EDGE Registration 2017-2018

Middle School Youth Ministry


MIDDLE SCHOOL YOUTH MINISTRY 
(grade 6-8)

 

Edge Nights

Edge meets on Monday evenings in the Parish Hall from 6:00pm to 7:30pm.  Meeting dates can be found in the bulletin.

 

Fees

$75.00 per student  
Payments can be made via credit card or echeck.

Ministry Assistance

Edge is led by the Youth Minister and Edge Core Team.  If you are interested in becoming a Core Member, please contact Layne in the Parish Office.

**All adults over 18 must comply with the Diocesan policy for Protecting God's Children. (Background Screening, Code of Conduct and Virtus Training)

   

Additional Information:

Families registereing thier youth  must be registered familes of St. Peter.

If you have any questions, concerns or special circumstances please contact Layne Behncke, Director of Youth Ministry, in the Parish Office at 561-575-0837 x207 or EMAIL.

Registration Location
Where are you completing this registration form?
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Contact Information
Last Name
Address
Father's Name
Mother's Name
Primary Phone --
Secondary Phone --
Email
Emergency Contact Name
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Emergency Contact Relationship
Emergency Phone Number --
Teen 1
Teen's Name
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Birth Date //
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Gender
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Grade
Sacraments Completed
Teen 2
Teen's Name
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Birth Date //
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Gender
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Grade
Sacraments Completed
Teen 3
Teen's Name
  •  
Birth Date //
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Gender
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Grade
Sacraments Completed
Teen 4
Teen's Name
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Birth Date //
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Gender
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Grade
Sacraments Completed
Additional Details
Special Needs/Medication
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Please list child's name & needs. Send procedure plan to parish office if needed.
Was each child registered here in Religious Education last year?
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If No, who, where & grade?
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Permission & Medical Treatment Waiver
I do hereby give my permission for my child(ren) to attend St. Peter Catholic church RELIGIOUS EDUCATION PROGRAM to be treated for a medical emergency in my absence. The Director of Religious Education or Adult supervisor may act as an agent in my absence. In case of accident, I do not hold the Diocese of Palm Beach, the parish, its staff, or the adult chaperones responsible.
I give my permission
Comments:
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Photograph and / or Videotape Consent & Release
I hereby grant to St. Peter Catholic Church the right to photograph and/or videotape me and further to use my name, face, likeness, voice, and appearance in connection with exhibitions, publicity, advertising, and promotional materials without any reservation, limitation, or consideration. This waiver specifically releases any common law causes of action or claims under Fla. Stat. 540.08 and expressly constitutes written consent for publication of my name, face, likeness, voice and appearance. I certify that I am the parent or legal guardian of the above participant(s), and that I have read the foregoing release and examined the information in the description. I hereby join in each and every part of this Photograph and/or Videotape Consent and Release (including such part as may subject me to personal financial responsibility) and hereby relinquish any claims that I may have against Sponsor as set forth above, both in my own behalf and in my capacity as legal representative (as applicable) of the participant, including without limitations any claims arising as a result of the participant=s leaving the supervision of Sponsor. I agree that if any portion of this document is found to be void or unenforceable, the remaining portions shall remain in full force and effect.
I have read, understand and agree with the Consent & Release Above
Comments:
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Flocknote
Flocknote is an email and text messaging tool we will be using to keep you and your teen informed. Please text spedge to 84576 to sign up. Please add your numbers below so we can easily confirm your account.
Parent Cell Phone --
Teen Cell Phone --
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Parent Signature
Once you submit this form, the confirmation page will have information to help you calculate your tuition and make an online payment.
Payment
Shopping Cart  
Quantity Extended

$75.00 per child | $75.00

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Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type


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