2026 Youth Day Registration

2026 Youth Day Registration

Christ the Saviour Church, Paramus, NJ
Please register so we can have enough food!

This is a free event sponsored by the OCA Diocese of NY/NJ
Full Name

First NameLast Name
Email Address
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of adults over 18
Number of youth ages 13-17
Number of youth ages 5-12
Number of youth ages 2-4
Number of youth under 2
Youth_1 Name
Date of Birth

MonthDayYear
Date
Youth_2 Name
Date of Birth

MonthDayYear
Date
Youth_3 Name
Date of Birth

MonthDayYear
Date
Youth_4 Name
Date of Birth

MonthDayYear
Date
Youth_5 Name
Date of Birth

MonthDayYear
Date
Which diocese are you from? If outside of the OCA, please review the "Other" options and choose your jurisdiction.
Parish (name, city, and state)
If you do not attend a parish in the OCA Diocese of New York & New Jersey, please share your Parish information in the following format: Saint John the Baptist, Little Falls, NJ
example: Saint John the Baptist, Little Falls, NJ
OCA Diocese of New York & New Jersey - Department of Youth Ministry Media Release Form

Sign ONLY IF if you agree with the below.
I hereby authorize and consent to the use of my/my child’s visual image by the Orthodox Church in America (OCA), the Diocese of New York & New Jersey, and the OCA’s Diocese of New York & New Jersey Department of Youth Ministry for appropriate purposes, including but not limited to: still photography, video, electronic and print publications, the OCA’s Diocese of New York & New Jersey Department of Youth Ministry social media pages on Facebook, Instagram, YouTube, and websites.

In witness whereof, I give this consent with no claim for payment by digitally signing my name below:
Parent/Legal Guardian's Signature
Should be Empty:

2026 Youth Day Registration

Please register so we can have enough food!

OCA Diocese of New York & New Jersey - Department of Youth Ministry Media Release Form