Fun Monthly Outings - All Saints Youth Ministry

Calling All 6th-8th Graders! Join Us for Our Next Fun Monthly Outing!

Service Outing at St. Lucy’s Food Project!

Date: Saturday, November 22nd

Time: Drop off at St. Lucy’s at 10:00am; Pick up at St. Lucy’s at 12:00pm

Cost: Free

Address: 8428 Kao Cir, Manassas

Registration closes on November 18 or once all spots are full.

Check your e-mail to make sure you’ve received a confirmation of registration. If you did not receive it, you are not registered.

If you have any questions, contact us via email or phone.

NOTE ABOUT PAYMENT: If you think you may have already registered, please check your email for a “Thank you” from [email protected]. In the event of double registration or cancellation, any refund issued will be charged a 3.5% processing fee. Requests for cancellation received after the registration deadline cannot be refunded unless there is a waiting list.

"*" indicates required fields

Participant's Name:*

First Last

Are you already fully registered for this year's Middle School Youth Ministry Program?*

Yes, I'm already registered for middle school ministry!

No, I'm not registered yet.

You must be fully registered for our current school year's middle school youth ministry program to participate in this event. Please CLICK HERE TO REGISTER. (opens a new window for you). You must be registered via that page first in order to complete this event registration.

Have you completed the Middle School Ministry registration linked above?*

Yes, I have completed middle school ministry registration.

No, I have not, and I understand I cannot register for this event until I do.

Date of Birth:*

Gender*

Male

Female

Middle School:*

Grade:*

Address*

Street Address City State ZIP Code

Participant's Email:*

Enter Email Confirm Email

Participant's Phone:*

Emergency Contact Name:*

First Last

Emergency Contact Phone:*

Family Physician:

Physician Phone:

Please list any medical concerns (e.g. allergies) that your child has and that we need to be aware of:

List any medication your child will need administered on this outing:

Please agree to the following:

As parent/guardian 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 outing described above, 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 above-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 above 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. I authorize the All Saints Youth Ministry to use my child’s picture or video recording for educational and/or marketing purposes. Parents/guardians who do not wish their child to be photographed or filmed should so notify All Saints Youth Ministry in writing.

Parent/Guardian Signature:*

Please sign in the box above using your mouse (or your finger if you're on a tablet).

Print Your Name:*

Parent/Guardian Email:*

Enter Email Confirm Email

Payment

MS Event Cost

Price:

Would you like to save yourself time and pay the registration fee online right now?

Yes, I'll save time and pay securely right now!

No, I'll give you a check.

Note: Because demand is usually high for our events, your registration will NOT be fully confirmed until we have received payment.

(Our online payment system is 100% safe and secure. We do NOT store any of your credit card information. We respect your privacy!)

Billing Details

Remember, your transaction is 100% safe & secure.

Billing Name:

First Last

Billing Address:

Street Address Address Line 2 City State ZIP Code

Credit Card

Card Details

Cardholder Name

Total:

Check Payment Instructions

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 Youth Ministry, 9300 Stonewall Rd, Manassas, VA 20110

Remember, because demand is usually high for our events, your registration will NOT be fully confirmed until we have received payment.

Total Due:

NOTE: If your registration is successfully processed, you'll instantly see a confirmation page and get a confirmation email.

Please agree to the following:

Payment

Billing Details

Check Payment Instructions

CONNECT

Programs

Volunteer

PAYMENTS