Pio Youth | Middle School Registration

Este formulario está disponible en español. Simplemente haga clic en el botón desplegable que dice “ENGLISH” en la esquina superior derecha del formulario y seleccione “Español”.

2026 - 2027

What is Pio Youth | Middle School?

Pio Youth | Middle School is our vibrant Catholic ministry for middle schoolers, giving them a space where faith comes alive and friendships grow. It’s more than a program, it’s a movement that meets students where they are and introduces them to the joy of a relationship with Jesus Christ. Through fun games, dynamic talks, prayer, and small groups, Pio Youth | Middle School shows that faith isn’t boring or distant but a life-changing adventure meant for them right now!

At Pio Youth | Middle School, middle schoolers find a community that feels like family, a safe place to ask questions, and mentors who walk with them every step of the way. Whether they’re laughing, learning about Scripture, or spending quiet time with God, every moment helps them encounter Christ and grow as disciples. Pio Youth | Middle School equips this generation to be bold and joyful witnesses in their homes, schools, and world because holiness starts here.

Kickoff: September 28th, 2026 | 6:00pm - 7:30pm

Father's Email Address

example@example.com

Father's Name

Father's Cell

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

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 | Middle School Registration

Parent/Guardian Information

Student(s) Information

Parent/Guardian Signature