OLS Youth Discipleship Registration 2023-2024
For students in grades 6-12th grade, parents please fill out this form if your student is interested in any Youth Discipleship opportunities this year. This includes but is not limited to small groups, retreats, service opportunities, High School Leadership team, outings and events and holiday parties! 

If you have any questions or would like more information please contact Tori Polhill at tpolhill@olsorrows.com or call the parish office at 248-474-5720.

Thank you!
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Student Information
Please fill out one form per student you are registering! 
Student's First Name *
Student's Last Name *
Student Cell Phone
Student Email
Birthday *
MM
/
DD
/
YYYY
T-Shirt Size- All adult sizes *
Current Age *
School *
Grade- entering in Fall 2023 *
High School ONLY- If you were previously on the leadership team or are interested in joining in the future please select accordingly!
Middle School ONLY- Are you interested in beginning or joining a small group specifically for students in grades 6-8? 
Clear selection
With whom does the student reside? *
If other who?
Parish- OLS Parish membership is NOT required to join  *
Sacraments Completed *
Required
Are you interested in sacrament preparation if needed?
Clear selection
Family Information
Mothers/Guardian Name
Father/Guardian Name
Street Address
City
Zip Code
Phone Number- this will also be the Emergency Contact *
Email Address *
Allergies/Medical Needs? *
Is there anything I should know about your teen or family in order to best serve and provide for your teen? 
Can we add you to our Flocknote group to receive updates, reminders and notices? *
Consent and Agreements
Consent of PARTICIPATION for Youth Ministry Activities - As a parent/guardian, by checking the box and submitting this form, I agree to release liabilities and to hold harmless Our Lady of Sorrows Catholic Church, its Pastors, employees, and volunteers, and the Archdiocese of Detroit, from and against all claims, judgments, liabilities of any nature or extent, damages, causes of action, or injuries which in any way arise out of or relate to my teen(s)’ participation in any youth discipleship programs or events, whether foreseen or unforeseen. *
Media Release- As a parent/guardian, by checking the box and submitting this form, I grant the Our Lady of Sorrows Youth Minister and volunteer team permission to photograph/ videotape my teen during any/all events and for the resulting pictures & footage to be published/broadcast for the purpose of promoting the youth ministries. I understand my teen is always free to decline and my teen’s contact information will not be shared in advertising. I realize my teen may unintentionally be included in group shots, but it will be removed from promotional material at my request. If I have other preferences, I will discuss them with the youth minister and sign additional forms. *
Emergency Authorization & Release for Treatment- As parent/guardian, I attest that I have listed all pertinent medical or other conditions of my teen in this form. I acknowledge it is my responsibility to provide the youth minister with my contact information and an emergency contact authorized to make decisions for my teen in my place, and to provide adequate health insurance for my teen. In the event of an emergency, by checking this box and submitting this form, I authorize treatment of my teen by a licensed physician or adult volunteer if a physician cannot be reached, of any condition which, in the opinion of the youth minister or designated adult volunteer, is deemed necessary and appropriate for my teen. *
Please type your full name below- By typing your name, you agree to abide by the above statements and permissions. *
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