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The maximum number of form submissions has been reached. This form is currently not available.
ONLINE REGISTRATION
Youth Ministry-Grades 9 - 12
June 2022 - June 2023
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 BIRTHDATE Month
REQUIRED
January
February
March
April
May
June
July
August
September
October
November
December
Please fill out this field.
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
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
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OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
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WV
WY
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 2022-2023
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
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
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
Maximum 20 characters
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 Fourth 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, 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 816-251-1103.
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Youth Ministry Registration Documents & Calendar
High School Registration WITH Diocesan Social Media Policy - Required Form
Youth Ministry Upcoming Opportunities
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We look forward to growing in faith with you and your family! Call the Youth Ministry Office with any questions. 816.251.1103
High school youth ministry social media