries at St. Matthew’s Episcopal Church. This packet is available in both printed and digital formats. Families may complete and return a printed copy to Jen Woytowich, or use the QR code provided to access and complete the forms electronically if preferred.

Thank you for partnering with us as we nurture the faith and formation of our children and youth.


Christian Formation Staff

Jen Woytowich — Christian Formation Director.  christianed1@stmatthewsmadison.org

Jann Eich — Youth Director.    youthdir@stmatthewsmadison.org


“Train up a child in the way he should go; even when he is old he will not depart from it.”

— Proverbs 22:6

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Email *

Parent/Guardian 1

Name:

*

Parent/Guardian 1

Phone Number:

*

Parent/Guardian 1

Email:

*

Parent/Guardian 1

Address:

*

Parent/Guardian 2

Name:

Parent/Guardian 2

Phone Number:

Parent/Guardian 2

Email:

Parent/Guardian 2

Address:

Emergency Contacts (Other than Parent/Guardian)

Please list at least two local contacts who can respond if a parent/guardian is unavailable. Please include name, relationship and phone number.

*
Individual Child Information (Child #1)

Complete one page per child. Additional copies may be made as needed.

Child's Full Name

*
Individual Child Information (Child #1)

Complete one page per child. Additional copies may be made as needed.

Child's Birthday (mm/dd/year)

*
Individual Child Information (Child #1)

Complete one page per child. Additional copies may be made as needed.

Child's Age

*
Individual Child Information (Child #1)

Complete one page per child. Additional copies may be made as needed.

Grade 2026-2027

*
Individual Child Information (Child #1)

Complete one page per child. Additional copies may be made as needed.

Child's School

Baptized *
Confirmed *
Medical Information

Allergies (food/environment/medication) & reaction details

*

Current medications (include timing/dosage if applicable)

*

Medical conditions / special considerations

*

Dietary restrictions

*
Learning Accommodations

We want every child to thrive. Please share helpful strategies, accommodations, or sensitivities (as applicable).

Learning / behavioral supports, IEP/504 notes (optional), sensory needs, triggers, de-escalation supports

*
Program Enrollment (2026–2027)

Please check all that apply for your child(ren). Church staff may follow up to confirm details and schedules.

*
Required
Transportation Authorization

For off-site activities (service projects, retreats, outings), please indicate transportation permission.

*
Required
Overnight Event Permission (EYC Grades 6–12)

This section applies to overnight events including retreats and lock-ins. Event-specific details may follow.

*
Pick-Up Authorization

For safety, children/youth will only be released to adults authorized below (as age-appropriate). Photo ID may be requested.

Please name, phone number and relationship

*
Medical Authorization

In the event of illness or injury, every effort will be made to contact a parent/guardian. If a parent/guardian cannot be reached, please indicate your consent for emergency care.

*
Safe Church Acknowledgment

St. Matthew’s Episcopal Church is committed to the safety and well-being of all children, youth, and volunteers. Our ministries follow diocesan and parish safeguarding policies and training requirements.

*
Required
Behavior Expectations

Christian Formation and Youth gatherings are ministry spaces. We expect behavior that reflects respect for God, one another, leaders, property, and the wider community.

*
Required
Photo / Media Release

Photos/video may be used for parish communications (e.g., bulletin boards, parish website, social media, newsletters) in a manner consistent with the church’s values.

*
Communication Permissions

Please indicate how we may communicate with your family and (where age-appropriate) with youth.

*
Required

Please list your child's siblings. Please include Name, Age, and Grade. 

*
Individual Child Information (Child #2)

Complete one page per child. Additional copies may be made as needed.

Child's Full Name

Individual Child Information (Child #2)

Complete one page per child. Additional copies may be made as needed.

Child's Birthday (mm/dd/year)

Individual Child Information (Child #2)

Complete one page per child. Additional copies may be made as needed.

Child's Age

Individual Child Information (Child #2)

Complete one page per child. Additional copies may be made as needed.

Grade 2026-2027

Baptized
Clear selection
Confirmed
Clear selection
Medical Information

Allergies (food/environment/medication) & reaction details

Current medications (include timing/dosage if applicable)

Medical conditions / special considerations

Dietary restrictions

Learning Accommodations

We want every child to thrive. Please share helpful strategies, accommodations, or sensitivities (as applicable).

