High School YOA and Confirmation Registration Form 2022-2023

High School YOA and Confirmation

Faith Formation 2022-2023 Registration Form
Student's Name *

First Name Middle Name Last Name
Birth Date *

Month Day Year
Gender *
What grade is your student? *
* 8th graders need permission from Travis Hayes prior to registering.
I am registering this student for: *

YOA- Sundays at 6 pm Confirmation- all students in 10th grade or older are invited to celebrate Confirmation; meetings are monthly on Saturday. All Confirmation candidates must be enrolled in YOA or some equivalent formation program. Proof of Baptism and additional preparation is required.
Student Cell Phone Number
Please enter a valid phone number.
Student Email
example@example.com
Student Shirt Size *
Has this youth been Baptized? *

Yes No
Do you want more information about having your youth baptized?

Yes No
Has this youth received 1st Holy Communion?

Yes No
Has this youth been Confirmed?

Yes No
Allergies or things we should know about your student?
Student registered by. Please fill out if you are not the student's parent.

First Name Last Name
Parent Information *

First Name Last Name
Dad's Cell Phone Number
Mom's Cell Phone Number
Please enter a valid phone number.
Parent Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Emergency Contact *

First Name Last Name
Emergency Contact Mobile Number *
I, the parent/guardian listed above, grant permission for my child (the participant listed above) to participate in the events listed above. I understand that these events will take place under the guidance and direction of parish employees and/or volunteers from the parish. As parent/legal guardian of the participant listed above, I remain legally responsible for any personal action taken by my child. I agree to hold harmless the Church of Ascension and the Diocese of Richmond as well as its officers, directors, agents, chaperones, or representatives associated with this event, arising from or in connection with my child attending this event, or including but not limited to accidents, emergencies, exposures to reckless conduct of persons. I also understand that if any medical changes occur during this timeframe, I am responsible for updating my medical release form with the parish. *

I Understand
PHOTO RELEASE: Occasionally, photos of events may appear on the church website and/or in printed materials such as the parish newsletter. No identifying information will accompany the images. I grant permission to Church of the Ascension to photograph my child and use his/her picture, silhouette, or other reproductions of physical likeness in connection with publications (i.e. newsletters, website, brochures), video recordings or news releases of Church of the Ascension. *

Yes No
Should be Empty:

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