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Life Teen Registration

- Religious Education

Life teen registration form
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- We are happy you are registering your student(s) for the 2020/2021 Life Teen school year. Its shaping up to be a great season.
  
  Step One
  Complete the full Online Registration Form (below). It includes the ability to register up to 3 students from one household. You can pay online by using a checking account or debit/credit card. (Note: the ability to pay will never be a factor in whether a teen can attend. Please contact Deacon Bill Shea if financial payments would be helpful.)
  
  Step Two
  Print the attached 'Participation/Release' Forms, complete, sign and return both forms to the Life Teen Kickoff party on Sept. 13th at the Church.
  
  Parent Guardian Form (child under 18)
  
  Adult Participation Form (18 or older)
  
  If you have any questions regarding our Life Teen program contact us by email at lifeteen@stjosephscharlton.com.
  
  Thanks!
  
  Deacon Bill Shea - 508-248-7862 - deaconbill@stjosephscharlton.com
  Sarah Stone - 774-230-8324 - sastone1614@gmail.com
- What is your class preference? REQUIRED Hybrid (In Person & Online) Online Only Please fill out this field.
- How many students are you Registering? REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Town REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Student Cell Phone Number (555-555-5555) Please enter a phone number.
  
  Student Email Please enter an email address.
  
  Student Date of Birth (mm-dd-yyyy) REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending in the Fall REQUIRED Please fill out this field. Please enter valid data.
  
  Grade? REQUIRED Please fill out this field.
  
  Any clubs, sports or events this student is involved in?
  
  Any food or skin allergies?
  
  Any other information we should know about this student?
  
  If you want, name 2 friends you would like to possibly be grouped with, they must be in your same grade.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Town REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Student Cell Phone Number (555-555-5555) Please enter a phone number.
  
  Student Email Please enter an email address.
  
  Student Date of Birth (mm-dd-yyyy) REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending in the Fall REQUIRED Please fill out this field. Please enter valid data.
  
  Grade? REQUIRED Please fill out this field.
  
  Any clubs, sports or events this student is involved in?
  
  Any food or skin allergies?
  
  Any other information we should know about this student?
  
  If you want, name 2 friends you would like to possibly be grouped with, they must be in your same grade.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Town REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Student Cell Phone Number (555-555-5555) Please enter a phone number.
  
  Student Email Please enter an email address.
  
  Student Date of Birth (mm-dd-yyyy) REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending in the Fall REQUIRED Please fill out this field. Please enter valid data.
  
  Grade? REQUIRED Please fill out this field.
  
  Any clubs, sports or events this student is involved in?
  
  Any food or skin allergies?
  
  Any other information we should know about this student?
  
  If you want, name 2 friends you would like to possibly be grouped with, they must be in your same grade.
- Parent 1 FIRST Name REQUIRED Please fill out this field. Please enter valid data.
- Parent 1 LAST Name REQUIRED Please fill out this field. Please enter valid data.
- Parent 1 Cell Phone (555-555-5555) REQUIRED Please fill out this field. Please enter a phone number.
- Parent 1 Email REQUIRED Please fill out this field. Please enter an email address.
- Parent 2 FIRST Name (if applicable) Please enter valid data.
- Parent 2 LAST Name (if applicable) Please enter valid data.
- Parent 2 Cell Phone (555-555-5555) Please enter a phone number.
- Parent 2 Email Please enter an email address.
- Email to send confirmation Please enter an email address.
- Life Teen Student (9th & 10th grade)125.0
- Confirmation Candidate 11th grade - (additional $75.)
  75 – Yes
Total:

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St.Joseph's Catholic Church

10 H. Putnam Rd. Ext. Charlton, MA

Life Teen Registration

Life teen registration form