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Youth Ministry
EDGE & LIFE TEEN

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  Youth's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Youth's Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Age REQUIRED Please fill out this field. 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.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Current School REQUIRED Please fill out this field. Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Please check the Sacraments you need. Baptism First Holy Communion Confirmation
  
  *Child must be in Faith Formation for two consecutive years to be eligible to receive Sacraments.
  *Must be registered and have an attendance of 80% or more in Edge or Life Teen.
  
  Allergies REQUIRED Please fill out this field.
  
  Shirt Size REQUIRED Please fill out this field. Please enter valid data.
  
  Parent/Guardian Information
  
  Parent/Guardian Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters 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.
  
  Parent/Guardian Name Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Emergency Contact
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship to Teen REQUIRED Please fill out this field. Please enter valid data.
  
  Flocknote
  St. Mary's Cathedral utilizes Flocknote to keep parishioners up to date with news and events within the parish. St. Mary's Youth Ministry groups allow parents to be informed about events, changes and cancelations, registration deadlines, and any other info that may pertain to the Youth Ministry Program. Please text to subscribe to our Flocknote groups.
  
  Please subscribe to the following Flocknote to stay informed: REQUIRED Text SMEDGE to 84576 for Edge (6th-8th) Text SMLIFETEEN to 84576 for Life Teen (9th-12th) Please fill out this field.
  
  PHOTOGRAPHY /VIDEOGRAPHY WAIVER:
  I, we understand that video or pictures may be taken of our child/children and used for advertising, promotions and public relations purposes. Examples being but not limited to bulletin boards, flyers,
  videos, slide shows, Face Book, Twiiter, lnstagram and web sie of St. Mary's Parish. First names only will be posted on the web site. I, we further understand that we are not entitled to any compensation if a picture is used. Please sign below stating you do or do not give permission for the use of your child's / children's pictures.
  
  I grant permission REQUIRED Yes No Please fill out this field.
  
  Expectations
  ALL YOUTH MINISTRY MEMBERS ARE EXPECTED TO:
  
  Be responsible for their guests
  
  Remain with the group at all times.
  
  Be respectful to all in attendance
  
  Adhere to dress code requirements
  
  My parent and I understand the guidelines above and realize, if violated, actions deemed necessary by the Youth Coordinator will be taken which may include parental contact.
  
  Registration Fee
  $25.00
  Registration fee to be paid following submission of this form.
  
  Submit
  
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Youth MinistryEDGE & LIFE TEEN

Youth Ministry
EDGE & LIFE TEEN