Youth Ministry Registration

Number of children being registered for Youth Ministry (grades 6-12) 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.
- Check One REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in School 2022-23 REQUIRED 6 7 8 9 10 11 12 Please fill out this field.
- Child email Please enter valid data.
- Child phone number Please enter valid data.
- Medical Conditions, Allergies or Special Needs? Please enter valid data.
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.
- Check One REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in School 2022-23 REQUIRED 6 7 8 9 10 11 12 Please fill out this field.
- Child email Please enter valid data.
- Child phone number Please enter valid data.
- Medical Conditions, Allergies or Special Needs? Please enter valid data.
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.
- Check One REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in School 2022-23 REQUIRED 6 7 8 9 10 11 12 Please fill out this field.
- Child email Please enter valid data.
- Child phone number Please enter valid data.
- Medical Conditions, Allergies or Special Needs? Please enter valid data.
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.
- Check One REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in School 2022-23 REQUIRED 6 7 8 9 10 11 12 Please fill out this field.
- Child email Please enter valid data.
- Child phone number Please enter valid data.
- Medical Conditions, Allergies or Special Needs? Please enter valid data.
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.
- Check One REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in School 2022-23 REQUIRED 6 7 8 9 10 11 12 Please fill out this field.
- Child email Please enter valid data.
- Child phone number Please enter valid data.
- Medical Conditions, Allergies or Special Needs? Please enter valid data.

Family Information

Mailing 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.

Home Phone Number Please enter a phone number.

Parent/Guardian 1 First Name REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian 1 Last Name REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian 1 Email REQUIRED Please fill out this field. Please enter an email address.

Parent/Guardian 1 Cell Phone Number Please enter a phone number.

Parent/Guardian 2 First Name Please enter valid data.

Parent/Guardian 2 Last Name Please enter valid data.

Parent/Guardian 2 Email Please enter an email address.

Parent/Guardian 2 Cell Phone Number Please enter a phone number.

Emergency Contact (other than yourself) REQUIRED Please fill out this field. Please enter valid data.

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

Relationship to Your Child(ren) REQUIRED Please fill out this field. Please enter valid data.

Cost is $25 per child, maximum of $50 per family.

To pay online, go to WeShare, scroll down to the Youth Ministry Registration (Grades 6-12) 2022-2023 block, click "Make A Payment", click "One-Time Payment", and complete the form.

To pay by check, make it out to "St. Paul the Apostle Parish" and mail or drop it off at the parish office, 207 York St. Bangor, ME 04401, or your Faith Formation site. Please note "Youth Ministry Registration" and family name on the Memo line.

Please do not let financial limitations keep you from participating. Assistance is available if needed.

Circle of Grace is part of the Safe Enviornment Training program of the Diocese of Portland. It is a curriculum that offers different lessons for each grade level. If your children attended Circle of Grace in the past, we still invite them to attend as it is likely to be a different lesson.

Do you give permission for your child to attend Circle of Grace as part of the regular Youth Ministry program? REQUIRED Yes No Please fill out this field.

If no, please print out and sign the opt-out form, then return it to Tim or Evelyn

Image Release and Permission to Participate in Virtual Learning and Formation Settings

There are times when we would like to share good things happening in the parish. To do this, we need parental permission to publish or display publicly photographs, videos, or other media that includes images of minors. This includes print and digital formats used by the parish such as bulletins, newsletters, websites, Facebook or Instagram. While the grade level or group of children depicted may be provided, additional parental permission will be secured before using full names to identify specific children in an image or recording.

There are other times when we would like to offer learning and faith formation activities in virtual settings such as videoconferences and interactive social media platforms. Parent and learners will receive specific invitations for any virtual gatherings and all sessions will be recorded for later review.

I give my permission to display or publish my child's image as described above and for my child to participate in virtual learning and formation settings provided as part of parish programming REQUIRED Yes No Please fill out this field.

Would you like to be contacted about volunteering with our program? (Protecting God's Children training and Virtus certification required) Yes No