Note: By registering your teen(s) for Youth Ministry at St. Emily's you are giving them permission to be present at any St. Emily Youth Ministry Events which are held on St. Emily parish property. An additional permission form will be provided for any field trips or additional events at other locations. While we encourage all youth to attend as many Youth Ministry events as possible, attendance is based on their own availability and by completing this form you do not commit to attend a certain number of events.

Because of this, the Youth Ministry Team at St. Emily's will only be responsible for your teen(s) when they arrive at each individual event and until they depart. Parents are expected to arrange for the drop off and pick up of their teen(s) from each event and to communicate to the Youth Ministry Team if they have any concerns about procedures in this area. Unless otherwise instructed by the parents, the Youth Ministry Team at St. Emily's will assume that each teen is responsible and can be trusted to know who he/she is going home with and to otherwise manage his/her own transportation.

Parent/Guardian Information

Which Parish do you belong to? *

St. Emily

Other Other

Are you registered at your parish? * 🛈

Yes

No

First Parent/Guardian's Name (First/Last) *

Phone Number *

Email Address *

Relationship to Child(ren) *

Address *

City *

State *

Zip Code *

Second Parent/Guardian's Name (First/Last)

Phone Number *

Email Address

Relationship to Child(ren)

Same Street Address as First Parent/Guardian?

Yes

No

Address

City

State

Zip Code

Family Information

Child(ren) reside(s) with: *

Please indicate who has legal custody of the student(s) *

Are you interested in volunteering at Youth Ministry events? *

Yes

No

How many children are you registering in our program this year? *