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Preschool Registration 26-27

- Faith Formation & Ministries

We are excited to have you join us for Preschool Faith Formation! Our goal is to provide a safe, welcoming, and faith-filled environment where young children can begin learning about God's love through prayer, stories, songs, crafts, and age-appropriate activities. Please fill out the registration form below for preschoolers ages 3-5 (must be 3 by September 1st, 2026) prior to attendance.
Location: St. Ignatius Church
Time: During the 10:30am Sunday Mass, beginning November 8th, 2026

If you have any questions please reach out to Angie Sailing ([email protected])
Preschool Program Registration Form
This form is not accepting responses at this time.
- Please fill out the parent/guardian information below. More spaces will populate automatically when the number is changed.
- Parent/Guardian Information REQUIRED
  Please fill out the parent/guardian information below for at least one parent/guardian
  Please fill out this field.
  
  Adult 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to child/children REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  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.
  
  Is This Person Authorized For Pick-Up? REQUIRED Yes No Please fill out this field.
  
  Adult 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to child/children REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  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.
  
  Is This Person Authorized For Pick-Up? REQUIRED Yes No Please fill out this field.
  
  Adult 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to child/children REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  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.
  
  Is This Person Authorized For Pick-Up? REQUIRED Yes No Please fill out this field.
  
  Adult 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to child/children REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  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.
  
  Is This Person Authorized For Pick-Up? REQUIRED Yes No Please fill out this field.
  
  Adult 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to child/children REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  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.
  
  Is This Person Authorized For Pick-Up? REQUIRED Yes No Please fill out this field.
  
  Adult 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to child/children REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  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.
  
  Is This Person Authorized For Pick-Up? REQUIRED Yes No Please fill out this field.
  
  Adult 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to child/children REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  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.
  
  Is This Person Authorized For Pick-Up? REQUIRED Yes No Please fill out this field.
  
  Adult 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to child/children REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  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.
  
  Is This Person Authorized For Pick-Up? REQUIRED Yes No Please fill out this field.
- Emergency Contact Information (if parents can not be reached)
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Relationship to child/children REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
- Please fill out the preschoolers information below. More spaces will populate automatically when the number is changed.
- Preschoolers REQUIRED Please fill out this field.
  
  Child 1
  
  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 (must be 3yrs old by 9/1/2026) 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.
  
  Medical Information - Allergies, Medical Conditions, Special Needs, and/or Dietary Restrictions REQUIRED Please fill out this field.
  
  Bathroom Independence (must be fully potty trained) REQUIRED Fully Trained May Require Occasional Assistance Not Yet Toilet Trained Please fill out this field.
  
  Child 2
  
  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 (must be 3yrs old by 9/1/2026) 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.
  
  Medical Information - Allergies, Medical Conditions, Special Needs, and/or Dietary Restrictions REQUIRED Please fill out this field.
  
  Bathroom Independence (must be fully potty trained) REQUIRED Fully Trained May Require Occasional Assistance Not Yet Toilet Trained Please fill out this field.
  
  Child 3
  
  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 (must be 3yrs old by 9/1/2026) 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.
  
  Medical Information - Allergies, Medical Conditions, Special Needs, and/or Dietary Restrictions REQUIRED Please fill out this field.
  
  Bathroom Independence (must be fully potty trained) REQUIRED Fully Trained May Require Occasional Assistance Not Yet Toilet Trained Please fill out this field.
  
  Child 4
  
  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 (must be 3yrs old by 9/1/2026) 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.
  
  Medical Information - Allergies, Medical Conditions, Special Needs, and/or Dietary Restrictions REQUIRED Please fill out this field.
  
  Bathroom Independence (must be fully potty trained) REQUIRED Fully Trained May Require Occasional Assistance Not Yet Toilet Trained Please fill out this field.
  
  Child 5
  
  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 (must be 3yrs old by 9/1/2026) 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.
  
  Medical Information - Allergies, Medical Conditions, Special Needs, and/or Dietary Restrictions REQUIRED Please fill out this field.
  
  Bathroom Independence (must be fully potty trained) REQUIRED Fully Trained May Require Occasional Assistance Not Yet Toilet Trained Please fill out this field.
  
  Child 6
  
  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 (must be 3yrs old by 9/1/2026) 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.
  
