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

Middle School Youth Ministry

Wednesdays 5:00-6:30
3rd Sundays 11:45-2:00

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 Male Female

Grade in 2021-2022 School Year REQUIRED 6th 7th 8th Please fill out this field.

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

T- Shirt Size REQUIRED Youth Med (10-12) Youth Large (14-16) Adult Small Adult Medium Adult Large Adult XL Adult XXL Please fill out this field.

Check All Areas of Interest Wednesdays 5:00-6:30 3rd Sunday 11:45-2:00 Service Saints Social Events

Sacraments Received REQUIRED Baptism Reconciliation (Confession) Eucharist (Communion) Confirmation 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 2021-2022 School Year 6th 7th 8th

School Please enter valid data.

T- Shirt Size Youth Med (10-12) Youth Large (14-16) Adult Small Adult Medium Adult Large Adult XL Adult XXL

Check All Areas of Interest Wednesdays 5:00-6:30 3rd Sunday 11:45-2:00 Service Saints Social Events

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

Middle School Youth Ministry Fee $35

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.

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.

Circle of Grace
I understand that the Diocese of Kansas City - ST. Joseph is committed to providing a safe environment for our children and youth. Our safe environment training programs educate and empower children and young people by providing them with essential knowledge and skills. Important life skills are taught to help protect them, give them the ability to distinguish between appropriate and inappropriate behavior, and recognize and report potentially unsafe persons and situations. These sfety programs are consistent with the teachings of the Catholic Church and the reqirements set forth in the United States COnference of Catholic Bishops' Charter of the Protection of Children and Young People.

Parent/Guardian Signature Please enter valid data.

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.