Blessed Trinity Life Teen 2025-2026 Registration Form
Life Teen is open to all high school students (Catholic or not) and runs after our 5:00PM Life Teen Mass on Sundays, from 6:00-8:00PM, unless otherwise noted. Please fill out one registration form per participant. Thank you and welcome!
Student Information
Student Name
*
First Name
Last Name
Student Birthdate
*
-
Month
-
Day
Year
Date
Grade Entering in Fall 2025
*
9th Grade
10th Grade
11th Grade
12th Grade
Other
School
*
Any Allergy/Special Instruction
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Email
*
Student@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do we have permission to send you text alerts?
Yes
No
Please check all the sacraments the student has received:
Baptism
Reconciliation
Eucharist
Confirmation
My student is willing to participate in the following at Life Teen Mass (5PM on Sundays):
Music
Usher
EMHC
Reader
Projector
Sacristan
Altar Server
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Parent/Guardian Information
Mother’s Name
*
First Name
Last Name
Mother’s Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mother’s Email
*
Parent@example.com
I am interested in serving on the Life Teen Core Team. Please contact me with more information.
Yes
No
Father’s Name
*
First Name
Last Name
Father’s Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Father’s Email
*
example@example.com
I am interested in serving on the Life Teen Core Team. Please contact me with more information.
Yes
No
Emergency Contact First & Last Name (Beside Parent)
*
First Name
Last Name
Emergency Contact Relation to Teen
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Our family can help with the following opportunities:
*
Life Night Meals
Saints and Sweets
Breakfast with Santa
Kristy Kreme Fundraiser
Brunch with the Bunny
Bake Sales
Car Washes
Weekend Retreats
Core Team/Spiritual Leadership
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Blessed Trinity Life Teen 4:29 Agreement
I acknowledge that I have received a copy of the Life Teen 4:29 Agreement, and agree to follow the guidelines within the agreement.
Student Agreement
Parent Agreement
Submit
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