Saint Anthony Parish: Youth Ministry & Confirmation Registration 2020-2021
Welcome to Saint Anthony Parish Youth Ministry! We serve grades 6th-12th; if you have a child who is K-5th - please fill out this registration form for religious education:

Whether you are new or returning, our youth ministry team is looking forward to forming a faith building community with you!

Youth Ministry has already begun for High School (OASIS) and will begin Tuesday October 6th for 6th – 8th Grade (NOVA).

To COMPLETELY register, please do the following

1. Complete this form in its entirety (ONE SUBMISSION PER REGISTERED STUDENT)
2. Make a payment of $75 to the parish office
-Registration will not be complete until payment is received.
*Please make checks payable to "Saint Anthony Parish" with your child's name and which specific ministry (NOVA or OASIS/Confirmation) in the "memo" section.
Email address *
Which ministry are you registering for? *
Participant's First Name *
Participant's Last Name *
Gender *
Date of Birth *
Grade *
School *
Receiving Sacrament this Year *
Following Santa Clara County and Diocesan Covid-19 guidelines and when it is safe to do so - please check all programs that you would participate in. *
Youth's Email *
Youth's Cell Phone # *
Allergy/Special Needs/Medical Condition(s) (Medical, Learning Disabilities, Physical Disabilities; "N/A" if not applicable) *
Father's Name/Guardian #1 *
Father's/Guardian #1 Cell Phone # *
Mother's Name/Guardian #2 *
Mother's/Guardian #2 Cell Phone # *
Family Address *
Home Phone # *
Photo Release *
By checking below, I agree to permit my child to participate in Youth Ministry Programs to be held at Saint Anthony Parish during the 2020-2021- ministry year. I understand that reasonable precautions will be taken to safeguard the health and well-being of my child, and that I will be notified as soon as possible in the event of an emergency. In case of sickness or accident, I authorize and consent to any x-ray exam, anesthetic, medical, dental or treatment and hospital care to be rendered to my child under the general care and advice of any physician, dentist or surgeon licensed to practice in any state. I further understand and agree to be responsible for any such medical, dental and/or hospital expenses incurred. I agree to release Saint Anthony Parish (directors, volunteers, employees and property owners), Saint Anthony's Youth Ministry, and the Diocese of San Jose of liability for injuries or harm that your child may experience at Saint Anthony's Parish Youth Ministry Program. *
Virtual Consent and Release Form
Given the COVID-19 pandemic the Diocese of San Jose continues to serve the children and youth of Saint Anthony Parish.

Parish program(s) are providing virtual programming and content for its participants, through which staff will facilitate program activities through online platforms. The program(s) will use software, tools and applications provided by third-parties that participants, parents/legal guardians, volunteers and/or staff will access via the internet and use for purposes of communication and programming and potential content creation. These platforms may include but are not limited to: Facebook, Instagram, Twitter, YouTube, TikTok, GoToMeeting, and Zoom.

This Form provides your consent and release for your child to participate in the program(s) and utilize these online applications for distance-based, virtual program purposes. Please be aware that each application collects different information about its users and has its own privacy terms and conditions to which members must adhere and which parish or diocese cannot control or assume responsibility. Please review these carefully before registering your child.

Our commitment to keeping the children and youth we serve safe is always our number one priority. To that end, we will actively monitor participant activity. All online activities contemplated hereunder must also comply with the Diocese of San Jose Safe Environment and Technology Policies including the Code of Conduct guidelines and the Diocesan Social Media policy.
By checking below, I agree that I have received and reviewed the Diocese of San Jose Safe Environment and Technology Policies including the Code of Conduct guidelines and the Diocesan Social Media policy. I understand that I will have access to everything provided to my child and be made aware of how social media is being used, be told how to access the sites, and be given the opportunity to be copied on all material sent to my child via social networking (including text messages). I authorize and consent to staff or other leaders of the Parish to communicate with my Child electronically, including via social media, text, email, phone and video conferencing tools (e.g. Zoom) in accordance with the program(s). I understand that if any staff or other leaders knowingly communicate privately with my child as a part of his or her duties for or on behalf of above-named school-parish, reasonable steps will be taken to send to me the same communication content, though not necessarily via the same technology. I acknowledge that to review or receive public communications shared via social media with my Child, I will need to become a fan or follower of the same social media. I understand that communications or posts may be accessible or viewable by others who are also fans or followers of the same social media. I understand that without this consent my child will not be able to participate in the program(s). If I choose to rescind my authorization and consent provided herein, I agree that I will inform the Parish listed above in writing and that my rescission will not take effect until it is acknowledged by the Parish. I understand, however, that it may not be possible to recall any work, photos or videos that have been published as part of the program(s) prior to receipt of my written rescission. I have read this Consent and Release Form and have had the opportunity to consider its terms and understand them. I verify that I have read and voluntarily agree to the terms and conditions of the Consent and Release Form – Virtual Media for Children & Youth from the Diocese of San Jose. I further hereby hold harmless, release and forever discharge the Diocese of San Jose and its employees, agents, licensees and legal representatives from, and shall indemnify them against, all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators or any other person(s) acting on my behalf or on behalf of my estate have or may have by reason of my Child’s participation in the program(s) and through my authorization, consent and release herein. I have read the Consent and Release Form detailed above, I fully understand it, and I voluntarily agree to be bound by its terms. I represent and certify that I am the parent or legal guardian of the minor. *
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