High School Youth Ministry

ONLINE REGISTRATION
Youth Ministry-Grades 9 - 12
2021-2022

Youth FIRST NAME REQUIRED Please fill out this field. Please enter valid data.

Youth LAST Name REQUIRED Please fill out this field. Please enter valid data.

Youth Birthday DAY - please only put the number, such as 4 REQUIRED Please fill out this field. Please enter valid data.

Youth Birthdate YEAR REQUIRED Please fill out this field. Please enter valid data.

Youth 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.

Youth CELL Phone Number Please enter valid data.

Primary EMAIL Address REQUIRED Please fill out this field. Please enter valid data.

Grade in school 2021-2022 REQUIRED 9th - Freshman 10th - Sophomore 11th - Junior 12th - Senior Please fill out this field.

I am attending this high school: REQUIRED Please fill out this field. Please enter valid data.

Youth T-SHIRT SIZE (Adult sizes) REQUIRED Small Medium Large Extra Large XXL Please fill out this field.

What parish is your family registered with? REQUIRED Please fill out this field. Please enter valid data.

Parent Information

Parent 1 FIRST NAME REQUIRED Please fill out this field. Please enter valid data.

Parent 1 LAST NAME REQUIRED Please fill out this field. Please enter valid data.

Parent 1 Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.

Parent 1 Relation to Youth REQUIRED Please fill out this field. Please enter valid data.

Parent 1 Mailing Address - All correspondence will be mailed to this address unless requested otherwise 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 2 FIRST NAME REQUIRED Please fill out this field. Please enter valid data.

Parent 2 LAST NAME REQUIRED Please fill out this field. Please enter valid data.

Parent 2 Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.

Parent 2 Relation to Youth: REQUIRED Please fill out this field. Please enter valid data.

Parent 2 Email Address REQUIRED Please fill out this field. Please enter valid data.

May we send a parent occasional text reminders? REQUIRED Yes No Please fill out this field.

EMERGENCY CONTACT INFORMATION

Please enter an Emergency Contact - in case a parent cannot be reached.

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 Please fill out this field. Please enter a phone number.

Emergency Contact Relation to Youth: REQUIRED Please fill out this field. Please enter valid data.

Are there any medical issues, personal matters or needs the Director should be aware of so we can best serve your son or daughter? REQUIRED Please fill out this field. Please enter valid data.

Does your child have any allergies to medications, foods or otherwise? Please specify. REQUIRED Please fill out this field. Please enter valid data.

Parent support is crucial in a thriving Youth Ministry program!

PARENTS -Please choose at least one way you are able to support Youth Ministry REQUIRED Be present once a month at 3rd Sunday Youth Group Assist with Third Sundays@12Noon Mass Help with Middle School Third Sundays after 12n Mass Be on the Adult & Teen Leadership & Plan Team Chaperone and drive for an off-site youth activity Co-lead a short term series, program or event Service Saints Leader - help coordinate a Service Saint opportunity Make a financial contribution to Youth Ministry - to support the program or a teen in financial need Provide a simple meal or snack for a youth ministry event Please fill out this field.

LIABILITY STATEMENT
I understand there is the possibility/risk of injury and/or loss which my child may sustain while participating in activities during scheduled Youth Ministry activities or events. I also understand that all precautions will be taken to ensure the safety and security of my child at all times during these activities. I hereby release and agree to hold harmless Our Lady of the Presentation Parish and the Diocese of Kansas City - St. Joseph and any of their volunteers, advisors, chaperones, or persons connected with the parish youth ministry program from any liablility, claims, damages for personal injury, property lost/damage which may result during the course of the year.

PARENT ONLY: I have read and agree with the LIABILITY STATEMENT and by typing my name am submitting my signature: REQUIRED Please fill out this field. Please enter valid data.

Registration Requirements: Each youth/student must submit a Diocesan Social Media Policy form, an OLP Permission Form and $35 registration fee for the Youth Ministry registration to be complete. Please download these forms and submit to the Youth Ministry office asap. Registration fee can be paid through ONLINE GIVING on the parish website.

We look forward to growing in faith with your family this year!

Thank you for registering! Call the Youth Ministry Office if you have any questions at 816-251-1107.

High School Youth Ministry

Youth Ministry Upcoming Opportunities

Youth Ministry Registration Documents & Calendar

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