Journey 2026-27 Welcome Form

Journey 2026-27 Welcome Form

Welcome to Journey, a youth ministry initiative of Southside Parish Renewal! Journey is open to teens in the second semester of 8th grade through high school. To register for the 2026-27 school year, please complete this annual form.
Teen's First Name
Teen's Last Name
Teen's Date of Birth

MonthDayYear
Date
Which school does the teen attend?
Teen's grade for 2026-27 school year
Which parish does the teen attend?

Other
Will the teen have transportation to the events?

Other
Teen's T-shirt size (adult sizes)
Teen's Email
example@example.com
Teen's Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian's First Name
Parent/Guardian's Last Name
Parent/Guardian's Email
example@example.com
Parent/Guardian's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Teen's Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact's Name
Emergency Contact's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Describe medical needs, allergies, or special considerations.
Which days of the week is the teen most likely to be available to participate in youth ministry this year? Check all that apply.

Other
Is there additional information that we should know?
How did you hear about us?

Other
Was your teen invited by a friend? If so, please enter the friend's first and last name below. Both teens will receive two bonus entries into the Kickball Night raffle!
After you read the media release form, please select one of the options below:

Other
By completing this form electronically, I agree to the use of electronic records and signatures for this registration in accordance with the Illinois Uniform Electronic Transactions Act. If you would prefer to submit signed paper forms, please contact us at: hello@chicagojourney.org PLEASE TYPE YOUR NAME IN THE BOX BELOW:
By signing below, I confirm that I have read and agree to the terms outlined in this registration form. I understand that this serves as a one-time annual permission for my child to participate in Journey activities through June 30, 2027, unless I provide written notice to withdraw.
Should be Empty: