Risen Christ Middle School Youth Group Registration (6th, 7th, & 8th grades) 2021-2022
Welcome--or welcome back!  

Middle School Youth Group meets weekly on Wednesday evenings from 6:30 to 7:30 PM, currently in-person only.

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Email *
Student's Last Name *
Student's First Name *
Student's Gender *
Current Grade for 2021-2022 *
Name of school attending *
Name of school district *
Student's Date of Birth, including year *
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DD
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Has this student been baptized? *
Name of parish where baptism took place (please include city, state, and country, if applicable)
Has this student received First Holy Communion? *
Has this student been confirmed? *
Parent 1/Guardian 1 First and Last Name *
Parent 1/Guardian 1 Cell Phone Number *
Parent 1/Guardian 1 Email Address: *
All information and updates about Middle School Youth Group will be sent through Flocknote, the email and text message platform used by the parish. *
Required
Parent 2/Guardian 2 First and Last Name
Parent 2/Guardian 2 Cell Phone Number:
Parent 2/Guardian 2 Email Address:
Parent 2/Guardian 2: All information and updates about Middle School Youth Group will be sent through Flocknote, the email and text message platform used by the parish.
All information and updates about Middle School Youth Group will be sent through Flocknote, the email and text message platform used by the parish. Do you want your child to receive these notifications as well? *
If yes, please provide student's cell phone number:
If yes, please provide student's email:
Student resides with: *
Student's Primary Mailing Address (please include city and zip code) *
The name of our family's primary parish is: *
Non-Parent Emergency Contact Name, first and last. We will always attempt to contact parent(s) first. *
Non-Parent Emergency Contact Phone Number *
Non-Parent Emergency Contact Email *
My child has allergies, medical conditions, behavioral concerns, and/or learning challenges Risen Christ should be aware of: *
If yes, please describe:
Medical and Dental Emergencies:
I authorize, by my electronic signature below, that if the above people cannot be reached, church personnel are authorized to use their best judgment in an emergency.  The church does not have medical or dental insurance for the students.  It is understood that all costs related to emergency treatment will be the responsibility of the parent.  As long as the medical treatment considered necessary is in accordance with generally accepted standards of practice, I impose no specific prohibitions regarding treatment unless stated by certified letter.
Parent/Guardian Signature: *
I understand my child's picture or work product may (rarely) be shown on the Risen Christ Catholic Parish website, the Risen Christ Facebook page, or in the church bulletin to promote parish activities or celebrate the reception of sacraments. *
Required
I learned about Middle School Youth Group through: *
I am interested in volunteering to help make Middle School Youth Group successful in the following ways:
Thank you for registering!  
Questions? Please contact Rachel Brandorff at rachel@risenchristchurch.org or (720) 531-9553
A copy of your responses will be emailed to the address you provided.
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