Youth Ministry Fast Registration

This Form is only for those parents who's information has not changed since last year. If any of your information has changed or your teen was not registered for Youth Ministry for the previous year, please visit www.stphilipcc.com/register4ym to complete the Youth Ministry Registration for your teen.

Teen
Name
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Date of Birth //
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Phone --
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Youth E-mail
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Sex
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Grade for 2017-2018
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Parent/Guardian
Name
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Phone --
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E-mail
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Photography Consent
As parent/guardian, I understand that photos and video (individual and group) will be taken during youth group events, and I give permission for my son's/daughter's picture to be used for printed or online promotional materials
Photography Consent
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Liability Waiver
I agree on behalf of myself, my heirs, successors, personal representatives and assign to protect, indemnify, save, and hold harmless the Diocese of Corpus Christi, and St. Philip the Apostle Catholic Church, and their officers, directors, agents employee, or representatives associated with the parish youth program from all damages, claims, suits, expenses and payment on account of or resulting from conditions stated on or resulting from any such injury, death, or damage to property, including resulting from the negligence of the Diocese of Corpus Christi, and parish, and or their officers, directors, and employees arising from or in connection with my attending youth ministry/formation events beginning June 1, 2017, and continuing through June 1, 2018.
Liability Waiver
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Date //
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