Forms

PLEASE COMPLETE THE FORM BELOW TO SIGN UP FOR ST. JOSEPH YOUTH MINISTRY

: A parent/guardian must complete this form in order for the child to be a part of the St. Joseph Youth Ministry.
Name of Child
Date of Birth
Grade
Address
Parish child belongs to:
Mother's Name
Mother's phone number
Father's Name
Father's phone number
BEST email to use for communication
IF parents are not available, best emergency contact:
Relationship to emergency contact:
Emergency Contact phone number
School your child attends
Allergies to medications or food?
Does your child carry medications/epi-pen with him/her?
If your child carries medications/epi-pen, please indicate the name of the medication/epi-pen, the dose and the directions for use: Please inform Deacon Tom if this changes at any time during the year.
Does your child have special needs that we need to be aware of?
Is there someone who MAY NOT transport your child home? List their name below.