Middle School Youth Ministry <div> <div> </div> </div>

Middle School Youth Ministry

Gospel Reflections Registration

First and Third Wednesdays 5:00-6:15 OR 6:45-8:00

(Formerly known as Children's Faith Formation)

Parent # 1 (First and Last Name) REQUIRED Please fill out this field. Please enter valid data.

Cell Phone Please enter valid data.

Would like to receive text message reminders REQUIRED Yes No Please fill out this field.

Home Phone (if different from cell) Please enter valid data.

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

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

City, State, Zip Code REQUIRED Please fill out this field. Please enter valid data.

Parent #2 (First and Last Name) Please enter valid data.

Cell Phone Please enter valid data.

Would like to receive text message reminders: Yes No

Email Address Please enter valid data.

YOUTH INFORMATION

Youth's First and Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

Grade in 2020-2021 School Year REQUIRED 6th 7th 8th Please fill out this field.

School REQUIRED Please fill out this field. Please enter valid data.

Sacraments Received REQUIRED Baptism Reconciliaiton (Confession) Eucharist (Communion) Confirmation Please fill out this field.

Select Time Preference REQUIRED Early Session (5:00-6:15) Late Session (6:45-8:00) Please fill out this field.

Youth #2 Information

Youth's First and Last Name Please enter valid data.

Date of Birth Please enter valid data.

Gender Male Female

Grade in 2020-2021 School Year 6th 7th 8th

School Please enter valid data.

Sacraments Received Baptism Reconciliation (Confession) Eucharist (Communion) Confirmation

Select Time Preference Early Session (5:00-6:15) Late Session (6:45-8:00)

Multiple Child Discount Includes all of our Programs (Sunday School, CFF Grades 1-5) REQUIRED 1 Child $55 2 Children $100 3 or More Children $130 Please fill out this field.

You may pay by check, cask or through Online Giving on our parish website. Pleaase make checks payable to Our Lady of the Presentation.

If paying the registration fee is a financial harship for your family, please let us know. No one is turned away because of inability to pay. Scholarships are available.

Waiver of Liability Relating to COVID-19 REQUIRED REQUIRED I have read, understand and agree to above Waiver of Liability .(Located in document section above). By checking this button and typing my name below, I give consent electronically Please fill out this field.

Parent/Guardian Signature REQUIRED Please fill out this field. Please enter valid data.

Consent for Photos Statement
I hereby grant permission for my child to be included in the photographs, videos and other recording/publications, made in connection with Our Lady of the Presentation and/or the Catholic Diocese of Kansas City-St. Joseph for a period of one calendar year. I understand that once the photo has been published it becomes part of th parish archives and may be used in the future.

I have read, understand and agree to the above Consent for Photos statement By checking this button and typing my name below, I give consent electronically.

Parent/Guardian Signature Please enter valid data.

Circle of Grace
I understand that all Catholic schools and Churches in the Diocese of Kansas City-St Joseph are mandated to give 'safe touch' classes to their students. I understand that in our diocese we use the Circle of Grace curriculum. Through the Circle of Grace program, adults assist children in recognizing God's love by understanding that each of us lives and moves within a Circle of Grace. Your Circle of Grace holds your very essence in body, mind, heart, suld, and sexuality. The Circle of Grace program teaches children to seek help from a trusted adult, reinforcing God's presence in their real life struggles.

Circle of Grace REQUIRED I grant permission I do not grant permission 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 activites during scheduled Children's Faith Formation class times. 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 Diocese of Kansas City -St. Joseph and any of their volunteers, advisors, chaperons,. or persons connected with the Parish Children's Faith Formation program from any liability, claims, damages for person injury, property loss/damage which may result during the course of the Children's Faith Formation year.

Parent/Guardian Signature AND Date REQUIRED Please fill out this field. Please enter valid data.