High School Youth Ministry Registration

Family Information

Family Last Name Please enter valid data.
Mailing Address Please enter valid data.
City, State, Zip Code Please enter valid data.

Youth(s) live with Both parents Mother Father Other

Parent/Guardian Information

Parent/Guardian #1: Name (First and Last) Please enter valid data.
Parent/Guardian #1: Primary Phone Number Please enter valid data.
Parent/Guardian #1: Email Address Please enter valid data.
Parent/Guardian #2: Name (First and Last) Please enter valid data.
Parent/Guardian #2: Primary Phone Number Please enter valid data.
Parent/Guardian #2: Email Address Please enter valid data.
Emergency Contact Name Please enter valid data.
Emergency Contact Phone Number Please enter valid data.
Would you be willing to be a Faith Mentor to a group of 5-8 youth as part of their Confirmation preparation? Yes No

Youth Information

Youth #1: First and Last Name Please enter valid data.
Youth #1: Age as of September 2019 Please enter valid data.
Youth #1: Grade for 2019-2020 School Year Please enter valid data.
Youth #1: School Attending in 2019-2020 Please enter valid data.

Youth #1: Faith Formation Program High School Youth Group

Would your youth be interested in participating in Youth Choir? Yes No

Would you like to purchase a Youth Ministry t-shirt for your youth? Yes No

If yes, what size? Adult Small Adult Medium Adult Large Adult X-Large

Photo/Video Release I grant permission for my child to be photographed during 2019-20 Youth Ministry classes, liturgies, activities, and events. I do not grant permission for my youth to be photographed. Please do not include my youth's name on the photograph or video information.

Youth #2: First and Last Name Please enter valid data.

Youth #2: Age as of September 2019 Please enter valid data.

Youth #2: Grade for 2019-2020 School Year Please enter valid data.

Youth #2: School Attending in 2019-2020 Please enter valid data.

Youth #2: Faith Formation Program High School Youth Ministry

Would your youth be interested in participating in Youth Choir? Yes No

Would you like to purchase a Youth Ministry t-shirt for your youth? Yes No

If yes, what size? Adult Small Adult Medium Adult Large Adult X-Large

Photo/Video Release I grant permission for my youth to be photographed during 2019-20 Youth Ministry classes, liturgies, activities, and events. I do not grant permission for my youth to be photographed. Please do not include my youth's name on the photograph or video information.

Youth #3: First and Last Name Please enter valid data.

Youth #3: Age as of September 2019 Please enter valid data.

Youth #3: Grade for 2019-2020 School Year Please enter valid data.

Youth #3: School Attending in 2019-2020 Please enter valid data.

Youth #3: Faith Formation Program High School Youth Ministry

Would your youth be interested in participating in Youth Choir? Yes No

Would you like to purchase a Youth Ministry t-shirt for your youth? Yes No

If yes, what size? Adult Small Adult Medium Adult Large Adult X-Large

Photo/Video Release I grant permission for my youth to be photographed during 2019-20 Youth Ministry classes, liturgies, activities, and events. I do not grant permission for my youth to be photographed. Please do not include my youth's name on the photograph or video information.