Youth Ministry Registration: Faith Formation
Life Teen (9th-12th Grades - Senior Youth Group)
When: Most Sundays, 6:30-8:30pm, doors open at 6:15pm
Where: St. Michael's Hall
What: Youth Ministry Faith Formation and Fellowship
Fee: $25/person.

At least one parent MUST attend the Parent Orientation Meeting on October 1st, 2018 at 6:00pm at St. Michael Hall.

Payment for Life Teen can be made by:
Online giving by registering for e-giving
(https://giving.ncsservices.org/g3/) OR
Check(s) (made out to OLMC Parish)
Exact Cash submitted to the Parish Office, ATTN: Ken White

You can mail cash or check to:
Our Lady of Mt. Carmel Catholic Church
Attn: Ken White
100 Harpersville Road
Newport News, VA 23601

Family Information
Please complete all information fully.
How many family members will be participating in Youth Ministry? *
Your answer
Which programs will they be participating in (please check all that apply)? *
Required
Home Address *
Include street, city, state and zip code
Your answer
Home Phone Number *
xxx-xxx-xxxx
Your answer
Mother's Full Name (please include maiden name) *
Your answer
Mother's Email Address *
Your answer
Mother's Cell Phone Number *
xxx-xxx-xxxx
Your answer
Can this phone receive texts? *
Father's Full Name *
Your answer
Father's Email Address *
Your answer
Father's Cell Phone Number *
xxx-xxx-xxxx
Your answer
Can this phone receive texts? *
Emergency Contact *
Please list the name of someone other than parents. INCLUDE full name and best phone number.
Your answer
In the event of a serious illness or accident, when I cannot be reached, I wish the person(s) above to be notified by phone. They are authorized to act in my absence and they will be notified that their name(s) is included on this form. *
Parent/Guardian INITIAL
Your answer
Opportunities to Serve in Ministry
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