Pio Youth | Life Teen Registration

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2026 - 2027

What Is Pio Youth | Life Teen?

Pio Youth | Life Teen is a Catholic youth ministry that helps high school teens grow in their relationship with Jesus and His Church. Through engaging gatherings, prayer, and community, teens deepen their faith, build friendships, and learn to live as disciples!

All high school teens are welcome to join, even if they have already received the Sacrament of Confirmation. Life Teen is a place to stay connected, grow spiritually, and be part of a strong Catholic community.

Confirmation Year I for High Schoolers Is your teen seeking to receive the Sacrament of Confirmation? Pio Youth | Life Teen fulfills the first year of the required two-year Confirmation preparation, with the second year being Confirmation.

Kickoff: September 27th, 2026 | 5:30pm - 7:00pm

Father's Name

Father's Cell

Please enter a valid phone number.Format: (000) 000-0000.

Father's Email Address

example@example.com

Mother's Name

Mother's Cell

Please enter a valid phone number.Format: (000) 000-0000.

Mother's Email Address

example@example.com

Mother's Maiden Name

Home Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Emergency Contact Name

Emergency Contact Cell

Please enter a valid phone number.Format: (000) 000-0000.

Authorized Persons for Pick Up

Student Name

First NameLast Name

Student Date of Birth

Date

Student grade level for the 2026-2027 academic school year:

T-Shirt Size

Special Needs?

Special Needs Description (if applicable)

Food Allergies?

Food Allergies Description (if applicable)

List of current or chronic conditions and past injuries the participant has suffered, and other information which may facilitate care in the event of an emergency:

Teenager's Primary Physician

PCP Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Preferred Hospital in the event of an emergency

Has your teen received the Sacrament of Baptism?

Has your teen received First Communion?

Has your teen received the Sacrament of Confirmation?

Would you like to add a 2nd teenager?

Student #2 Name

First NameLast Name

Student #2 Date of Birth

Date

Student #2 grade level for the 2026-2027 academic school year:

Student #2 T-Shirt Size

Does Student #2 have any Special Needs?

Student #2 Special Needs Description (if applicable)

Student #2 Food Allergies?

Student #2 Food Allergies Description (if applicable)

List of current or chronic conditions and past injuries the participant has suffered, and other information which may facilitate care in the event of an emergency:

Teenager #2 Primary Physician

PCP Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Preferred Hospital in the event of an emergency

Has Student #2 received the Sacrament of Baptism?

Has Student #2 received First Communion?

Has Student #2 received the Sacrament of Confirmation?

Would you like to add a 3rd teenager?

Student #3 Name

First NameLast Name

Student #3 Date of Birth

Date

Student #3 grade level for the 2026-2027 academic school year:

Student #3 T-Shirt Size

Does Student #3 have any Special Needs?

Student #3 Special Needs Description (if applicable)

Student #3 Food Allergies?

Student #3 Food Allergies Description (if applicable)

List of current or chronic conditions and past injuries the participant has suffered, and other information which may facilitate care in the event of an emergency:

Teenager #3 Primary Physician

PCP Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Preferred Hospital in the event of an emergency

Has Student #3 received the Sacrament of Baptism?

Has Student #3 received First Communion?

Has Student #3 received the Sacrament of Confirmation?

Youth group creates moments and memories. To help capture how God is moving in the lives of our teens, we will occasionally take photos and videos during youth nights.

Parent/Guardian Permission:
Do you give permission for your teen(s) to be photographed and/or recorded during youth ministry events/youth nights, and for these images or videos to be used by Pio Youth for promotional purposes, including but not limited to social media, parish website, and printed materials?

Parent/Guardian Signature

Signature Date

Date

Pio Youth | Life Teen Registration

Parent/Guardian Information

Student(s) Information

Parent/Guardian Signature