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Edge/REFuel Registration Form
This form requires responses from both parents and youth. Please be sure all sections have been completed before submitting. Fill out a new form for each participant.

Please submit this form no later than August 27th to be ensured your requests for small groups are met.

Email address *
Untitled Title
Parents
Youth Full Name *
Your answer
Parent/Guardian Full Name *
Your answer
Parent/Guardian Email Address *
Your answer
Parish (of student) *
Your answer
Home Phone Number: *
Your answer
Mom Cell Phone:
Your answer
Dad Cell Phone:
Your answer
Emergency Contact:
Your answer
Emergency Contact #:
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Please Note Allergies:
Your answer
Any Special Needs?
Your answer
Photo Permission: (Please check one of the following) *
Required
Every Edge night, our youth are served a meal prior to the night. Over the course of the year, your child will receive 22 meals at Edge! Can you help cover the cost by donating $25? (Please check all that apply)
I will make my food donation:
Flocknote
To keep up-to-date on Edge events, receive parent newsletters, receive post-Edge night discussion questions for you and your child, and more, please text the code to the number below and fill out your information for Flocknote. Only parish administrators will be able to see and use your information. Flocknote is free to use and allows us to communicate with you easily via text and email.

Text this Code: STVYM to this Number 845-76 and fill in your information (will take 3 minutes!)

REFuel- Religious Education Only
If you are a public school student participating in Edge as part of your Religious Education, please fill out the following. If you are not participating in REFuel, please move to the section entitled "Youth" and have your child fill out the remaining section of this form.
Are you participating in the REFuel program for religious education students?
Are you a registered member of St. Vincent dePaul?
If you are participating in REFuel for Religious Education, you will need to pay in one of the following ways:
Youth
One great part about Edge is our time during each night with our small groups! We would like to have the groups determined before the first Edge night, so please help us out!
Name (First and Last) *
Your answer
School *
Your answer
Grade *
Please select an option: *
When is your birthday? *
Your answer
What interests or hobbies do you have?
Your answer
How would you describe yourself (shy, outgoing, energetic, likes order)?
Your answer
Small Group Requests
At each Edge night, we have a portion of the night where you will have an opportunity to get to know and share with a small group of either girls or boys in your grade, led by our area high school teens and adult Core members. In order to place you in a group where you feel comfortable, please list 3 people you would like to be in the same group as. You will be guaranteed that at least 1 of the people you list will be in your group. Please know that small groups can be changed if a valid reason is given.
Who are three possible people with whom you would like to be in a small group?
Your answer
Anything else I should know that would help me to create your small group?
Your answer
Anything else I should know in general?
Your answer
Don’t miss the Edge kick-off on September 10th where you will have an opportunity to meet your group and have a ton of fun!!
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