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LIFE TEEN REGISTRATION FORM

2020-2021

 

We would like to welcome you to our St. Anthony Life Teen family!  

This year we are still hoping to have face-to-face youth life nights twice a month, and are looking to have our meetings in the St. Anthony parking lot near the image of Mother Mary.
 

If you have any questions or concerns, please contact Hector Martinez Jr.
at 361-424-2663.


 

TEEN INFORMATION
Name
  •  
Date of Birth //
  •  
Phone --
  •  
Name of High School Attending
  •  
Grade Level
  •  
What Sacraments have you received?
  •  
T-shirt size
  •  
PARENT/GUARDIAN INFORMATION
Best Family E-mail
  •  
Parent/Guardian Names
  •  
Parent/Guardian Address
  •  
Parent/Guardian Cell Phone Number
  •  
CHILD'S ALLERGIES (please list all allergies or N/A)
  •  
LIST MEDICATIONS YOUR CHILD TAKES REGULARLY
  •  
Do you give Life Teen core members permission to administer over-the counter medications to your child?
  •  
Did your child attend Faith Formation last year?
  •  
Is your child allowed to drive to and from Life Teen Events?
  •  
Would you like to help volunteer for any Life Teen events?
  •  
Emergency Contact Person and Cell Phone #
  •  
Family Doctor's Name and Phone #
  •  
For Security Purposes
Parent/Guardian Signature: I acknowledge that as the parent/guardian, this information will be submitted to the Parish for use in Registration
  •  
Spam Capture
  •  
 
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