Saint Eugene Youth - Life Teen
St. Eugene High School Youth Ministry Registration Form 2018 - 2019
Student's Name (First, Middle, Last)
Your answer
Address/City/State/Zip
Your answer
Family Email Address
Your answer
Home Phone
Your answer
High School
Your answer
Grade Level in 2017-18 Academic Leader
Parent/Guardian Name
Your answer
Relationship to Student
Your answer
Cell Phone
Your answer
Parent/Guardian Name
Your answer
Relationship to Student
Your answer
Cell Phone
Your answer
Sacraments Already Received (check all that apply)
Are they any health conditions or special accommodations that we should be aware of?
Your answer
Are there any custody arrangements that we need to be aware of?
Your answer
By registering my child(ren) in SEY:I understand that photographs or videos of participants may be used in publications, websites, or other materials produced from time to time by SEY. Participants would not be identified, however, without specific written consent. Parents/guardians who do not wish their child(ren) to be photographed or videoed should so notify Andrea Robles Leon, the High School Youth Director at the St. Eugene Office.
Any comment or concern you want the SEY leaders to know...
Your answer
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