All Saints Youth Ministry

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2020-2021 High School Youth Ministry Registration

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Student Information
Please note there is a $75 registration fee (payable 100% securely online or via check). This fee helps to defray the costs of supplies, materials and all meals for Sunday night youth group events.

(To download a registration form in Spanish, click here.)

Please fill out all required fields marked with an asterisk (*).
Please note there is a $75 registration fee (payable 100% securely online or via check). This fee helps to defray the costs of supplies, materials and all meals for Sunday night youth group events.

EARLY BIRD DISCOUNT: Save $10 off your registration if you register before midnight July 8! Your registration is only $65 if you register before that time.

(To download a registration form in Spanish, click here.)

Please fill out all required fields marked with an asterisk (*).
Student Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Student Cell Phone
Student Email*
Enter Email Confirm Email

(Please enter your email in each box above so we make sure there are no typos.)
Date of Birth*
Anticipated High School Graduation Year*
School You Attend*
Do you have any medical conditions we should know about?
Your Participation
Please check all ministry groups you anticipate you will participate in:*
- Sunday Night Life Teen on Sundays. 6:30-8:15pm
- Girls Catholic Life Community on Tuesdays, 7:30-9:00pm
- Boys Catholic Life Community on Thursdays, 7:30-9:00pm
- Llamado por Dios on First and Third Fridays, 7:30-9:30pm
- Teen Choir on Sundays, 5:30pm Mass
- Ushering or Lectoring on Sundays, 5:30pm Mass
- Upper Room Theatre Ministry
- Summer Mission
- Fall Retreat

Parent/Guardian Information
Parent/Guardian Name*
First Last
Parent/Guardian Email Address*
Enter Email Confirm Email

(Please enter your email in each box above so we make sure there are no typos.)
Parent/Guardian Work Phone
Parent/Guardian Cell Phone*
Relationship to teen?*
- Mother
- Father
Additional parent/guardian?*
- Yes
- No
Additional Parent/Guardian Name
First Last
Additional Parent/Guardian Email Address
Enter Email Confirm Email

(Please enter your email in each box above so we make sure there are no typos.)
Additional Parent/Guardian Work Phone
Additional Parent/Guardian Cell Phone
Relationship to teen?
- Mother
- Father
Parent Volunteer Information
Parent involvement is necessary in order to maintain the success of this large program.
Volunteer opportunities will be emailed to you at a later date for sign up through our "Meal Train" service.
Most volunteer opportunities require Virtus compliance.
Are You Virtus-Certified?*
- Yes
- No
(Virtus is a training program required by, and provided by, the Diocese for all volunteers 18 and over. It is designed to create the safest possible environment for our young people.)
RELEASE FORMS
Medical Release
I agree to indemnify the All Saints Parish, Youth Ministers, Volunteers, and the Diocese of Arlington for any costs or expenses arising out of my child's participation in the activities including the cost of any medical care given my child or any expenses or fees incurred in any lawsuit arising as a result of any damage or injuries caused by my child in the course of his or her participation in the activity. I further give my consent to that in my absence the previously-named minor be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff, duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the previously-named minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named minor.
Parent/Guardian Signature:*
Please sign in the box above using your mouse (or your finger if you're on a tablet).
Print Your Name:*
Catholic Diocese of Arlington Photo, Press, Audio & Electronic Media Release
I authorize the Catholic Diocese of Arlington, its parishes and/or schools to use and publish the photographs and/or motion picture of videotape for which my son/daughter has posed, and/or audio recordings made of her or her voice. I agree that the Catholic Diocese of Arlington, its parishes and/or schools may use such photographs of my son/daughter with or without his or her name and for any lawful purpose, including, for example, such purposes as publicity, illustration, bulletin, and Web content.
Parent/Guardian Signature:
Please sign in the box above using your mouse (or your finger if you're on a tablet).
Print Your Name:

Registration Fee
As a reminder, there is a $75 registration fee (payable 100% securely online or via check). This fee helps to defray the costs of supplies, materials and all meals for Sunday night youth group events. SAVE $10 IF YOU REGISTER BEFORE MIDNIGHT JULY 1 -- YOUR REGISTRATION IS ONLY $65!

Our online payment system is 100% safe and secure - you can save time and 100% complete your registration today! We are currently waiving the online processing fee, too! So it costs you nothing extra to register online!
As a reminder, there is a $75 registration fee (payable 100% securely online or via check). This fee helps to defray the costs of supplies, materials and all meals for Sunday night youth group events.
(Our online payment system is 100% safe and secure. We do NOT store any of your credit card information. We respect your privacy!)
Would you like to save time & pay the registration fee online right now?*
- Yes, I'll pay right now!
- No, I'll give you a check.
Billing Details
Credit Card*

Card Details

Cardholder Name
Billing Address
Street Address Address Line 2 City State ZIP Code
Check Payment
Please make your check payable to "All Saints Youth Ministry"

Drop off in person: All Saints School or Parish Office.

Or mail to: All Saints Catholic Church, Attn: Youth Ministry, 9300 Stonewall Rd, Manassas, VA 20110
High School Registration Fee
: $75.00
Total:
$0.00

© 2020 All Saints Youth Ministry. All Rights Reserved.

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