2011 Youth Ministry Registration Form

HIGH SCHOOL YOUTH MINISTRY REGISTRATION FORM

STUDENT INFORMATION (* denotes required fields)

Full Name*

Please enter the student's full name. (First, Middle, and Last)

Gender* Male Female

Please select one: Male or Female.

Birth Date*

Please select the student's birth date.

School*

Please enter the student's current school.

Grade*

Please enter the student's current grade in school.

Address*

Please enter the student's mailing address.

City*

Please enter the student's city.

Zip*

Please enter the student's zip code.

Home Phone*

Please enter the student's home phone number.

Student's Cell Phone

Please enter the student's cell phone number, if applicable.

Student's Email

Please enter the student's email address.

PARENT/GUARDIAN INFORMATION

Head of Household*

Please enter the Head of Household's name. (First and Last).

Religion

Please enter the Head of Household's religion.

Email*

Please enter the Head of Household's email address

Work Phone

Please enter the Head of Household's work number.

Employer

Please enter the Head of Household's employer.

OK to call at work?

Please select YES or NO.

Cell Phone

Please enter the Head of Household's cell phone number.

Spouse

Please enter the Spouse's name. (First and Last)

Religion

Please enter the Spouse's religion.

Please enter the Spouse's email address.

Work Phone

Please enter the Spouse's work phone.

Employer

Please enter the Spouse's employer.

OK to call at work?

Please select YES or NO.

Spouse's Cell Phone

Please enter the Spouse's cell phone number.

SACRAMENTAL INFORMATION

Sacraments Received None Baptism Confession Communion Confirmation

Please select all the appropriate sacraments that have ALREADY BEEN RECEIVED. If no sacraments have been received, then select none.

Locations Sacraments Received

To the best of your knowledge, please enter the locations these sacraments were received. (Church, City, and State)

Would the student like to become an Usher?

Please select YES or NO.

Would the student like to become a Lector?

Please select YES or NO.

Is the student able to receive text message?

Please select YES or NO.

REGISTRATION

There are several options open for high school registration:

LIFE TEEN - Sunday Nights (7:30-8:45pm) Life Teen is for all high school students who wish to grow in a deeper understanding of their faith.

SACRAMENTAL PREPARATION - Monday Nights (7:00-8:30pm) Sacramental Preparation is for all high schoolers with the desire to either enter into the Catholic Church OR for tees who need their first sacraments (Baptism, Confession, Communion).

CONFIRMATION PREPARATION - Monday Nights (7:00-8:30pm) Confirmation Preparation is for high school juniors and older (11th grade +) to prepare them to receive the sacrament of Confirmation.

Available Programs: Life Teen (all high schoolers): Baptism, Confession, and/or First Communion Confirmation (Grades 11+)

Please select the appropriate boxes.

Registered Parishioner?

Please select YES or NO. (If you are registered at another parish, you must receive a letter from your pastor giving his permission to receive the Sacraments at St. Thomas Aquinas Parish)

Comments, Concerns, or Questions

Please feel free to write in any additional comments, concerns (particularly health related), or questions.

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