Youth 2000 Participant Registration
Your group leader will collect your $60 fee.
Email address *
Parish / Group *
Please select the parish or group you are coming with to Youth 2000.
Parent / Guardian Information
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Liability and Photo Release
I grant permission to the adult staff/volunteers to give my child non-prescription medications such as cough drops, antacids, ibuprofen (Advil), etc.

I grant permission to the adult staff/volunteers to act on my behalf for the minor named above in granting permission for evaluation and treatment of medical problems during the YOUTH 2000 weekend. I understand that should a major medical problem arise, an attempt will be made to notify me by telephone. In the event that I cannot be reached, I hereby give my consent to such treatment as deemed necessary, including surgery, x-rays, scans, and anesthesia to be rendered to said minor by a licensed physician, nurse, or medical professional.

I hereby authorize Diocese of Nashville and YOUTH 2000 its agents to utilize my child’s photographic image for the specific purpose of publication of promotional material and Diocese of Nashville website and official social media accounts. I understand that I will receive no compensation should any photograph of my child be used.

I have read and accept the terms of my teenager attending the YOUTH 2000 retreat.

Electronic Signature *
Type your name to sign
Your answer
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