Worship Schedule

Weekend

Saturday

Confessions
3:30-4:15 PM
Mass
4:30 PM

Sunday

Mass
8:00 AM
10:00 AM

Weekday Masses

Wednesday

(Check Bulletin for Time)

Thursday

8:00 AM

(Check Bulletin for Special Masses)

Anointing Information

By appointment.
Call Parish Office 920-337-2330.

Online Parental/Guardian Permission
and Insurance Release Form

St. Mary Catholic Community
St. Francis Xavier Parish

Religious Formation / Youth Ministry
Transportation-Bus and Field Trip Form (Grades 2-11)

The following student(s) has my permission to participate in youth activities and field trips this year, taking the bus after school from Dickinson, Heritage, Susie C. Altmayer, Foxview and Notre Dame schools to St. Mary Catholic Community or St. Francis Xavier Parish. (Grades 2-11 must complete this form and return.)









Student One



School:

Grade as of September:

Does your child have allergies, special medical or learning needs:

Student Two



School:

Grade as of September:

Does your child have allergies, special medical or learning needs:

Student Three



School:

Grade as of September:

Does your child have allergies, special medical or learning needs:

Hospital and Physician Information



Local Physician's Name:

Physician's Address:

I understand that neither St. Mary / St. Francis nor any of its agents are responsible for any injury sustained by my child. I accept responsibility for any medical expenses as a result of any such injury sustained. In case of accident or serious illness and we are unable to be reached, I hereby authorize St. Mary / St. Francis to call the physician listed above and to follow his instructions. If this physician is unable to be contacted, you may make whatever arrangements are deemed necessary. Submitting this form online indicates permission is granted.

Any pictures taken of my child may be used for church purposes: Bulletin board, website, direct youth promotional flyers, bulletin, etc.

This permission form will be in effect for my child / children during their Religious Formation years and can be withdrawn at any time in writing.