St. Joseph's Catholic Church

10 H. Putnam Rd. Ext. Charlton, MA

Rev. Robert Grattaroti, Pastor
Rev. Charles Monroe, Senior Priest

Facebook

Life Teen Registration 2022-2023

- Religious Ed.

Life Teen Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
- We are happy you are registering your student(s) for the 2022/2023 Life Teen school year. It's shaping up to be a great season.
  
  Step One
  
  Please READ the "Welcome Packet" containing information about the Lifeteen Program, Semester Overview, Confirmation Expectations, and 2022-2023 Calander.
  
  Welcome Packet
  
  Step Two
  
  Complete the full Online Registration Form (below). It includes the ability to register up to 3 students from one household. You can pay online using a checking account or debit/credit card.
  (Note: the ability to pay will never be a factor in whether a teen can attend. Don't hesitate to contact Deacon Bill Shea if financial payments or scholarships would be helpful.)
  
  Step Three: NEW LIFE TEEN PARTICIPANTS ONLY
  
  Complete the attached 'Parent Guardian (release) Form
  
  Print, sign, and upload the form to: lifeteen@stjosephscharlton.com.
  
  Forms are due by the Life Teen Kickoff party on Sept. 18th.
  
  Parent Guardian Form (child under 18)
  
  If you have questions regarding our Life Teen program, contact us by email at lifeteen@stjosephscharlton.com or reach out to our Lifeteen Director, Deacon Bill Shea 508-248-7862 Ext 236 deaconbill@stjosephscharlton.com.
- 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.
  
  Student Cell Phone Number (555-555-5555) Maximum 20 characters Please enter a phone number.
  
  Student Email Please enter an email address.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  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.
  
  Student Cell Phone Number (555-555-5555) Maximum 20 characters Please enter a phone number.
  
  Student Email Please enter an email address.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  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.
  
  Student Cell Phone Number (555-555-5555) Maximum 20 characters Please enter a phone number.
  
  Student Email Please enter an email address.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  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/Guardian 1 FIRST Name REQUIRED Please fill out this field. Please enter valid data.
- Parent/Guardian 1 LAST Name REQUIRED Please fill out this field. Please enter valid data.
- Parent/Guardian 1 Cell Phone (555-555-5555) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Parent/Guardian 1 Email REQUIRED Please fill out this field. Please enter an email address.
- Parent/Guardian 2 FIRST Name (if applicable) Please enter valid data.
- Parent/Guardian 2 LAST Name (if applicable) Please enter valid data.
- Parent/Guardian 2 Cell Phone (555-555-5555) Maximum 20 characters Please enter a phone number.
- Parent/Guardian 2 Email Please enter an email address.
- Release/Consent
  By choosing this checkbox, I agree that I have read, understand and agree to the information on the Release and Consent Form that is available on this website and at the church. My child also agrees to abide by all the rules set forth by the Life Teen director, St. Joseph's Church, Chaperones and Core members and the Diocese of Worcester will not be held liable if my child fails to cooperate with the stated regulations.
  I agree.
- Social Media Photo Release/Consent REQUIRED
  By choosing this checkbox, I agree that as the parent or legal guardian of registered student(s) grant Lifeteen my permission to use photographs for any legal use, included but not limited to, publicity, copyright purposed, social media, illustrations, advertising, and web content. Furthermore I understand that no royalty, or other compensations shall be come payable to such use.
  I agree. I disagree Please fill out this field.
- Expectations/Welcome Letter REQUIRED
  By choosing this checkbox, I agree that I have read, understand and agree to the information on the Welcome Packet that is available on this website and at the church. My child also agrees to abide by all the expectations set forth by the Life Teen Program
  I have read the Welcome Packet Please fill out this field.
- Email to send confirmation Please enter an email address.
- Life Teen Student (9th & 10th grade)125.0
- Confirmation Candidate 11th grade - (additional $75.)
  75.0 – Yes
Total:

Submit

Pay Now

Pay Later

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Life Teen Registration 2022-2023

Step Three: NEW LIFE TEEN PARTICIPANTS ONLY