EDGE Registration - St. Paul the Apostle, Alliston

Please complete as applicable to your youth (under 18 years of age - as participant). One person per form.
Participant*

Participant (Life Teen youth)
Youth Name*

First NameLast Name
AGE
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
Primary Contact*

Mother/GuardianFather/GuardianYouth
Mother's/Guardian Name

First NameLast Name
Mother's Guardian Cell Number

Area CodePhone Number
Mother's/Guardian Email
example@example.com
Father's/Guardian Name

First NameLast Name
Father's/Guardian Cell Number

Area CodePhone Number
Father's/Guardian Email
example@example.com
Parent/Guardian Facebook/Instagram
Complete if you wish to be friended/followed
Youth's Cell Number

Area CodePhone Number
Youth's Email
example@example.com
Youth's Instagram
Complete if you wish to be tagged (not followed)
Home Phone Number

Area CodePhone Number
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact*

First NameLast Name
Emergency Phone Number*

Area CodePhone Number
School Name
Grade
SchoolName blanks Grade
Adult T-Shirt Size

X SmallSmallMediumLargeX LargeXX Large
Medical Treatment and Liability Release

If needed, I give permission for my youth to be evaluated, diagnosed, treated, &/or given medication in accordance with standard medical practice by licensed medical personnel. I understand that attempts to contact me, if necessary, will be made.

I relieve St. Paul the Apostle Parish, all volunteers, chaperones & staff of all responsibility and consequences that may arise as a result of this treatment. I will not hold St. Paul the Apostle Parish, all volunteers, chaperones & staff, liable in the event of injury or illness. I agree to accept any & all financial responsibility as a result of scheduling medical treatment.

All names & all relevant health/medical info must be completed & received prior to attending.
Medical Treatment and Liability Release

Accept
Food*

VegetarianVeganDairy AllergyNut AllergyGluten AllergyNONEOther
Medical Conditions Info
Medications
Doctor

First NameLast Name
Doctor Phone Number

Area CodePhone Number
Health Card No.
Photos / Videos - are taken during events. I permit the publishing of these personal photos/videos on St. Paul the Apostle Parish promotional material including parish website, Facebook, Twitter/X, Instagram, & similar internet sites.
Photos / Videos -

Accept
Rules, Regulations and Liability Release

My youth agree to abide by the rules & regulations stated by St. Paul the Apostle Parish, all volunteers, chaperones, drivers and staff, including the stipulation that alcohol, drugs and weapons are never permitted.

I understand that St. Paul the Apostle Parish, all volunteers, chaperones, drivers & staff will not be held liable for accidental harms, negligence, or if my youth fails to comply with regulations, & that any infraction of these rules may result in immediate dismissal from the event with transportation costs at my expense.
Rules, Regulations and Liability Release

Accept
Leave On Own - My youth has permission to regularly leave unsupervised (walk home/leave without an adult) from events hosted/finishing at St. Paul the Apostle Church.

YesNo
Walk & Drive - My youth has permission to walk or drive with volunteers to activities off site hosted/finishing at St. Paul the Apostle Church.

YesNo
Road Trips: Occasionally we attend retreats & events in other locations, often with other parishes. Fees may be applied based on event cost. We try to be nut-free. We ask your co-operation. St. Paul the Apostle parish, and other participating parishes may transport, by volunteer vehicles if needed, or use coach or school buses when needed. When we travel by volunteer vehicle, we collect $5-$10 (in addition to event costs) for gas for drivers. Does not apply to local trips. Normal Risks associated to the type of activity need to be considered. Vehicle seating is always on a first come basis. Pickup & drop off times will vary per event. All liability releases above also apply to all participating parishes, and their staff, their volunteers, chaperones and drivers.

See information emails & texts for specific information about each event.
I, declare that the information on this form is true and accurate. Parent/Guardian:*
Type your Name
This information is strictly confidential and will only be used as needed by LIFE TEEN/EDGE Staff and Volunteers approved by the St. Paul the Apostle Parish. Please inform us when changes to this information occurs.
Should be Empty:

Please complete as applicable to your youth (under 18 years of age - as participant). One person per form.