Learning / behavioral supports, IEP/504 notes (optional), sensory needs, triggers, de-escalation supports

Program Enrollment (2026–2027)

Please check all that apply for your child(ren). Church staff may follow up to confirm details and schedules.

Transportation Authorization

For off-site activities (service projects, retreats, outings), please indicate transportation permission.

Overnight Event Permission (EYC Grades 6–12)

This section applies to overnight events including retreats and lock-ins. Event-specific details may follow.

Clear selection
Pick-Up Authorization

For safety, children/youth will only be released to adults authorized below (as age-appropriate). Photo ID may be requested.

Please name, phone number and relationship

Medical Authorization

In the event of illness or injury, every effort will be made to contact a parent/guardian. If a parent/guardian cannot be reached, please indicate your consent for emergency care.

Clear selection
Safe Church Acknowledgment

St. Matthew’s Episcopal Church is committed to the safety and well-being of all children, youth, and volunteers. Our ministries follow diocesan and parish safeguarding policies and training requirements.

Behavior Expectations

Christian Formation and Youth gatherings are ministry spaces. We expect behavior that reflects respect for God, one another, leaders, property, and the wider community.

Photo / Media Release

Photos/video may be used for parish communications (e.g., bulletin boards, parish website, social media, newsletters) in a manner consistent with the church’s values.

Clear selection
Communication Permissions

Please indicate how we may communicate with your family and (where age-appropriate) with youth.

Please list your child's siblings. Please include Name, Age, and Grade. 

Individual Child Information (Child #3)

Complete one page per child. Additional copies may be made as needed.

Child's Full Name

Individual Child Information (Child #3)

Complete one page per child. Additional copies may be made as needed.

Child's Birthday (mm/dd/year)

Individual Child Information (Child #3)

Complete one page per child. Additional copies may be made as needed.

Child's Age

Individual Child Information (Child #3)

Complete one page per child. Additional copies may be made as needed.

Grade 2026-2027

Individual Child Information (Child #3)

Complete one page per child. Additional copies may be made as needed.

Child's School

Baptized
Clear selection
Confirmed
Clear selection
Medical Information

Allergies (food/environment/medication) & reaction details

Current medications (include timing/dosage if applicable)

Medical conditions / special considerations

Dietary restrictions

Learning Accommodations

We want every child to thrive. Please share helpful strategies, accommodations, or sensitivities (as applicable).

Learning / behavioral supports, IEP/504 notes (optional), sensory needs, triggers, de-escalation supports

Program Enrollment (2026–2027)

Please check all that apply for your child(ren). Church staff may follow up to confirm details and schedules.

Transportation Authorization

For off-site activities (service projects, retreats, outings), please indicate transportation permission.

Overnight Event Permission (EYC Grades 6–12)

This section applies to overnight events including retreats and lock-ins. Event-specific details may follow.

Clear selection
Pick-Up Authorization

For safety, children/youth will only be released to adults authorized below (as age-appropriate). Photo ID may be requested.

Please name, phone number and relationship

Medical Authorization

In the event of illness or injury, every effort will be made to contact a parent/guardian. If a parent/guardian cannot be reached, please indicate your consent for emergency care.

Clear selection
Safe Church Acknowledgment

St. Matthew’s Episcopal Church is committed to the safety and well-being of all children, youth, and volunteers. Our ministries follow diocesan and parish safeguarding policies and training requirements.

Behavior Expectations

Christian Formation and Youth gatherings are ministry spaces. We expect behavior that reflects respect for God, one another, leaders, property, and the wider community.

Photo / Media Release

Photos/video may be used for parish communications (e.g., bulletin boards, parish website, social media, newsletters) in a manner consistent with the church’s values.

Clear selection
Communication Permissions

Please indicate how we may communicate with your family and (where age-appropriate) with youth.

Please list your child's siblings. Please include Name, Age, and Grade. 

Parent/Guardian Consent & Signature

By signing below, I certify that the information provided is accurate to the best of my knowledge, and I grant the permissions indicated in this packet for the 2026–2027 program year.

Please type name, date, phone number

*
A copy of your responses will be emailed to the address you provided.
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