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Register for Life Teen

- Ministries

Register for Life Teen
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- Family's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Name REQUIRED Please fill out this field. Please enter valid data.
- Family Home Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Number of Children Registering REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Entering Grade REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Information - Date and Full Name/Address of Church REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion - Date and Full Address of Church (if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  Photography Release - I hereby grant permission for my child to be photographed during Our Lady of Good Counsel Youth Ministry group activities for use in social media, the church bulletin and website. REQUIRED Yes No Please fill out this field.
  
  Digital Communication - I hereby give permission for approved adults at Our Lady of Good Counsel Catholic Church & Youth Ministry to contact my child, using the following communication tools: email, text, Instagram, & GroupMe. REQUIRED Yes No Please fill out this field.
  
  Parent Electronic Signature REQUIRED
  First and last name
  Please fill out this field. Please enter valid data.
  
  By selecting the “I agree” button, I, the parent or legal guardian, am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.
  I Agree Please select this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Entering Grade REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Information - Date and Full Name/Address of Church REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion - Date and Full Address of Church (if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  Photography Release - I hereby grant permission for my child to be photographed during Our Lady of Good Counsel Youth Ministry group activities for use in social media, the church bulletin and website. REQUIRED Yes No Please fill out this field.
  
  Digital Communication - I hereby give permission for approved adults at Our Lady of Good Counsel Catholic Church & Youth Ministry to contact my child, using the following communication tools: email, text, Instagram, & GroupMe. REQUIRED Yes No Please fill out this field.
  
  Parent Electronic Signature REQUIRED
  First and last name
  Please fill out this field. Please enter valid data.
  
  By selecting the “I agree” button, I, the parent or legal guardian, am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.
  I Agree Please select this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Entering Grade REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Information - Date and Full Name/Address of Church REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion - Date and Full Address of Church (if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  Photography Release - I hereby grant permission for my child to be photographed during Our Lady of Good Counsel Youth Ministry group activities for use in social media, the church bulletin and website. REQUIRED Yes No Please fill out this field.
  
  Digital Communication - I hereby give permission for approved adults at Our Lady of Good Counsel Catholic Church & Youth Ministry to contact my child, using the following communication tools: email, text, Instagram, & GroupMe. REQUIRED Yes No Please fill out this field.
  
  Parent Electronic Signature REQUIRED
  First and last name
  Please fill out this field. Please enter valid data.
  
  By selecting the “I agree” button, I, the parent or legal guardian, am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.
  I Agree Please select this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Entering Grade REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Information - Date and Full Name/Address of Church REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion - Date and Full Address of Church (if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  Photography Release - I hereby grant permission for my child to be photographed during Our Lady of Good Counsel Youth Ministry group activities for use in social media, the church bulletin and website. REQUIRED Yes No Please fill out this field.
  
  Digital Communication - I hereby give permission for approved adults at Our Lady of Good Counsel Catholic Church & Youth Ministry to contact my child, using the following communication tools: email, text, Instagram, & GroupMe. REQUIRED Yes No Please fill out this field.
  
  Parent Electronic Signature REQUIRED
  First and last name
  Please fill out this field. Please enter valid data.
  
  By selecting the “I agree” button, I, the parent or legal guardian, am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.
  I Agree Please select this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Entering Grade REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Information - Date and Full Name/Address of Church REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion - Date and Full Address of Church (if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  Photography Release - I hereby grant permission for my child to be photographed during Our Lady of Good Counsel Youth Ministry group activities for use in social media, the church bulletin and website. REQUIRED Yes No Please fill out this field.
  
  Digital Communication - I hereby give permission for approved adults at Our Lady of Good Counsel Catholic Church & Youth Ministry to contact my child, using the following communication tools: email, text, Instagram, & GroupMe. REQUIRED Yes No Please fill out this field.
  
  Parent Electronic Signature REQUIRED
  First and last name
  Please fill out this field. Please enter valid data.
  
