Risen Christ High School Youth Group 2019-2020
Register here for high school youth group! It is important for us to have emergency information on all of our teens in case of unforeseen circumstances.

Kickoff is September 15th @ 6:30pm.
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Gender *
Current Grade *
I am interested in receiving more information about serving as a peer minister for middle school youth group *
Required
Name of school attending *
Your answer
Student's Date of Birth (mm/dd/yyyy) *
Your answer
Student's Age: *
Your answer
Has this student been baptized? *
Has this student received First Holy Communion? *
Has this student been confirmed? *
Parent/Guardian Last Name *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Cell Phone *
Your answer
Parent/Guardian Email Address: *
Your answer
High School Youth Ministry will provide updates and information through Flocknote, the parish's email and text platform. I understand and give my permission with my initials: *
Your answer
Preferred method of contact *
Parent 2/Guardian 2 Last Name
Your answer
Parent 2/Guardian 2 First Name
Your answer
Parent 2/Guardian 2 Cell Phone
Your answer
Parent 2/Guardian 2 Email Address:
Your answer
Parent 2/Guardian 2: High School Youth Ministry will provide information and updates through Flocknote, the parish's email and text message platform. I understand and give permission with my initials:
Your answer
Parent 2/Guardian 2 Preferred Method of Contact
Student resides with *
Student's Primary Home Address - Street *
Your answer
Primary Home Address - City *
Your answer
Primary Home Address - Zip Code *
Your answer
The name of our family's primary parish is: *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Emergency Contact Email *
Your answer
My child has allergies, medical conditions, and/or learning challenges Risen Christ should be aware of: *
If the answer above was 'yes', please describe:
Your answer
I authorize, by my electronic signature below, that if the above people cannot be reached, church personnel are authorized to use their best judgment in an emergency. The church does not have medical or dental insurance for the students. It is understood that all costs related to emergency treatment will be the responsibility of the parent. As long as the medical treatment considered necessary is in accordance with generally accepted standards of practice, I impose no specific prohibitions regarding treatment unless stated. Signed: *
Your answer
I give my permission to use my child's picture and/or work product on the Risen Christ website: *
I am interested in volunteering to help with High School Youth Ministry in the following way: *
Required
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