News
About
History
Clergy
Staff
Parish Pastoral Council
Sacraments
Faith Formation
Ministries
Events
Resources
Sermons and Talks
Registrations
Mass Times
Bulletins
Bulletin Submissions
Bulletin Admin
Get Involved
Join the Parish
Contact
Giving
Flocknote
EDGE
Jr High youth group open to all 6th - 8th grade students
Search for:
EDGE Registration 2017-2018
EDGE is a youth group ministry open to all 6th - 8th grade students.
The first EDGE night and kickoff will be held on September 24th 2016 in the Family Life Center following 5:30pm mass until 8pm.
Drop Off: - If students DO NOT attend 5:30pm mass they are to be dropped off at the Family Life Center NO EARLIER than 6:35pm. - If students ARE attending 5:30pm mass they are to wait in front of church after mass and walk to the Family Life Center with EDGE Core.
Pick Up: Vehicles are to enter St. Gabriel's Aly on the library side and upon arrival students will be called individually for pickup.
Student Registration Information
Name
*
First
Last
Gender
*
Male
Female
Tshirt
*
Choose Size
Youth Medium
Youth Large
Small
Medium
Large
X Large
XXL
XXXL
Which grade are you registering for?
*
Choose Grade
6th
7th
8th
School
*
Birthday
*
MM
DD
YYYY
Student Email
Mailing Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Medical / Special Needs
Any Special Needs or Medical Conditions
*
Yes
No
Describe any allergy, chronic illness, or other condition.
*
Taking any Medications
*
Yes
No
Please list medications and usage instructions.
*
PRIMARY CONTACT - Parent / Guardian Information
Child lives in a...
*
1x Parent / Guardian Contact
2x Parent / Guardian Contact
Parent / Guardian Name
*
First
Last
Relationship to Student
*
Phone
*
Email
*
Marital Status
*
Single
Married
Divorced
Widowed
Religion
*
Please describe any special family situations if applicable:
SECONDARY CONTACT - Parent / Guardian Information
Parent / Guardian Name
*
First
Last
Relationship to Student
*
Phone
*
Email
*
Marital Status
*
Single
Married
Divorced
Widowed
Religion
*
Emergency Contact
Name
*
First
Last
Relationship to Student
*
Phone
*
Alternate Phone
Model Release / Social Media
*
PERMISSION GRANTED: I hereby grant permission for my child to be photographed and/or videotaped during EDGE activities and events. I understand that my child may decline to be photographed and/or videotaped at any time. I further grant permission for the resulting photographs and/or videotaped footage to be edited, if necessary, and then published and/or broadcast for the purpose of promoting EDGE and/or youth programs at St. Joseph Catholic Church. I hereby grant permission for my child to be contacted via phone, SMS, and social media sites such as but not limited to parish websites, Facebook, Twitter, Vine, Instagram, Vimeo and YouTube for the purpose of promoting EDGE and/or youth programs at St. Joseph Catholic Church and/or to proclaim our faith that Christ is God, the Savior of humanity and of history, the one in whom all things find their fulfillment. I understand that my child may decline to be contacted at any time.
PERMISSION DENIED: I hereby decline to grant permission for my child to be photographed and/or videotaped during EDGE activities and events. I have instructed my child to decline to be photographed and/or videotaped at all times. I have further instructed my child to notify EDGE coordinators and/or Core Team / Volunteer Members that he/she may not be photographed and or videotaped under any circumstances. I hereby decline to grant permission for my child to be contacted via phone, SMS, and social media sites such as but not limited to parish websites, Facebook, Twitter, Vine, Instagram, Vimeo and YouTube for the purpose of promoting EDGE and/or youth programs at St. Joseph Catholic Church and/or to proclaim our faith that Christ is God, the Savior of humanity and of history, the one in whom all things find their fulfillment. I have instructed my child to decline to be contacted at all times. I have further instructed my child to notify EDGE coordinators and/or Core Team / Volunteer Members that he/she may not be contacted under any circumstances.
Liability Waiver for Life Nights including Christmas Caroling 12/10/2017 and Canned Good Drive 03/10/2018. I hereby consent to participation by the Student listed above, in the program listed above, under the guidance and supervision of the Director of Youth Ministry. I understand that the event will take place on Church grounds as well as special events in surrounding areas and that my child will be under the supervision of the designated volunteer teachers. I, the undersigned do hereby release forever, discharge, and agree to hold the Diocese of Lafayette, St. Joseph’s Church in Rayne, Vehicle Drivers or any Hospital or Medical Center harmless from and against any and all liability, claims, demands, lawsuits and expenses arising from personal injury, sickness, death or property damage of any nature whatsoever which may be incurred or suffered by the undersigned and/or the participant while attending activities. Furthermore, the undersigned assumes all risk of personal injury, sickness, death, damage and expense arising from the undersigned’s or participant’s participation in all activities, including recreation and work activities involved in the above activity. We also allow the Church Parish listed above to provide any and all necessary transportation during the program. We also allow the sponsors to use any photographs taken of the participant during the event in all forms, media and manners, without restriction as to changes or alterations, for advertising, trade, promotion, exhibition or any other lawful purposes. Furthermore, the undersigned agree to indemnify and hold the Diocese of Lafayette, St. Joseph, Vehicle Drivers, or any Hospital or Medical Center and their respective members, directors, employees and agents (collectively, the “Indemnities”), harmless from and against all claims, demands, actions, lawsuits and liabilities, including attorney’s fees and expenses, sustained by the indemnities as the result of the negligent, willful, or intentional acts of the undersigned and/or participant. If the participant is under 18 years of age: We (I), the parent(s) or legal guardian(s) of the participant, hereby grant permission for our son/daughter to participate fully in the program for which registration is being submitted and all of its undertakings, and hereby give our permission to take said participant to the doctor or hospital and hereby authorize medical treatment, including, but not limited to, emergency surgery, and we, not withstanding any question of liability involved in this emergency, fully and completely, assume all responsibility for all medical bills. Furthermore, should it be necessary for the participant to return home due to medical reasons, disciplinary action, or otherwise, we (I) assume all responsibility and transportation costs.
*
Signature of Parent/Legal Guardian - (Use your mouse or finger on a touch-screen device to sign in the white box below.)
Registration Fees
EDGE Registration Fee
*
EDGE Registration 6th-8th grade - $55
Total
$0.00
Payment Options
Payment Method
*
Pay Now Online (Credit/Debit)
Mail Check
Drop Off Payment
Billing Information
Billing Name
*
First
Last
Billing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Billing Email
*
Billing Phone
*
Credit Card
*
American Express
Discover
MasterCard
Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
Expiration Date
Security Code
Cardholder Name
Total
$0.00
Submit Registrations
Please DO NOT press register button more than once. Doing so may result in multiple registrations or billing.
COPYRIGHT © ST. JOSEPH CATHOLIC CHURCH 2014. ALL RIGHTS RESERVED.