Youth Programs Registration 2025-26
Please fill out this form and click submit.
Parent or Guardian Information
Parent I
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent II
Name
Phone
Email
Address
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
We (I) give permission for Youth Workers to help my child(ren) listed below with diapering/toileting in emergency situations
Please select all that apply.
Yes
No
Our (my) children who may receive assistance from Youth Workers with diapering/toileting:
Other than the Parents/Guardians listed above, we (I) give permission for our (my) child(ren) to be released from Youth Program events to the individuals listed below.
*
Please select all that apply.
Yes
No
Names of authorized individuals:
I understand that the parish is not responsible for supervising minors before or after formal Youth Program start and end times. As the parent/guardian of the minors listed above, I understand that I am required to supervise my minors (especially young children) at all times outside of formal Youth Program events on parish grounds.
*
Please select all that apply.
Yes
No
Child I
Name
*
Patron Saint
Date of Birth
*
Grade
*
Food allergies/restrictions, special medical needs, other considerations
*
Please register this child for:
*
Please select one option.
Church School
Also register this child for:
Please select one option.
Teen SOYO (ages 13-19)
Child II
Name
Patron Saint
Date of Birth
Grade
Food allergies/restrictions, special medical needs, other considerations
Please register this child for:
Please select one option.
Church School
Also register this child for:
Please select one option.
Teen SOYO (ages 13-19)
Child III
Name
Patron Saint
Date of Birth
Grade
Food allergies/restrictions, special medical needs, other considerations
Please register this child for:
Please select one option.
Church School
Also register this child for:
Please select one option.
Teen SOYO (ages 13-19)
Child IV
Name
Patron Saint
Date of Birth
Grade
Food allergies/restrictions, special medical needs, other considerations
Please register this child for:
Please select one option.
Church School
Also register this child for:
Please select one option.
Teen SOYO (ages 13-19)
Child V
Name
Patron Saint
Date of Birth
Grade
Food allergies/restrictions, special medical needs, other considerations
Please register this child for:
Please select one option.
Church School
Also register this child for:
Please select one option.
Teen SOYO (ages 13-19)
Submit
Description
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