Youth Ministry Registration

Thank you for filling out the registration below. If your youth is in Jr. High (Grades 6-8), choose Edge. For those in High School (Grades 9-12), choose High School Ministry. Youth Ministry meets Sunday evenings 5:30-7:00pm. Schedule coming soon!

The cost is $35.00 per youth. You may mail in a check and/or bring on first day of Youth Ministry sessions. You may also pay online. A link will appear after submitting this form.

Father's Full Name REQUIRED Please fill out this field. Please enter valid data.

Father's Phone Number Please enter valid data.

Father's Email (Checked Regularly) Please enter valid data.

Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Phone Number Please enter valid data.

Mother's Email (Checked Regularly) Please enter valid data.

Mailing Address

Best Way to Communicate Phone Email Text

If Text, Please list Cell Phone Number & Provider

AT&T, Verizon, Tmobile, etc.

Please enter valid data.

Emergency Contact Information REQUIRED Please fill out this field. Please enter valid data.

Did your youth attend any Faith Formation Program or Cahtolic School last year? REQUIRED Yes No Please fill out this field.

If yes, which program or school? Please enter valid data.

YOUTH 1

Youth Full Name REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Please fill out this field.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

City of Birth REQUIRED Please fill out this field. Please enter valid data.

Grade REQUIRED Please fill out this field. Please enter valid data.

Has youth been Baptized? REQUIRED Yes No Please fill out this field.

Date of Baptism Please enter valid data.

Church name, city and state of Baptism Please enter valid data.

Has youth been Confirmed? REQUIRED Yes No Please fill out this field.

Has youth received First Eucharist? REQUIRED Yes No Please fill out this field.

Church name, city and state of First Eucharist Please enter valid data.

Please note that if youth(s) have not yet made their Sacrments, parent(s) will be contacted by our Youth Minister, Josh Houde. Josh prepares the Teens Grades 6-12 who have not received the Sacraments of Confirmation and/or First Communion. (Schedule TBA)

Medical Conditions/Allergies REQUIRED

In no allergies or conditions type none

Please fill out this field. Please enter valid data.

Prescribed Medications REQUIRED

In no prescribed medications type none

Please fill out this field. Please enter valid data.

Disability/Learning Support REQUIRED

In no disability/learning support, type none

Please fill out this field. Please enter valid data.

Individualized Education Plan-IEP? REQUIRED

In no IEP, type none

Please fill out this field. Please enter valid data.

Please choose the option for Youth 1 REQUIRED Edge-Grades 6-8 High School Ministry Grades 9-12 Please fill out this field.

YOUTH 2

Youth Full Name Please enter valid data.

Gender

Date of Birth Please enter valid data.

City of Birth Please enter valid data.

Grade Please enter valid data.

Has youth been Baptized? Yes No

Date of Baptism Please enter valid data.

Church name, city and state of Baptism Please enter valid data.

Has youth been Confirmed? Yes No

Has youth received First Eucharist? Yes No

Church name, city and state of First Eucharist Please enter valid data.

Medical Conditions/Allergies

In no allergies or conditions type none

Please enter valid data.

Prescribed Medications

In no prescribed medications type none

Please enter valid data.

Disability/Learning Support

In no disability/learning support, type none

Please enter valid data.

Individualized Education Plan-IEP?

In no IEP, type none

Please enter valid data.

Please choose the option for Youth 2 Edge-Grades 6-8 High School Ministry Grades 9-12

Photo Release Statement REQUIRED

I agree to allow my youth(s) to be photographed or videoed during Youth Minstry Sessions and Events for parish use only (website or other publicaiton).

Yes, I agree No, I do not agree Please fill out this field.

Registration Payment Information REQUIRED

If Check/Cash, please bring at first session or mail to 217 Main Street, Saco, ME 04072

Check/Cash Online Payment Please fill out this field.

Good Shepherd Parish

271 Main St., Saco, ME 207-282-3321

207-282-3321

Youth Ministry Registration