  Medical Information - Allergies, Medical Conditions, Special Needs, and/or Dietary Restrictions REQUIRED Please fill out this field.
  
  Bathroom Independence (must be fully potty trained) REQUIRED Fully Trained May Require Occasional Assistance Not Yet Toilet Trained Please fill out this field.
  
  Child 7
  
  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 (must be 3yrs old by 9/1/2026) 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.
  
  Medical Information - Allergies, Medical Conditions, Special Needs, and/or Dietary Restrictions REQUIRED Please fill out this field.
  
  Bathroom Independence (must be fully potty trained) REQUIRED Fully Trained May Require Occasional Assistance Not Yet Toilet Trained Please fill out this field.
- Date(s) Preschooler(s) Will Attend? REQUIRED 11/8/2026 12/6/2026 1/3/2027 2/7/2027 3/7/2027 4/4/2027 Please fill out this field.
- Parent Participation: Our program is made possible through the generosity of volunteers. Parents are encouraged to participate whenever they are able. I would like to help with: REQUIRED Classroom Helper Crafts Supplies Snack Supplies Special Events Substitute Helper Please fill out this field.
- Parent Separation & Comfort Policy
  We understand that every child adjusts differently to being away from a parent or guardian. Our volunteers strive to provide a caring, patient, and nurturing environment where children feel safe and loved.
  
  Parents or guardians must remain on church property while their child is participating in Preschool Faith Formation.
  
  If a child becomes inconsolably upset or is unable to participate after reasonable comfort measures, a parent or guardian will be contacted and asked to return to the classroom.
  Some children may benefit from having a parent remain with them during the first session or two until they become comfortable.
  
  Our volunteers will work with each family to help make the transition a positive experience.
  We encourage parents to say a brief, positive goodbye before leaving the classroom.
  
  Parent Acknowledgment
  I understand that my child may need time to adjust to being separated from me. I agree to remain on church property during the session and understand that I may be asked to return if my child cannot be comforted or participate safely.
- My full name below stands as my electronic signature for the above permissions (parent separation & comfort policy): REQUIRED Please fill out this field. Please enter valid data.
- Photo Release:
  I hereby authorize the Catholic Diocese of Madison and St. Francis of Assisi and its agents to utilize photographic and/or video images of me or my child by the Catholic Diocese of Madison. In giving my consent, I hereby indemnify and hold harmless the Catholic Diocese of Madison and St. Francis of Assisi and its agents from any and all responsibility of liability.
- My full name below stands as my electronic signature for the above permissions (photo release, write na for permissions not granted): REQUIRED Please fill out this field. Please enter valid data.
- Liability Release & Emergency Medical Authorization
  I understand that my child will participate in the Preschool Faith Formation program sponsored by St. Francis of Assisi Parish.
  I understand that reasonable precautions will be taken to provide a safe environment for all participants. In the event of illness or injury, I authorize parish staff or volunteers to obtain emergency medical treatment for my child if I cannot be reached immediately. I understand that I am responsible for any medical expenses incurred.
  I release and hold harmless St. Francis of Assisi Parish, the Diocese of Madison, its clergy, employees, and volunteers from liability for ordinary accidents or injuries that may occur while my child is participating in parish-sponsored activities, except in cases of gross negligence or willful misconduct.
- My full name below stands as my electronic signature for the above permissions (liability release & emergency medical authorization): Please enter valid data.
- Parent/Guardian Agreement
  I understand and agree to:
  Remain on church property while my child is participating in Preschool Faith Formation.
  Notify program leaders of any changes to my child's medical information or emergency contacts.
  Follow all parish policies designed to provide a safe and welcoming environment for every child. Support my child's participation by encouraging respectful behavior and regular attendance.
- My full name below stands as my electronic signature for the above permissions (parent/guardian agreement, write na for permissions not granted): REQUIRED Please fill out this field. Please enter valid data.
Submit

ST. FRANCIS OF ASSISI PARISH

MT. HOREB, BARNEVELD, HOLLANDALE, Perry, Ridgeway & BLANCHARDVILLE

Preschool Registration 26-27

Location: St. Ignatius Church

Time: During the 10:30am Sunday Mass, beginning November 8th, 2026

If you have any questions please reach out to Angie Sailing ([email protected])

Preschool Program Registration Form