Life Teen Registration Home / Life Teen Registration Life Teen Registration Form Is your family registered with Holy Spirit Catholic Church?(Required) Yes No Tuition: $35.00 for one child, $70.00 for two or more students. Tuition for Confirmation students is an additional $30.Family Last Name Last Family Home Phone(Required)Family Emergency Phone(Required)Email Enter Email Confirm Email Family Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Father/Guardian InformationName First Last Email Enter Email Confirm Email Mobibe PhoneWork PhoneWould you like to volunteer and help Life Teen? Yes No Mother/Guardian InformationName First Last Email Enter Email Confirm Email Mobile PhoneWork PhoneWould you like to volunteer and help Life Teen? Yes No Sessions: 9th through 12th Grade Wednesday 7:00 – 8:30 PM – Starting September 11th. 9th grade Confirmation class also meets on Sundays 2:15 – 3:45 PM starting September 8thPlease note that if your student will be attending our Confirmation class there is an additional $30.00 charge1st Student’s InformationName(Required) First Last Did the student complete the previous year in either EDGE or Life Teen? Yes No Has this student been confirmed into the Catholic Church?(Required) Yes No Name of Attending SchoolAttending Grade in 2024-2025(Required)9th10th11th12thGender(Required) Male Female Date of Birth(Required) MM slash DD slash YYYY Sacraments Received(Required) Baptism Reconciliation Eucharist Select AllSing in Youth Choir(Required) Yes No List all Allergies, Medical concerns, Special needsPlease enter any other information you would like us to know in this area, including any SPECIAL NEEDS. List all allergies, health concerns, learning disabilities, physical disabilities, etc. Leave this entry blank if there are no special needs.Add another child?(Required) Yes No 2nd Students InformationName(Required) First Last Did the student complete the previous year in either EDGE or Life Teen? Yes No Has this student been confirmed into the Catholic Church?(Required) Yes No Name of Attending SchoolAttending Grade in 2024-2025(Required)9th10th11th12thGender(Required) Male Female Date of Birth(Required) MM slash DD slash YYYY Sacraments Received(Required) Baptism Reconciliation Eucharist Select AllSing in Youth Choir(Required) Yes No List all Allergies, Medical concerns, Special needsPlease enter any other information you would like us to know in this area, including any SPECIAL NEEDS. List all allergies, health concerns, learning disabilities, physical disabilities, etc. Leave this entry blank if there are no special needs.For all children/students included in this registration.Publicity-Image-Voice Permission I approve I do not approve Holy Spirit Youth Ministry program normally takes photographs, video, and sound recording of our programs. During activities, a photograph or video/audio recording may be taken of you. Unless you request otherwise, your approval below will be considered permission for Holy Spirit Catholic Church and Youth Ministry Program to photograph, film, audio/video record and/or televise your image and/or voice for use in any publications or promotional materials, in any medium now known or developed in the future without any restrictions. If you object to Holy Spirit Catholic Church and Youth Ministry Program recording and publishing your image or voice in this manner, please notify a staff member or volunteer.Initials(Required)Date(Required) MM slash DD slash YYYY
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