JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Youth Participation Form & Liability Waiver
St. Andrew Dinner - Monday, October 18, 2021, 6:30pm at Church of Our Lady of Lourdes, Utica
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Youth First Name
*
Your answer
Youth Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Parish/School
Choose
All Saints Catholic School, Endicott
All Saints, Syracuse
Assumption of the Blessed Virgin Mary, Syracuse
Basilica of the Sacred Heart of Jesus, Syracuse
Bishop Grimes Jr./Sr. High School, East Syracuse
Bishop Ludden Jr./Sr. High School, Syracuse
Blessed Sacrament School, Syracuse
Blessed Sacrament, Syracuse
Brady Faith Center, Syracuse
Broome County Catholic Schools Office, Binghamton
Cathedral Academy at Pompei, Syracuse
Catholic Charities of Broome County, Binghamton
Catholic Charities of Chenango County, Norwich
Catholic Charities of Cortland County, Cortland
Catholic Charities of Oneida/Madison County, Utica
Catholic Charities of Onondaga County, Syracuse
Catholic Charities of Oswego County, Fulton
Catholic Community of Epiphany Parish @ Immaculate Heart of Mary, Liverpool
Catholic Community of Epiphany Parish @ St. Joseph the Worker, Liverpool
Chancery
Christ our Hope @ St. Joseph, Boonville
Christ our Hope @ St. Mary of the Snows Oratory, Otter Lake
Christ our Hope @ St. Patrick Mission, Forestport
Christ our Light, Pulaski
Christ the Good Shepherd, Oswego
Christ the King Retreat House, Syracuse
Christ the King, Liverpool
Christian Brothers Academy, Syracuse
Church of Our Lady of Pompei/St. Peter, Syracuse
Church of Saints Cyril & Methodius, Binghamton
Church of St. John the Baptist, Rome
Church of the Annunciation, Clinton
Church of the Holy Family, Endwell
Church of the Holy Family, Vernon
Church of the Holy Trinity, Binghamton
Church of the Holy Trinity, Fulton
Church of the Nativity at Immaculate Conception, Pompey
Church of the Nativity at St. Joseph, LaFayette
Church of the Nativity at St. Leo, Tully
Church of the Sacred Heart & St. Mary, Our Lady of Czestochowa, New York Mills
Divine Mercy Parish, Central Square
Father Champlin's Guardian Angel Society, Syracuse
Historic Old St. John's, Utica
Holy Cross School, DeWitt
Holy Cross, Dewitt
Holy Family School, Norwich
Holy Family School, Syracuse
Holy Family, Syracuse
Holy Trinity, Utica
Immaculate Conception School, Fayetteville
Immaculate Conception, Fayetteville
Immaculate Conception, Greene
Joseph House, Syracuse
Lourdes Camp, Syracuse
Mission of St. Bernadette, Constantia
Most Holy Rosary School, Syracuse
Most Holy Rosary, Maine
Most Holy Rosary, Syracuse
Newman Center, SUNY Binghamton
Notre Dame Elementary School, Utica
Notre Dame Jr./Sr. High School, Utica
Our Lady of Good Counsel, Endicott
Our Lady of Good Counsel, Verona
Our Lady of Hope, Syracuse
Our Lady of Lourdes, Windsor
Our Lady of Perpetual Help Mission, Cincinnatus
Our Lady of Perpetual Help Mission, Minetto
Our Lady of Sorrows, Vestal
Our Lady of the Rosary Mission, Hannibal
Our Lady of the Rosary, New Hartford
Pope John XXIII Roman Catholic Church, Liverpool
Road to Emmaus Ministry of Syracuse, Inc., Syracuse
Rome Catholic School, Rome
Sacred Heart, Cicero
Seton Catholic Central Jr./Sr. High School, Binghamton
St. Agatha, Canastota
St. Agnes Mission, Afton
St. Ambrose, Endicott
St. Ann, Manlius
St. Anne, Mother of Mary, Mexico
