High School Youth Group Participant Form 22-23

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form in it's entirety for your child to participate in our youth group activities including, but not limited to, open gym, local or long distance outings, gatherings, Youth Mass, retreats, service activities, games, icebreakers and the like. This form will be filled out annually.

Email *

First Name *

Last Name *

Gender

Male

Female

Clear selection

School *

Rising Grade (2022-23 School Year) *

Freshman

Sophomore

Junior

Senior

Email Address for Distribution List

Parent Contact #1 *

Parent Contact #2

Phone Number for Contact 1 *

Phone Number for Contact 2

Emergency Contact

Relationship to Child

Driving Teen: I understand that my teen driver is responsible for transportation to and from youth group events. Once the event has ended, the Youth Minister(s) are no longer responsible for my child. It is assumed arrangements have already been made by the parents of both participants for any youth group member riding with your teen driver prior to our youth group event/gathering. *

Yes

Non-Driving Teen: I understand that I am responsible for all transportation for my child to and from Youth Group. If my child is riding to/from an event with a driver other than a parent (including teen drivers), it is assumed that my child has parental permission, and the youth minister(s) are not responsible for contacting parents to verify this arrangement. *

Yes

Other:

My child will usually *

drive to/from events.

ride with a teen driver to/from events.

ride with a parent to/from events.

Other:

Is there anything you would like for us to know about your child?

Are there any special health or medical concerns?

Does your child have an allergy or dietary restriction? *

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of Christ the King Catholic Church. Report Abuse

Forms