St. Mark Life Teen Registration 2018-19

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This form will act as a Registration form for St. Mark Life Teen, A Liability Form and a Permission Form.

The cost to register for Life Teen is $35 per teen. Checks can be made out to St. Mark. Please bring payment to Sarah Rider, the St. Mark Youth Minister at Life Teen, Sundays 6PM-8PM, or drop by the office, Family Life Center Room 215.

This form requires that the PARENT/LEGAL GUARDIAN be present and fill out the Permission Waiver section.

Please complete all Sections! Know that you are in my prayers, and the prayers of all the priests and parish staff!

Teen Information

Please fill out one form per teen

First Name *

Last Name *

Nickname (optional)

Gender *

Female

Male

Grade *

9th

10th

11th

12th

Age *

Date of Birth *

YYYY

Mailing Address

T-Shirt Size *

XXL

School *

Sacraments Received (Check all that Apply) *

Baptism

First Reconciliation

First Communion

Confirmation

Required

Teen Email (optional)

Teen Cell Number (optional)

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