Youth Ministry Registration 2020-2021

Please list the parish where your family is currently registered. REQUIRED Please fill out this field. Please enter valid data.

Youth/Teen Information

Teen First Name REQUIRED Please fill out this field. Please enter valid data.

Teen Last Name REQUIRED Please fill out this field. Please enter valid data.

Teen Mailing Address - House Number & Street 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.

Teen Email REQUIRED Please fill out this field. Please enter an email address.

Teen Best Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Name of School Teen is registered at for 2020-2021 Academic Year: REQUIRED Please fill out this field. Please enter valid data.

Teen Preferred T-Shirt Size REQUIRED Small Medium Large XL 2X Please fill out this field.

Parent/Guardian 1 Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

How are you related to this teen/youth? REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian 1 Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Parent Guardian 1 Home Street 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.

Parent/ Guardian 1 Email Address: REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian 2 Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

How are you related to this teen/youth? REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian 2 Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Parent Guardian 2 Home Street 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.

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

Emergency Contact Information

Emergency Contact 1 First Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact 1 Last Name REQUIRED Please fill out this field. Please enter valid data.

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

Emergency Contact 2 First Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact 2 Last Name REQUIRED Please fill out this field. Please enter valid data.

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

Any medical or personal issues the Director should be made aware of so we can best serve your family? REQUIRED Please fill out this field.

Parent support is crucial in a thriving Youth Ministry! In what ways can you offer to help with at least one thing? REQUIRED Youth Ministry Leadership Team-support teens in preparation of leadership roles in Middle School or High School Ministry- meets 2nd Sundays at 6:30pm Outreach/Hospitality Team - invite and welcome teens (at Masses, events); co-lead a YM Sports or Community Building event, chaperone a Service Saints opportunity Study/Discussion Team - co-host a discussion group (short or long term), help with organizing speakers or events; host a Confirmation small group (virtual or in person) Worship Team - be present for prayer and worship experiences for teens, share a gift of music support, assist with youth 3rd or 4th Sundays@12Noon Mass I would like to discuss more details with you on the phone before I choose at least one way I can support this ministry. Please fill out this field.

High School Youth Ministry Registration Fee
You may click on the link for ONLINE GIVING to pay the Youth Ministry Registration fee of $30.00. Thank you for your support!

Parental Permissions

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: REQUIRED 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.

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 Youth Ministry 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 Diocese of Kansas City -St. Joseph and any of their volunteers, advisors, chaperones, or persons connected with the Parish Youth Ministry program from any liability, claims, damages for person injury, property loss/damage which may result during the course of the Youth Ministry year.

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