Our Lady of Lourdes ParishYouth and Young Adults Ministry Registration Form

Our Lady of Lourdes Parish

Youth and Young Adults Ministry

Registration Form

By filling out this form, you are giving us permission to take pictures and videos and used them to promote the activities of the ministry!

This registration is for:*

Youth Group

Young Adult/The 72

Adult Volunteer

Group Leadership Team

What group would you like to volunteer for?

Little Spark Elementary School

Shield Middle School

Spirit Life High School

The 72

What group Leadership team would you like to join?

Little Spark Elementary School

Shield Middle School

Spirit Life High School

The 72

Select Group:*

Little Spark Elementary School

Shield Middle School

Spirit Life High School

Date Form Filled*

Child's First Name*

Child's Middle initial:

Child's Last Name:*

Child's Date of Birth:

Child's Email Address*

Child's Cell Phone

School Grade:

Street Address:*

City/State/Zip Code*

What parish do you belong to?

OLOL Parish Number:

Father's Last Name:*

Father's First Name*

Father's Cell Phone Number:*

Mother's Last Name*

Mother's First Name*

Mother's Cell Phone Number:*

Email Address*

Cell Phone Number*

Are you Virtus trained?*

Select

Virtus Training Date

Are you Fingerprinted?*

Select

Fingerprint Date:

Send me a copy of my responses

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