  By selecting the “I agree” button, I, the parent or legal guardian, am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.
  I Agree Please select this field.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Entering Grade REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Information - Date and Full Name/Address of Church REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion - Date and Full Address of Church (if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  Photography Release - I hereby grant permission for my child to be photographed during Our Lady of Good Counsel Youth Ministry group activities for use in social media, the church bulletin and website. REQUIRED Yes No Please fill out this field.
  
  Digital Communication - I hereby give permission for approved adults at Our Lady of Good Counsel Catholic Church & Youth Ministry to contact my child, using the following communication tools: email, text, Instagram, & GroupMe. REQUIRED Yes No Please fill out this field.
  
  Parent Electronic Signature REQUIRED
  First and last name
  Please fill out this field. Please enter valid data.
  
  By selecting the “I agree” button, I, the parent or legal guardian, am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.
  I Agree Please select this field.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Entering Grade REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Information - Date and Full Name/Address of Church REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion - Date and Full Address of Church (if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  Photography Release - I hereby grant permission for my child to be photographed during Our Lady of Good Counsel Youth Ministry group activities for use in social media, the church bulletin and website. REQUIRED Yes No Please fill out this field.
  
  Digital Communication - I hereby give permission for approved adults at Our Lady of Good Counsel Catholic Church & Youth Ministry to contact my child, using the following communication tools: email, text, Instagram, & GroupMe. REQUIRED Yes No Please fill out this field.
  
  Parent Electronic Signature REQUIRED
  First and last name
  Please fill out this field. Please enter valid data.
  
  By selecting the “I agree” button, I, the parent or legal guardian, am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.
  I Agree Please select this field.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Entering Grade REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Information - Date and Full Name/Address of Church REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion - Date and Full Address of Church (if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  Photography Release - I hereby grant permission for my child to be photographed during Our Lady of Good Counsel Youth Ministry group activities for use in social media, the church bulletin and website. REQUIRED Yes No Please fill out this field.
  
  Digital Communication - I hereby give permission for approved adults at Our Lady of Good Counsel Catholic Church & Youth Ministry to contact my child, using the following communication tools: email, text, Instagram, & GroupMe. REQUIRED Yes No Please fill out this field.
  
  Parent Electronic Signature REQUIRED
  First and last name
  Please fill out this field. Please enter valid data.
  
  By selecting the “I agree” button, I, the parent or legal guardian, am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.
  I Agree Please select this field.
  
  Child 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Entering Grade REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Information - Date and Full Name/Address of Church REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion - Date and Full Address of Church (if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  Photography Release - I hereby grant permission for my child to be photographed during Our Lady of Good Counsel Youth Ministry group activities for use in social media, the church bulletin and website. REQUIRED Yes No Please fill out this field.
  
  Digital Communication - I hereby give permission for approved adults at Our Lady of Good Counsel Catholic Church & Youth Ministry to contact my child, using the following communication tools: email, text, Instagram, & GroupMe. REQUIRED Yes No Please fill out this field.
  
  Parent Electronic Signature REQUIRED
  First and last name
  Please fill out this field. Please enter valid data.
  
  By selecting the “I agree” button, I, the parent or legal guardian, am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.
  I Agree Please select this field.
  
  Child 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Entering Grade REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Information - Date and Full Name/Address of Church REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion - Date and Full Address of Church (if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  Photography Release - I hereby grant permission for my child to be photographed during Our Lady of Good Counsel Youth Ministry group activities for use in social media, the church bulletin and website. REQUIRED Yes No Please fill out this field.
  
  Digital Communication - I hereby give permission for approved adults at Our Lady of Good Counsel Catholic Church & Youth Ministry to contact my child, using the following communication tools: email, text, Instagram, & GroupMe. REQUIRED Yes No Please fill out this field.
  
  Parent Electronic Signature REQUIRED
  First and last name
  Please fill out this field. Please enter valid data.
  
  By selecting the “I agree” button, I, the parent or legal guardian, am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document.
  I Agree Please select this field.
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