Our Lady's Youth

Youth Group Registration Form
Youth Name

First NameLast Name
Youth Information

Date of BirthAge
GradeSchool
Youth EmailYouth Phone
ParishShirt Size
Youth Sacraments Recieved

Note: If you are in need of any Sacraments please email olyouthdirector@gmail.com
Baptism
Parish Received At
Holy Communion
Parish Received At
Confirmation
Parish Received At
Parent/Guardian Information
Parent/ Guardian 1 Full Name

First NameLast Name
Contact Information

AddressCell
EmailRelation to Youth
Parent/ Guardian 2 Full Name

First NameLast Name
Contact Information

AddressCell
EmailRelation to Youth
Does your child have any allergies?
Does your child have any chronic medical problems?
Does your child have any physical restrictions?
Acknowledgment
As parent/guardian, I understand that photos and video (individual and group) will be taken during youth group events, and I give permission for my son's/daughter's picture to be used for printed or online promotional materials.

I agree on behalf of myself, my heirs, successors, personal representatives and assign to protect, indemnify, save, and hold harmless the Diocese of Corpus Christi, and Our Lady's Youth, and their officers, directors, agents, employees, or representatives associated with the parish youth program from all damages, claims, suits, expenses and payment on account of or resulting from conditions stated on or resulting from any such injury, death, or damage to property, including resulting from the negligence of the Diocese of Corpus Christi, and parish, and or their officers, directors, and employees arising from or in connection with my attending youth ministry/formation events beginning August 1, 2025 and continuing through August 1, 2026.
Parent/Guardian Signature
Date Signed

MonthDayYear
Date
Should be Empty:

Youth Group Registration Form

Youth Sacraments Recieved

Parent/Guardian Information

Acknowledgment