Youth Ministry Registration 2026-2027

St Ignatius& St. Mary Youth Ministry Registration

2026-2027
TEEN INFORMATION:
TEEN NAME

FIRST NameLAST Name
DATE OF BIRTH
SCHOOL
SCHOOL (or HOMESCHOOL)
Grade in school
Confidential: Is there anything we need to know about our child? Please list MEDICAL OR OTHER NEEDS including ALLERGIES. This information will be kept CONFIDENTIAL. Please write NA if non applicable to your teen.
Medical, allergies or other useful information
TEEN NAME (if registering more than one teen)

FIRST NameLAST Name
DATE OF BIRTH
SCHOOL
SCHOOL (or HOMESCHOOL)
Grade in school
Confidential: Is there anything we need to know about our child? Please list MEDICAL OR OTHER NEEDS including ALLERGIES. This information will be kept CONFIDENTIAL. Please write NA if non applicable to your teen.
Medical, allergies or other useful information
PARENT/GUARDIAN INFORMATION:
PARENT/GUARDIAN 1 (MAIN CONTACT): Name/relationship
Phone #(s)
Format: (000) 000-0000.
Address
Email
example@example.com
PARENT/GUARDIAN 2: Name/relationship
Phone #(s)
Format: (000) 000-0000.
Address (if different than above)
Email (if different than above AND you wish to receive emails)
example@example.com
ALTERNATE Emergency Contact: Name/Relationship and Phone Number
Photographs: Photographs are often taken during sessions and events. They are displayed publicly, i.e. website, bulletin boards.....IF YOU DO NOT WANT images taken and used as described, please send a written notice to that effect to Ileana Hoeing, 27 Maple St., Somersworth, NH 03878 OR evangelization@stignatius-stmary.org
I, ____________, grant permission for my child/chidren to participate in Youth Ministry and other parish events for grades 7-12 at St. Ignatius & St. Mary Parishes.
CALENDAR OF EVENTS

2026-2027
Should be Empty:

St Ignatius& St. Mary Youth Ministry Registration

TEEN INFORMATION:

PARENT/GUARDIAN INFORMATION:

CALENDAR OF EVENTS