M:J Individual Registration

- Youth Ministry

Individual Registration Form
- This form should be completed by an Adult (Parent/Legal Guardian... Teens should not register on their own.
- The email address should pertain to an adult who is registering the teen(s) (PARENT OR LEGAL GUARDIAN)- and who is responsible to share the information shared via email with all participants.
- You will receive an email confirmation with a direct link to the home page for more info on your "donation fee"
The maximum number of form submissions has been reached. This form is currently not available.
- Registering for: REQUIRED July 15th: St. Rose of Lima Church, Freehold, NJ (9am - 4pm)(15) July 17th: Church of the Visitation, Brick, NJ ( 8:45am - 3:15pm)(15) July 21st: Scared Heart Church, Trenton, NJ (9am - 4pm)(10) Please fill out this field.
- YOUR name (adult registering a teen): REQUIRED Please fill out this field. Please enter valid data.
- YOUR email - Adult Email Address (Parent/YM/Chaperone/Leader) registering a teen REQUIRED Please fill out this field. Please enter an email address.
- YOUR Phone Number (Parent/ Guardian/ Adult Leader) registering a teen REQUIRED Please fill out this field. Please enter valid data.
- Teen Participant's First Name: REQUIRED Please fill out this field. Please enter valid data.
- Teen Participant's Last Name: REQUIRED Please fill out this field. Please enter valid data.
- Teen's Parish Name REQUIRED Please fill out this field. Please enter valid data.
- Teen's Parish City: REQUIRED Please fill out this field. Please enter valid data.
- I understand... REQUIRED I understand that each participant will need to bring a bagged lunch, water bottle(s) and wear closed toe shoes. Food can NOT be ordered or purchased during the day. I understand it is expected that participants will be present for the entirety of the day. It will NOT be possible to drop off a teen late or pick up early. I understand that a signed permission slip for every participant attending is required. (Please see our website to download permission slip) I understand that the participant will be chaperoned by adults from our Diocese who are compliant with all child safety protocols. I understand that each participant is asked to bring a donation item as their "fee" for the day. Please see the list of items/fee requested for your date and location. These items/funds will directly be used as a part of the projects we do that day. Please fill out this field.
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M:J Individual Registration

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