Local Mission 2024 YOUTH Registration Form 
June 9-12
Local Mission
Neenah/Menasha Area, WI 
$50.00 per person
For Grades 6-12 (Completing grade in 2023-2024 school year)

Mission Trip Hours:

June 9, 4:45pm-7:35pm (Meet at St. Gabriel Parish)
June 10- June 12, 8:45am-4:05pm (Meet at St. Margaret Mary Parish)

Join YOUTH from the Neenah and Menasha Catholic Parishes in serving the neighbors in our communities! Each group will consist of 3-5 youth and an adult Chaperone. Groups will help parishioners and community partners throughout the Fox Valley area. 

Registration Information: 

Please note, spots are not confirmed until a $50.00 nonrefundable payment is received at the St. Margaret Mary office, 439 Washington Ave. Neenah, WI 54956

Checks made payable to St. Margaret Mary Parish with memo: Local Mission Trip.
REGISTER by 5/1/2024 to receive a Made4Mission T-Shirt. 

Once BOTH the online registration form and the payment are received you will be sent an email confirmation with an agenda and notes on what to bring. 

Contact: Tina Peirick at tpeirick@smcatholicschools.org or 920-729-4560 with questions. Thank you!

PLEASE NOTE: If you are from a Parish outside of Neenah and Menasha: One adult from a family or home parish is required to attend as a Chaperone for the Mission Trip. (up to 6 youth per Chaperone). Contact Tina with any questions. Thank you!

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Email *
Are you a Parish member at a Neenah or Menasha Catholic Parish? (If no, please read note above.) *
Parish Name
 *
Parent Name - First and Last 
 *
Parent/Chaperone Phone Number
 *
Parent/Chaperone Additional Email Addresses
 *
Youth First Name *
Youth Last Name *
Grade completed 2023-2024 School Year
 *
What school did youth attend (2023-2024)?
 *
Shirt Size - All Adult sizes
 *
List ONE name of a friend or a school you'd like to be in work group with. 
Will your student require medication administration during the trip? (This includes ALL medications, both OTC and Prescription Medications)  A member of our leadership team will follow up with you before the trip.
 *
Please list any allergies or medical conditions we need to know about.  A member of our leadership team will follow up with you before the trip. Please leave blank if there are none.
Emergency Contact Name 
 *
Emergency Contact Number
 *

I give the Neenah-Menasha Parishes permission to use photos or video images of my child/children in any future publications.

 *
I acknowledge that my registration will be confirmed when my $50.00 payment has been received.  

Payments of cash or check can be mailed to or dropped off at St. Margaret Mary Parish, 439 Washington Ave., Neenah, WI 54956 ATTN: Tina Peirick

Checks made payable to St. Margaret Mary Parish with memo: Local Mission Trip.
 *
I would like to volunteer in the following way:
Made for Mission 2023
A copy of your responses will be emailed to the address you provided.
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