St. Anthony & St. Agnes, Utica
St. Anthony of Padua Daycare, Endicott
St. Anthony of Padua, Cortland
St. Anthony of Padua, Endicott
St. Anthony of Padua, Syracuse
St. Augustine, Baldwinsville
St. Bartholomew, Norwich
St. Bernard, Waterville
St. Daniel, Syracuse
St. Elizabeth Ann Seton, Baldwinsville
St. Francis of Assisi, Binghamton
St. Francis of Assisi, Bridgeport
St. Francis of Assisi, Durhamville
St. Francis Xavier, Marcellus
St. Helena, Sherrill
St. James School, Johnson City
St. James, Cazenovia
St. James, Johnson City
St. Joan of Arc Mission, Morrisville
St. John Oratory, North Bay
St. John the Baptist/Holy Trinity, Syracuse
St. John the Evangelist School, Binghamton
St. John the Evangelist, Bainbridge
St. John the Evangelist, Camden
St. John the Evangelist, New Hartford
St. Joseph & St. Patrick, Utica
St. Joseph, Camillus
St. Joseph, Deposit
St. Joseph, Endicott
St. Joseph, Lee Center
St. Joseph, Oneida
St. Joseph, Oriskany Falls
St. Joseph, Oxford
St. Joseph, Sanitaria Springs
St. Lawrence Mission, DeRuyter
St. Lucy, Syracuse
St. Malachy, Sherburne
St. Margaret, Homer
St. Margaret, Mattydale
St. Margaret's School, Mattydale
St. Marianne Cope Parish, The Catholic Community of Lakeland & Solvay
St. Mark, Utica
St. Mary Devotional Chapel, Irish Ridge
St. Mary of Mount Carmel - Blessed Sacrament, Utica
St. Mary of the Assumption Oratory, Cleveland
St. Mary of the Assumption, Baldwinsville
St. Mary of the Assumption, Binghamton
St. Mary of the Assumption, Minoa
St. Mary of the Assumption, Oswego
St. Mary of the Lake Mission, Verona Beach
St. Mary of the Lake, Skaneateles
St. Mary, Clinton
St. Mary, Cortland
St. Mary, Hamilton
St. Mary, Kirkwood
St. Mary's Academy, Baldwinsville
St. Mary's School, Cortland
St. Mary's/St. Peter's Parish, Rome
St. Matthew, East Syracuse
St. Patrick - St. Anthony, Chadwicks
St. Patrick & St. Brigid, Syracuse
St. Patrick Mission, Otisco
St. Patrick School, Oneida
St. Patrick, Binghamton
St. Patrick, Chittenango
St. Patrick, Jordan
St. Patrick, Oneida
St. Patrick, Taberg
St. Patrick's Oratory, Truxton
St. Paul, Binghamton
St. Paul, Norwich
St. Paul, Rome
St. Paul, Whitesboro
St. Peter, Utica
St. Rose of Lima School, North Syracuse
St. Rose of Lima, North Syracuse
St. Stephen, Phoenix
St. Theresa of the Infant Jesus, New Berlin
St. Therese of the Infant Jesus, Munnsville
St. Thomas Aquinas, Binghamton
St. Thomas, New Hartford
St. Vincent de Paul Blessed Sacrament, Vestal
St. Vincent De Paul Daycare, Syracuse
St. Vincent de Paul, Syracuse
Syracuse Catholic Cemeteries, Syracuse
Syracuse Catholic Schools Office, Syracuse
The Cathedral of the Immaculate Conception, Syracuse
The Catholic Community of St. Stephen - St. Patrick, Marathon
The Catholic Community of St. Stephen - St. Patrick, Whitney Point
The Church of Our Lady of Lourdes, Utica
The Church of St. Michael and St. Peter, Syracuse
The Parish Community of St. Leo & St. Ann, Holland Patent
The Parish of Saints John and Andrew, Binghamton
The Parish of St. Charles - St. Ann, Syracuse
Toomey Residential and Community Services, Syracuse
Transfiguration of our Lord, Syracuse
Transfiguration, Rome
Trinity Catholic School, Oswego
Name of Parent or Guardian
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Parent Cell
*
Your answer
Parent Email
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Roman Catholic Diocese of Syracuse.
Report Abuse
Forms
