Clone of Mission Trip 2025 ASP - Teen Registration Form

Gather & Go Summer 2026 Event Registration
Please fill out all of the required fields; note that there is a $100 non-refundable deposit required to hold a spot for each event.

Please be sure to provide active email addresses for teens and parents that are checked on a regular basis, as email will be the primary form of communication during the year between you and the Gather & Go Core Team.

Any questions about this form can be directed to Brian Mase at maseb@hawb.org or 262-343-2370.
teen's information:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
YesNo
Date of Birth*

MonthDayYear
T-Shirt Size (all adult sizes)*

Parent information:*

Rows	Full Name	Address (type SAME if same as above address)	Contact Number	Email address
Mother's info
Father's info

Your family's current parish is:*
Please specify if other:
I am signing up to participate in:
Archdiocese of Milwaukee Release of Information, Photography, & Video Consent: I, the parent/legal guardian listed on this form, hereby consent that any still or electronic image and/or audio recording, in which I or my child listed above may appear, may be used by Holy Angels Parish of West Bend and/or by the Archdiocese of Milwaukee. I understand that these materials are being used for the promotion of Holy Angels Parish of West Bend and/or the Archdiocese of Milwaukee. The images and/or recordings may be used to support recruitment, fundraising, evangelization, and other communication efforts. I release the staff and volunteers and I understand and agree that the use of my picture is not an invasion of privacy. Neither I, nor anyone claiming to be speaking on my behalf, will later object to the Archdiocese’s use of this/these photographs.

By choosing this option, I consent to this agreementI do not consent to this agreement
(Optional) Please add any additional contact or other information that may be helpful to us for the year:
OK
Should be Empty:

Gather & Go Summer 2026 Event Registration