• 2025 Fall Kickoff Registration

  • Are you registering a middle schooler, a high schooler, or as an adult youth ministry leader?

  • Middle School Participant Registration

  • Event Information

    Class/Grade Level :  7th and 8th Grade

    Event Description :  A time to gather together for food, games, and community!

    Purpose of Event :  Community Building

    Date / Approx. Time of Check-In :  Sunday, September 13 at 3:00pm at the St. Charles Youth Center, 4904 Trier Rd, Fort Wayne, IN 46815

    Date / Approx. Time of Departure :  Sunday, September 13 at 5:00pm at the St. Charles Youth Center, 4904 Trier Rd, Fort Wayne, IN 46815

    Cost :  Free

    Other Notes : A meal will be provided.

  • Format: (000) 000-0000.

  • I allow my child to participate in the parish event at the St. Charles Youth Center on Sunday, September 13 from 3:00-5:00pm.


    In consideration of the aforementioned participant, my child, being allowed to participate in this event, I, on behalf of myself, my child and my child’s other parent/guardian, hereby acknowledge recognition that such an activity may expose my child to risks and hazard not ordinarily encountered in the parish youth ministry program. Further, on behalf of myself, my child, and my child’s other parent/guardian, I hereby release and agree to hold harmless the above named parish and the Diocese of Fort Wayne-South Bend, Inc. to the fullest extent permitted by law from any and all claims, judgments and liability of every kind for any injury and damage of any kind, whether personal or property, that we or any one of us may suffer or incur due to my child’s participation in the event, regardless of whether the injury or damage is attributable to the fault of parties other than the Parish or Diocese or attributable to the fault, including negligence, of the Parish or Diocese.


    I have instructed my child to follow the rules of conduct as directed by the parish youth ministry program and Diocese.

  • Have you completed a St. Charles Annual Emergency Medical Care Form for your child in the 2026-2027 academic year or since July 1, 2026?*

  • Middle School Annual Emergency Medical Care Form

  • Due to the nature of this event, all participants MUST sign an emergency medical care form. For your convenience, we have embedded it here. However, this is technically a separate form which is why you have to type your name and email again. It has a GREEN "Submit" button.

     

    After clicking the GREEN "Submit" button, please be sure to scroll to the bottom of this page and click the BLUE "Next" button.

     

    THERE IS ANOTHER PAGE AFTER THIS! Your registration is not complete yet, so do not close out of this tab!

  • High School Participant Registration

  • Event Information

    Class/Grade Level :  9-12th Grade

    Event Description :  A time to gather together for food, games, and community!

    Purpose of Event :  Community Building

    Date / Approx. Time of Check-In :  Sunday, September 13 at 6:00pm at the St. Charles Youth Center, 4904 Trier Rd, Fort Wayne, IN 46815

    Date / Approx. Time of Departure :  Sunday, September 13 at 8:00pm at the St. Charles Youth Center, 4904 Trier Rd, Fort Wayne, IN 46815

    Cost :  Free

    Other Notes : A meal will be provided.

  • Format: (000) 000-0000.

  • I allow my child to participate in the parish event at the St. Charles Youth Center on Sunday, September 13 from 6:00-8:00pm.


    In consideration of the aforementioned participant, my child, being allowed to participate in this event, I, on behalf of myself, my child and my child’s other parent/guardian, hereby acknowledge recognition that such an activity may expose my child to risks and hazard not ordinarily encountered in the parish youth ministry program. Further, on behalf of myself, my child, and my child’s other parent/guardian, I hereby release and agree to hold harmless the above named parish and the Diocese of Fort Wayne-South Bend, Inc. to the fullest extent permitted by law from any and all claims, judgments and liability of every kind for any injury and damage of any kind, whether personal or property, that we or any one of us may suffer or incur due to my child’s participation in the event, regardless of whether the injury or damage is attributable to the fault of parties other than the Parish or Diocese or attributable to the fault, including negligence, of the Parish or Diocese.


    I have instructed my child to follow the rules of conduct as directed by the parish youth ministry program and Diocese.

  • Have you completed a St. Charles Annual Emergency Medical Care Form for your child in the 2026-2027 academic year or since July 1, 2026?*

  • High School Annual Emergency Medical Care Form

  • Due to the nature of this event, all participants MUST sign an emergency medical care form. For your convenience, we have embedded it here. However, this is technically a separate form which is why you have to type your name and email again. It has a GREEN "Submit" button.

     

    After clicking the GREEN "Submit" button, please be sure to scroll to the bottom of this page and click the BLUE "Next" button.

     

    THERE IS ANOTHER PAGE AFTER THIS! Your registration is not complete yet, so do not close out of this tab!

  • Adult Chaperone Registration

  • Format: (000) 000-0000.
  • Are you volunteering for the middle school event, high school event, or both?*

  • Due to the nature of this event, we are requiring our chaperones to sign an emergency medical care form. For your convenience, we have embedded it here. However, this is technically a separate form which is why you have to type your name and email again. It has a GREEN "Submit" button.

     

    After clicking the GREEN "Submit" button, please be sure to scroll to the bottom of this page and click the BLUE "Next" button.

     

    THERE IS ANOTHER PAGE AFTER THIS! Your registration is not complete yet, so do not close out of this tab!

  • Thank you for registering for this event! Please provide a signature below to finalize your registration. If you have questions abour your registration or about the event, please contact Anna Laisure at alaisure@scbfw.org.

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