Youth Ministry Registration 2021-2022

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Parent 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.

Relationship to Youth/Teen REQUIRED Please fill out this field.

Occupation Please enter valid data.

Parent 2

First Name Please enter valid data.

Last Name Please enter valid data.

Relationship to Youth/Teen

Occupation Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

Apt, etc. 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.

Primary Contact Phone REQUIRED Please fill out this field. Please enter a phone number.

Primary Phone REQUIRED Please fill out this field.

Secondary Phone Please enter a phone number.

Secondary Phone

Primary Contact E-mail REQUIRED Please fill out this field. Please enter an email address.

Secondary E-mail Please enter an email address.

Volunteer & Permissions

Youth Ministry sessions and activities require support in the form of: Core team, snack/food support, cleaning up/disinfecting, taking photos, assisting with the planning and set up of special events and more. Many of these opportunities occur while nights and events are happening. In addition, there are additional opportunities in which you can support our ministry efforts from home or during special events. As partners in the formation of your teen's faith, we expect that families will support our efforts as a parish in some way. We cannot be effective partners in instilling the faith in our young people without your help. We expect that EVERY parent can do SOMETHING, for these gifts shared, large and small, will help to assure “our children will have faith."
Parent Acknowledgement REQUIRED I Understand Please fill out this field.
I Am Interested in Being a Core Team Member This Year!
Please check the levels that apply below in regards to how you would like to volunteer. We will contact you upon registration submission.
Core Team Level
Check All That Apply
EDGE (In-Person) | Grades 6-8 (Mon PM) Life Teen (In-Person) | Grades 9-12 (Sun PM) RCIC Help for Children & Youth
Volunteer(s) Name Please enter valid data.
Active Core Team Member Discount
Only Applies to Active Catechists and Core Team Members

-40.0 – Apply Discount
I hereby give permission for pictures and/or video/recordings of my child(ren) engaged in activities related to Youth Ministry, Faith Formation, or parish events/events taking place on parish property to be posted/published within St. Michael Catholic Church's various media forms, as well as media platforms for, and connected with, the Diocese of Richmond. I understand that this includes, but is not limited to, the parish bulletin (Defender), Facebook page, Instagram accounts, Twitter feed, bulletin boards, monitors on property, and for use within parish/formation activities themselves. I also understand that my child(ren)'s full name will never be publically associated with the photo.
Photo Release Permission REQUIRED Yes No Please fill out this field.
Parent Digital Signature REQUIRED Please fill out this field. Please enter valid data.
Today's Date REQUIRED
Format: mm/dd/yyyy
Please fill out this field. Please enter a date.
Financial Assistance - No one will be turned away due to lack of funds as a primary obstacle. Please contact Mike Horvath (mhorvath@saint-mikes.org, 804.527.1037 x200) if you are in need of financial assistance with registrations.

Our online payment system will accept ACH Checking Withdrawal (Routing/Check Number from Bank Account), Visa, MasterCard, or Discover.
St. Michael does NOT accept American Express, despite the logo on the following page.

All sales are final after the indicated registration deadline (September 17th) has passed, as funds/data are used by the parish to budget out the year, and/or purchase proper amounts of materials ahead of time whether they end up being used by the registrant or not.

Saint Michael the Archangel Catholic Church

Youth Ministry Registration 2021-2022

Youth Ministry 21-22 Registration Form

Phone: 804-527-1037 Fax: 804-527-1039	4491 Springfield Road \| Glen Allen, VA \| 23060	admin@saint-mikes.org
Emergency Line (After Hours) 804-527-1037 ext. 5	© 2022 Saint Michael the Archangel Catholic Church	Office Hours (Parish & Lake House) 9 AM - 4:30 PM Monday - Friday