2021-2022 Religious Education Individual Registration Posted on June 23, 2020June 16, 2021 by Saundra Silverman 2021-2022 Youth Ministry Individual Student Registration Form (One Per Student) USE THIS FORM TO REGISTER YOUR YOUTH FOR SPARKS 7th - 8th GRADE and IGNITE 9th - 12th GRADEMorgan Domeier - Coordinator of Youth Ministry, Young Adult Ministry & Sacrament of Confirmation Coordinator. Call (616) 878-1619 ext. 103 Email: morgan@stsebastianmi.orgSPARKS & IGNITE Program InformationSparks Youth Ministry & Confirmation Program is a two year faith formation process designed for youth who are in the 7th through 8th Grade and wish to receive the Sacrament of Confirmation. Program nights are every Sunday, 12 noon - 2:00pm Students who complete all the requirements during the two year process will receive the Sacrament at the end of their 2nd year. Ignite High School Youth Ministry Program is for all high school youth in grades 9th - 12th. Program nights are every Sunday from 4:00pm0 - 6:00pm. (Supper included). Ignite is a Small Group experience committed to the reality that young people are an important and integral part of our parish community, and in fact are the Catholic Church. Ignite seeks to build future leaders of the Church by fostering and nurturing the faith of our youth. Ignite will lead our youth in their faith journey, and walk with them in the light of Christ by bringing them together with their peers and leaders for fellowship, fun, faith formation and Spiritual direction.If your youth is in high school and has not yet received one or more of the Sacraments please contact Morgan Domeier to work out a plan.YOUTH INFORMATIONToday's Date* MM slash DD slash YYYY Youth Name*First NameLast Name Gender* Boy Girl Grade Youth Entering in the Fall 2021*789101112My Youth has Received the Following Sacraments* Baptism Reconciliation Eucharist Confirmation Family Last Name* Parent/Guardian Name 1 First Last Parent/Guardian Name 2 First Last Preferred Phone Number*Preferred Email Youth EmailPlease provide your youth's email address if you consent to have your youth receive emails from St. Sebastian Youth Ministry. Emergency Contact Name Emergency Contact PhoneMedical Conditions and or Allergies Please Explain Any Disabilities Your Youth Has Prescription Medications Your Youth is Currently Taking MEDICAL RELEASE AUTHORIZATIONParent/Guardian Name*Parent/Guardian Name As the parent or legal guardian, I hereby authorize first aide/medical treatment for the youth I have listed above in the event of an emergency which may endanger her/his life, cause disfigurement, physical impairment, or undue discomfort if delayed. It is understood that efforts will be made to contact the person listed on this form as soon as reasonably possible. In the event that the aforementioned requires my authorization for treatment and I cannot be reached in an emergency, I hereby give my permission to the physician selected by the activity leader to hospitalize, secure medical treatment, and/or order an injection, anesthesia or surgery for the aforementioned as deemed necessary. I understand all reasonable safety precautions will be taken at all times by the parish and its agents during youth programing and events. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold Saint Sebastian Church, its leaders, employees, drivers, volunteers, or the Roman Catholic Diocese of Grand Rapids liable for damages, loses, diseases, or injuries incurred by the aforementioned. AGREED & ACCEPTED BY*Parent/Guardian Name SOCIAL MEDIA PERMISSIONS & AUTHORIZATIONI understand that St Sebastian Catholic Youth Ministry has created a Youth Ministry Blog, Facebook, Twitter and Instagram accounts, and uses Texting and email to facilitate faith-based communication by its Youth Minister, Morgan Domeier. I also understand that pictures/video may be taken during youth ministry activities, and published on these various St Sebastian websites/social media sites. Ignite Blog Facebook Account Twitter account @StSebastianYM Instagram account St_Sebastian_YM Social Media Permissions* I GRANT permission for these interactions with my youth in the above social Media formats. I understand that my permission will remain in effect until revoked in writing to the Parish office. I DO NOT grant permission for these interactions with my youth in the above social Media formats. From time to time photos/videos may be used on social media, our blog or in print for the promotion of youth ministry programs and events. “Tagging” can be done by anyone on some media, (FB), (Instagram), etc., and only by administration from others. We need to know what you wish to allow in regards to our YM social media administrator tagging.. Please indicate below which permissions you agree to grant. Permissions* I give permission for youth ministry to use photos/videos of my youth on social media or print. I DO NOT give permission for youth ministry to use photos/videos of my youth on social medial or print. I give permission for youth ministry to “tag” my youth on social media I DO NOT give permission for “tagging” I agree that no compensation will be paid. TEXTING is used to, “spread the word,” about Youth Ministry events as well as ministering to students from time to time. Please indicate below your wishes for communication via text messaging between my youth, (with the number I am providing below), and St Sebastian Youth Minister, Morgan Domeier. I understand that my permission will remain in effect until revoked in writing to the Parish office. Texting Permissions* I DO Give my permission for "Texting" (Please Provide Your Youth's Cell Number Below) I DO NOT Give my permission for "Texting" Youth Cell NumberAGREED & ACCEPTED BY*Parent/Guardian Name Additional Child/Youth Registration*Select One and Submit and you will directed to either complete another Individual form or the Family Form which includes payment and will complete the registration process. I need to register another child for Youth Ministry (7th through 12th Grade) I need to register another child for Religious Education (Pre-K through 6th Grade) I have registered all children and would like to pay online. I have registered all children and would like to pay by mail or in person. You will need to pay this amount Online. After clicking "Submit" you will be directed to online payment.If you are not a registered member of St. Sebastian you need to add an additional $50 per family to the above. We do not want payment to be an obstacle for attending RE. If there is a financial hardship, please contact the RE office. 1 Child: $25.00 2 Children: $50.00 3 or More Children: $75.00 You will need to pay this amount by Mail or in Person by dropping off in the collection basket or the Parish Office.If you are not a registered member of St. Sebastian you need to add an additional $50 per family to the above. We do not want payment to be an obstacle for attendingYM. If there is a financial hardship, please contact the Morgan Domeier. 1 Child: $25.00 2 Children: $50.00 3 or More Children: $75.00
