Edge Night- Heroic Deeds: The Ministry of Jesus
Sunday, February 22nd, 2026
Name
*
First Name
Last Name
E-mail
*
example@example.com
E-mail good to contact for future events
example@example.com
Emergency Phone Number
*
I learned about Assumption Youth Ministries from:
*
Facebook/Instagram
Attending Mass
Church Bulletin
Email
Other
Who will be picking your child up from the event?
*
Please list any food allergy your child has:
*
Photo Release: I, the parent/guardian of my minor child do hereby consent and authorize the release, publication, dissemination, distribution, use, and/or reproduction of any and all photographs and/or filming taken of my daughter/son during his or her enrollment of parish youth group events at Church of the Assumption parish by an employee, agent, or representative. This Release and Authorization acknowledges that all videos and photos could be used and publicized on the Youth Group social media pages on Facebook and Instagram as well as the church website. Do you give consent to use your child's photo/image in these ways?
*
I accept
I do not accept
Submit
Should be Empty: