YES Project Registration - Youth
This form is to be filled out by a parent/guardian, or youth if 18 or over
Sponsored by Defiance Parish Youth Groups

WHO: Incoming 8th graders to outgoing seniors
WHAT: Youth from the surrounding Defiance area will come together to serve those in the community with various service projects such as yard work, painting, repairs, and more. This is a retreat themed service project with a live concert by the Scally Brothers, witness talks, Reconciliation, games, food, music, and Mass
WHEN: June 13-15. Registration is at 5:30-6pm on Thursday at Defiance YMCA, and we'll close with 4pm Mass on Saturday at St. Mary's 
WHERE: We will be serving the community in the Defiance area and will be staying at the Defiance YMCA Youth Community center. Register at the YMCA
WHY: See faith in action, pray, play, and walk in the steps of Jesus! Give of yourself in ways you have never experienced. YOU CAN MAKE A DIFFERENCE!
COST: $40, includes t-shirt, 5 meals, snacks, 2 night stay, entertainment, retreat, and supplies

Contact Renee Kelch with any questions: rkelch@stjohndefiance.org or 419-236-4006
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Email *
Youth Name *
Address *
Phone Number *
Grade Level (2024/2025 school year) *
Gender *
School *
Parish *
Dietary Needs *
T-shirt size *
Have you previously participated in the YES Program? *
Pictures of the youth may appear in local newspapers. My son/daughter has permission to be included in pictures.
 *
Parent/Guardian Name *
Parent/Guardian Phone Number
 *
By typing my name below I give my permission for the above registered teen to participate in the 2024 Defiance area Youth Elect Service. I hereby release the involved parishes and the Diocese of Toledo, their staff, sponsors, volunteers and retreat leaders from responsibility and liability for any injury or illness that the child may sustain.
 *
Thank you for registering your teen for the 2024 YES Project! To complete your registration, the YES Values Statement and Medical Release Forms will need filled out and signed. These are due by May 31st. How would you like to receive these? *
There is a $40 retreat fee that is due by May 31st. Please make checks payable to St. Mary Catholic Church with "YES" in the memo. Payments may also be made online with St. Mary's Online Giving as a guest or parishioner.

If you would like to mail the check, please send it to St Mary Catholic Church, 715 Jefferson Ave. Defiance, Ohio 45312
 *
A copy of your responses will be emailed to the address you provided.
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