Life Teen/ Edge Registration

Student Name

Nickname (preferred to be called)

Date of Birth

Address

Grade

School

Student Phone

Student Email

T-Shirt Size

S M L XL

Do you drive

Yes No

Are you Finger Printed

Yes No

Do you have Allergies or Medical Condition

Yes No

If yes to previous question, SPECIFY

List any jobs, groups, teams, or extracurricular activities that you are involved with during the year

What Sacraments have you already received

Baptism Communion Confirmation

Are you interested in participating in the Liturgy (mass)? Music Lector Usher Eucharistic Minister Knights of the Alter

Are you already a Knight of the Alter Lector Usher Eucharistic Minister

What are you interested in participating in

Retreat Mission Summer Camp Conferences

What do you want to learn more about or see more of in Youth Ministry?

PARENTS/ GUARDIAN INFORMATION

Name

Phone

Are you Finger Printed

Yes No

Preferred Method of Contact

Phone Call Text email

Question or Comments

YOUTH GUIDELINES

Behavior Guidelines

Respect others; fair play & honesty

Respect yourself; good judgment concerning clothes and behavior

Respect for property

Respect for time; prompt arrival/departure at scheduled events

Courtesy in adhering to RSVP dates for events

Prohibited

Smoking, alcohol, or drugs

Weapons or violence of any kind

Bullying, teasing, sexual harassment, racial slurs or defamation of character

Clothing that dose not uphold the dignity of the person

Anything with profanity/drug/alcohol messages

Short shorts

Crop tops/mid drift or spaghetti tops

If there are persistent disruptions a parent/guardian will be contacted and the child will be asked to step away for a specified period or to have a conversation with Youth Minister or or adult-youth.

If in agreement with above guidlines, please fill out the bottom slots:

Parent Name

Student Name

There are THREE Diocese forms that need to be signed in addition to this form. Please see the Youth Minister or a Core Member for those forms.

What Diocese forms have you signed

Medical Image Release Communications None

Thank you for taking the time to fill this out! God bless :)

Life Teen/ Edge Registration

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