Youth Ministry Registration 2025-2026

St Ignatius& St. Mary Youth Ministry Registration

2025-2026
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.
Medical, allergies or other useful information
PARENT/GUARDIAN 1 (MAIN CONTACT): Name/relationship
Phone #(s)
Address
Email
example@example.com
PARENT/GUARDIAN 2: Name/relationship
Phone #(s)
Address (if different than above)
Email (if different than above AND you wish to receive emails)
example@example.com
ALTERNATE Emergency Contact: Name/Relationship
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.

Clear
LINKS for your reference:

CALENDAR OF EVENTS

INSTAGRAM
Should be Empty:

St Ignatius& St. Mary Youth Ministry Registration