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Youth Ministry Leader Registration Form

- Evangelization and Catechesis

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- Totally Catholic Vacation Bible School
  YOUTH MINISTRY LEADER Registration Form
  Youth must be at least in 6^th grade & no older than 17
  June 21-25, 1:00 PM – 5:00 PM
  T-shirt Fee: $5.00
  (Please use the online payment link at the end of the form.)
  
  Youth Ministry Leaders need to have a parent complete the Liability PDF form and return to [email protected] or drop off at the parish office. Scroll down to the document section to print and complete the form before April 26th.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Age on June 21 REQUIRED Please fill out this field. Please enter valid data.
- Grade in the Fall of 2021 (6th -12th Grade) REQUIRED Please fill out this field.
- Sex REQUIRED Please fill out this field.
- Allergies/ Medical Conditions
- Medication & Dosage
- Parent(s)/ Guardian(s) Name REQUIRED Please fill out this field. Please enter valid data.
- Cell REQUIRED Please fill out this field. Please enter valid data.
- Alt. Phone Number Please enter valid data.
- Parent Email REQUIRED Please fill out this field. Please enter valid data.
- Youth Cell Please enter valid data.
- Youth Email Please enter valid data.
- Home Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Station Area of Choice REQUIRED Please fill out this field.
- Emergency Contact Name (Not a parent or guardian) REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone Number Please enter valid data.
- Mark Your Calendar with the Following Dates
  Training / Workdays dates(s):
  June 12: 9 AM – 12 PM at St. Edward
  June 13: 1:30 PM – 4 PM at St. Edward
  June 16: TBD
  June 19: 9 AM – 12 PM at St. Edward
  June 20: 1:30 PM – 4 PM at St. Edward
- T-Shirt Size REQUIRED Please fill out this field.
- Payment link below!
- Liability form must be completed by parents / guardian and turned into Lauren White at [email protected] or turn into the parish office.
  
  For more information contact:
  Lauren White
  Coordinator of Children Evangelization and Catechesis & Digital Faith Formation
  281-353-9774 x 819
  lwhitesaintedward.org
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Pay Here
- Youth Ministry Leader Payment
Documents
- Liability Form- VBS Teen Leader