Youth Group & Confirmation Registration 2024 - 2025
Please fill out this form and click submit.
Parent Name
*
Parent Cell Phone
*
Parent Email
*
This address will receive a confirmation email
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
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NE
NH
NJ
NL
NM
NS
NT
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OR
PA
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PW
QC
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SC
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TN
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VA
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VT
WA
WI
WV
WY
YT
Student 1 Name
*
I am registering this student for the following. If you are registering for Confirmation, please also check High School Youth Group
*
Please select all that apply.
Middle School Youth Group
High School Youth Group
Confirmation
Student 1 Birth Date
*
If your student is getting confirmed, please provide date of Baptism
Student 1 Email Address
*
Student 1 Cell Phone
*
Student 1 Grade for 2024-2025 School Year
*
Please select one option.
6th
7th
8th
9th
10th
11t
12th
Student 1: Does this child have any allergies, health conditions, or access needs we should know about? If so, please note them below.
*
Student 1: If your youth is learning to manage their own schedule, we would like to include them in communications. Please select ALL methods by which we can communicate with your youth. Please note that will ALWAYS include parents on all communications.
*
Please select all that apply.
Weekly Youth Ministry E-News
Email with parent copied
Group text messages that go to both youth and a parent
Please do not communicate with my child
Student 2 Name
I am registering this student for the following. If you are registering for Confirmation, please also check High School Youth Group
Please select all that apply.
Middle School Youth Group
High School Youth Group
Confirmation
Student 2 Birthdate
If your student is getting confirmed, please provide date of Baptism
Student 2 Email
Student 2 Cell Phone
Student 2 Grade for 2024 - 2025 School Year
Please select one option.
6th
7th
8th
9th
10th
11th
12th
Student 2: Does this child have any allergies, health conditions, or access needs we should know about? If so, please note them below.
Student 2: If your youth is learning to manage their own schedule, we would like to include them in communications. Please select ALL methods by which we can communicate with your youth. Please note that will ALWAYS include parents on all communications.
Please select all that apply.
Weekly Youth Ministry E-News
Email with parent copied
Group text messages that go to both youth and a parent
Please do not communicate with my child
Student 3 Name
I am registering this student for the following. If you are registering for Confirmation, please also check High School Youth Group
Please select one option.
Middle School Youth Group
High School Youth Group
Confirmation
Student 3 Birthdate
If your student is getting confirmed, please provide date of Baptism
Student 3 Email Address
Student 3 Cell Phone
Student 3 Grade for 2024-2025 School Year
Please select one option.
6th
7th
8th
9th
10th
11th
12th
Student 3: Does this child have any allergies, health conditions, or access needs we should know about? If so, please note them below.
Student 3: If your youth is learning to manage their own schedule, we would like to include them in communications. Please select ALL methods by which we can communicate with your youth. Please note that will ALWAYS include parents on all communications.
Please select all that apply.
Weekly Youth Ministry E-News
Email with parent copied
Group text messages that go to both youth and parent
Please do not communicate directly with my child
I hereby grant permission to the Episcopal Parish of Saint John the Evangelist to photograph my child(ren) during Youth Group, worship services, and parish events, and to use those photographs on the church web site, in parish publications, and for general publicity purposes.
*
Please select one option.
Yes
No
Option
Involvement Opportunities: I would be interested in participating in Middle School Youth Group or Highschool Youth Group in the following ways:
Please select all that apply.
Teaching or Assisting in the Group Leadership
Making Outreach Phone Calls
Serving on the Youth Ministry Leadership Team
Helping With Special Events and/or Service Projects
Helping to organize social events for HSYG
Is there anything else we should know to best serve your family?
Submit
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