2022-2023 PSR/Youth Group Registration
Register today so we can successfully plan for the year!
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Email *
Parent Last Name: *
Parent(s) First Name(s): *
Parent Contact Phone Number: *
Additional Parent Contact Phone Number:
Home Address: *
Emergency Contact Name (other than Parents): *
Emergency Contact Phone Number: *
Child #1 LAST Name (please begin with youngest child you are enrolling): *
Child #1 FIRST Name (please begin with youngest child you are enrolling): *
Child #1 Grade, Fall of 2022 *
Child #2 LAST Name:
Child #2 FIRST Name:
Child #2 Grade, Fall of 2022:
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Child #3 LAST Name:
Child #3 FIRST Name:
Child #3 Grade, Fall of 2022:
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Child #4 LAST Name:
Child #4 FIRST Name:
Child #4 Grade, Fall of 2022:
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Additional Children and Grade Levels:
If your teen (7-12) has a cell phone number, please list name and number here.  This will only be used through Group Me app for invitations and reminders.
Do any of your children have specific needs or allergies? *
Do any of your children need to be baptized? *
Are you currently members of our parish (and have officially filled out registration paperwork)? *
Will your child receive First Communion this year? (Please email Ellen at eschmitz.coa@gmail.com or call 628-5030 if you need clarification.  Child must be 2nd grade or older.)
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Will your child be in the Confirmation Program? (This is a two-part process, typically beginning Sophomore year.  Please email Elizabeth at emadeo.coa@gmail.com with questions).
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There is a possible virtual learning option for grades 1-5.  If that is made available, assignments would be turned in each weekend when attending Mass.  Is this something you would be interested in this year? *
There is a required parent meeting this year to receive important information for the school year and to meet our new parish priest, Fr Ravi.  Please choose which meeting you plan to attend: *
Every year our diocese uses a personal safety curriculum called Circle of Grace.  This program teaches skills that will help keep them safe from dangerous or abusive situations.  Children also learn to ask for help when needed.  Do you give permission for your child(ren) to participate in Circle of Grace? *
Do you give permission for your child(ren) to be photographed for bulletin, Church of the Annunciation website and/or Church of the Annunciation Facebook page?  Names will not be tagged in photos. *
I give permission for my child(ren) to participate in Church of the Annunciation's Parish School of Religion/Youth Ministry program.  In giving my permission, I understand there is a risk of injury to my child.  Should my child sustain injury while participating in the Parish School of Religion and Youth Ministry program, I promise not to hold the supervisors of the activity or facility of the Church of the Annunciation responsible.  At this time, our parish does not require that masks be worn during Mass, classes or activities.  By signing this you will acknowledge the following:  I acknowledge that the requirements concerning masks may change anytime due to diocesan regulations.  I acknowledge that it is my responsibility to monitor the health of my child before coming and will not send my child to a parish event if he/she has Covid-19 or is in quarantine as a precautionary measure.   I understand that the Church of the Annunciation has implemented preventative measures, but cannot guarantee that one will not be exposed to, contact or spread Covid-19.  Therefore I acknowledge this risk and will not hold Church of the Annunciation liable.  Please type your name below if you agree. *
Youth Group,  7-12th Grade ONLY:

PERMISSION for YOUTH MINISTRY OFF-SITE EVENTS:

I/We, request that my child be allowed to participate in all youth ministry events (including Confirmation events)  and hereby give my/our permission for such participation.

I/We understand that the Diocese/Parish/School/Organization will not be liable to me/us or any or my/our successors in interest for any action taken or not taken in good faith.

I/We consent to the logistics and conditions, including the method of transportation at any parish activity. 

I/We understand that as parent(s) or legal guardian(s) I/we may be responsible for any liability which may result from the conduct of the Participant at or during the event.

I/We understand that there is a risk of injury involved in any Youth Ministry activity.  

I/We hereby release the Diocese of Kansas City-St. Joseph, and its officers, agents, employees and volunteers, from any liability arising from claims of any kind or nature whatsoever in connection with Participant's participation in any Church of the Annunciation event.

I/We acknowledge that it is my responsibility to monitor the health of my child before coming and will not send my child to a parish event if he/she has Covid-19 or is in quarantine as a precautionary measure.   I understand that the Church of the Annunciation has implemented preventative measures, but cannot guarantee that one will not be exposed to, contact or spread Covid-19.  Therefore I acknowledge this risk and will not hold Church of the Annunciation liable.  

Fees to cover program expenses for the year are $40 per child.  Additionally, there is a Sacrament fee of $50 for First Communion children and each part of Confirmation prep. Scholarships are available; please contact the church office if you need financial assistance.  How do you plan to pay for registration fees? *
PSR is always looking for enthusiastic teachers and substitute teachers.  Please indicate below if you would be interested:
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