High School Youth Ministry & Confirmation REGISTRATION



Welcome to St. Maria Goretti Youth Ministry! We are excited to have your child be a part of our program!

In order to register online for 2013-2014 High School Youth Ministry, please complete the following steps:

#1 REGISTRATION FORM: Fill out the high school registration form below and click "Submit."

#2 PAYMENT:

For those youth entering our Confirmation preparation program, there are 2 associated fees - the program fee and retreat fee. The Confirmation program fee is $90 per family and is due with your registration. To make your payment, please click on "CONFIRMATION ONLINE PAYMENT" found under the "Links" menu on the registration page. The Confirmation retreat fee is $100 per candidate and is due by January 1, 2014. You may submit payment for the retreat online at anytime. Thank you very much for your stewardship and support!

** Confirmation registration is accepted when the high school registration form AND program payment have been received.

For Confirmed youth in 10th-12th grades (or those that will be confirmed this October 2013), there is NO fee to participate in our youth ministry program. 

#3 FORM A AND FORM B: Open and complete "Form A" and "Form B"  for each high school-aged child. These forms are located under the "Links" menu on the registration page. Bring these completed forms to the Youth Ministry Parent Meeting on Sunday, September 22nd at 4:30 pm in the Family Life Center. Form A and Form B are required by our Diocese in order for your child to participate in our program.

#4 YOUTH INFORMATION FORM: Please have your child complete the "Youth Information Form" found under the "Links" menu. This form may be turned in at the parent meeting on Sunday, September 22nd.

___________________________________________________________________________________________________________________________________________________________________________________________

Please register by August 26th in order to avoid a $10 late fee.

If you prefer paper registration, you may download the registration form from the "Documents" menu. Please return it with your payment to Brenda Hawley, Faith Formation Secretary, via mail or drop it off at the Church Office (attention: Brenda Hawley).

Should you have any questions, contact Ali Poteet, Youth Ministry Coordinator, at apoteet@smgparish.org. And please remember, no child is turned down from our program by the inability to pay!


For more information about SMG Youth, including new program times, please see our website - http://smgyouth.org/2013/07/beginning-sundays-this-september/.

 


  • Family Information
    • Family Name*
       
    • Child's Last Name
       
      (if different than family last name)
    • Father's Name*
       
    • Mother's Name (Maiden)*
       
    • Address*
       
    • Address 2
       
    • Zip Code*
       
    • Home Phone*
       
    • Cell Phone*
       
    • May we text you with important program information and due dates?*
       
    • Email*
       
    • Our program is always in need of volunteers. Would you be interested in helping as a:*
       
    • Child(ren) Living With*
       
    • Marital Status of the Parents/Guardian*
       
    • Father's Religion*
       
    • Mother's Religion*
       
    •  
  • Child #1 (High School)
    • Status*
      New
      Returning
    • Full Name*
       
    • Nickname
       
    • Birthdate*
        mm/dd/yy
    • Gender*
       
    • Grade 2013-2014 School Year*
       
    • School*
       
    • T-Shirt Size*
       
    • Does your child have a friend(s) who will be attending our program?*
       
    • Previous Catholic Religious Education *
       
    • Has your child been Baptized?*
       
    • If "yes" and your child is new to our program, when and where was your child Baptized?
       
    • Has your child received his/her First Communion?*
       
    • If so and your child is new to our program, when and where did he/she receive First Communion?
       
    • Has your child been Confirmed?*
       
    • If your child has not received the Sacrament of Confirmation, will he/she be participating in our 2013-2014 Confirmation Program?*
       
    • Do you suspect your child might have a learning disability or has he/she been tested for one?*
       
    • If "yes," please explain.
    • Will your child be given medication before coming to Youth Ministry?*
       
    • If so, what type of medication?
       
    • Does your child have a medical condition that we need to be aware of (asthma, allergies, etc)?*
       
    • If so, what condition(s)?
    • Special Information:

      Please provide any other information needed for us to best serve your child.
    •  
  • Child #2 (High School) - if applicable
    • Status
      Returning
      New
    • Full Name
       
    • Nickname
       
    • Birthdate
        mm/dd/yy
    • Gender
       
    • Grade 2013-2014 School Year
       
    • School
       
    • T-Shirt Size
       
    • Does your child have a friend(s) who will be attending our program?
       
    • Previous Catholic Religious Education
       
    • Has your child been Baptized?
       
    • If "yes" and your child is new to our program, when and where was your child Baptized?
       
    • Has your child received his/her First Communion?
       
    • If so and your child is new to our program, when and where did he/she receive First Communion?
       
    • Has your child been Confirmed?
       
    • If your child has not received the Sacrament of Confirmation, will he/she be participating in our 2013-2014 Confirmation Program?
       
    • Do you suspect your child might have a learning disability or has he/she been tested for one?
       
    • If "yes," please explain.
    • Will your child be given medication before coming to Youth Ministry?
       
    • If so, what type of medication?
       
    • Does your child have a medical condition that we need to be aware of (asthma, allergies, etc)?
       
    • If so, what condition(s)?
    • Special Information:

      Please provide any other information needed for us to best serve your child.
    •  
  • Child #3 (High School) - if applicable
    • Status
      New
      Returning
    • Full Name
       
    • Nickname
       
    • Birthdate
        mm/dd/yy
    • Gender
       
    • Grade 2013-2014 School Year
       
    • School
       
    • T-Shirt Size
       
    • Does your child have a friend(s) who will be attending our program?
       
    • Previous Catholic Religious Education
       
    • Has your child been Baptized?
       
    • If "yes" and your child is new to our program, when and where was your child Baptized?
       
    • Has your child received his/her First Communion?
       
    • If so and your child is new to our program, when and where did he/she receive First Communion?
       
    • Has your child been Confirmed?
       
    • If your child has not received the Sacrament of Confirmation, will he/she be participating in our 2013-2014 Confirmation Program?
       
    • Do you suspect your child might have a learning disability or has he/she been tested for one?
       
    • If "yes," please explain.
    • Will your child be given medication before coming to Youth Ministry?
       
    • If so, what type of medication?
       
    • Does your child have a medical condition that we need to be aware of (asthma, allergies, etc)?
       
    • If so, what condition(s)?
    • Special Information:

      Please provide any other information needed for us to best serve your child.
    •  
  • Emergency Contact Information
    In an emergency, and if a parent cannot be contacted, you have my permission to contact the following person to help make decisions regarding the care for my child:
    • Name*
       
    • Relationship*
       
    • Home Phone*
       
    • Cell Phone*
       
    •  
  • In Case of Separation or Divorce (if applicable)
    In case of separation or divorce, please complete the following information concerning the person(s) who has the legal right to direct the moral and religious training of the child(ren). ALL INFORMATION IS KEPT CONFIDENTAL AND IS ON FILE IN OUR OFFICE ONLY.
    • Name
       
    • Address
       
    • Address 2
       
    • City
       
    • State
       
    • Zip Code
       
    •  
  • Joint Custody Party Information (if applicable)
    • Name
        Joint Custody Party
    • Address
       
    • Address 2
       
    • City
       
    • State
       
    • Zip Code
       
    •  
  • Security Code*

    (Enter the code above)
  •  
Search Site