Youth Ministry Registration 2022-2023
Welcome to St. Raymond Youth Ministry!
We are happy to journey with our High School students as they seek to grow in their faith! As we gather we will be using resources from Life Teen, which is a dynamic movement that seeks to lead teens closer to Christ through fellowship, learning, community and prayer. It helps guide teens in discovering their mission as followers of Christ.

Who can participate? Teens in grades 9-12th
When will we meet: In person on Sundays from 6:30 pm -8:00pm at St. Raymond Parish. A calendar with meeting dates will be provided.

Registration Fee:
One teen: $100.00
Two teens: $150.00
Three teens: $200.00

Registration fees will help cover the resources and materials used throughout the year. Please contact Diana if you have any questions or are in need of financial assistance.

Registration is a two-step process:
1. Complete the registration form below
2. Please follow this link to submit your registration fee: https://www.givecentral.org/location/11/event/34108
If you need any assistance with submitting your registration payment please contact Mary Siefke at m.siefke@st-raymond.org


Please fill out this form to register your teen to our youth ministry program. We look forward to our journey together this year!

*The email address you enter below will only be used to send you a copy of your responses to this registration form. Once you begin filling out the registration form you will be asked to provide a primary email address that  we will use to send all of our program communication.

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Email *
Mother's Name (first & last name) *
Father's Name (first & last name) *
Primary Phone Number *
(format 000-000-0000)
Can we send text messages to the primary phone number listed? *
Additional Phone Number
(format 000-000-0000)
Can we send text messages to the additional phone number listed?
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Primary Email Address *
Please enter the best email where we can send you all communication about the program
Additional Email Address
If another parent or guardian would like to receive our communications, please include their email address here.
Home Address *
City *
Zip Code *
Primary Language Spoken at Home *
Emergency Contact (first & last name) *
If the parents or guardians cannot be contacted in case of serious injury or illness, I authorize St. Raymond Staff to take emergency action deemed necessary, including the transportation of the student to a hospital or medical center. As a parent or guardian, I authorize the treatment by a qualified and licensed medical doctor of the minor(s) listed in this registration in the event of a medical emergency that, in the opinion of the attending physician, may endanger his/her life, cause disfigurement or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me.Emergency Contacts will be contacted after attempts have been made to contact parent/guardian(s) listed above. Please provide information of someone over 18 years old.
Emergency Contact Cell Phone Number *
How many teens will you be registering? *
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