John Paul II Pastoral Unit

Youth Ministries

Please fill in all fields. If a field does not apply to you enter N/A.


Previously enrolled in John Paul II Pastoral Unit Religion Program?
No Yes
Which religion class is your youth registering for?
Youth's First Name
Last Name
Date of Birth
Gender
Male
Female
School
Grade
Youth's Email
Youth's Cell Phone
Mother/Guardian's First Name
Last Name
Father/Guardian's First Name
Last Name
Address
City/Town/Community
Postal Code
Home Phone
Mother/Guardian's Cell Phone
Father/Guardian's Cell Phone
Mother/Guardian's Email
Father/Guardian's Email
I would like to be communicated by
Email
Phone
The information below is confidential to those involved in running the youth group.
Does your young person have any special needs due to a learning disability, physical disability, reading difficulty, hearing impairment, emotional problem or any other reason?(Please explain)
Describe any allergy, chronic illness or other conditions:
Does your young person take any medications?
No
Yes
If yes to above please list any medication here
In case of emergency, please contact
Name
Phone
My youth has been baptized in:
Roman Catholic Church
Other (please specify)
Not Baptized

Photo Release Statement

Youth may be photographed and/or videotaped anytime during Youth Group activities and events. The resulting photographs and/or videotaped footage may be edited, if necessary and then published and/or broadcast for the purpose of promoting the Youth Program in the Archdiocese of Charlottetown.
I hereby grant permission for my youth to be photographed and/or videotaped
I hereby decline to grant permission for my youth to be photographed and/or videotaped
Parent/Guardian name
Date

Volunteers

Parent and Adult Volunteers are an important part of the Youth Ministry. We would appreciate any time you can give to the ministry. The more you are involved in your faith, the more your young people will see the importance of their own faith.
Can we call on you to help out?
Yes
No
If the above answer is yes:
Are you available
One time only
More than once but not every class
Every Class
Is there something specifically you are interested in?
Teaching Assistant
Arts and Crafts
Music/Dance
Social Activities
Gym
Transportation
Other
if Other, please specify:

 

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