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Youth Group
Registration & Permission Form (2025)

Youth group will meet on Mondays from 7:00 to 8:30 pm

Contact Information:

Father's Name

Home/Cell Phone

Email

Mother's Name

Home/Cell Phone

Email

Street Address

Zipcode

Emergency Contact

Emergency Phone

Relationship

Teen 1:

Teen's Name

Birth Date

Food Intolerances

Sacraments Received

Baptism

First Communion

Confirmation

Teen 2:

Teen's Name

Birth Date

Food Intolerances

Sacraments Received

Baptism

First Communion

Confirmation

Teen 3:

Teen's Name

Birth Date

Food Intolerances

Sacraments Received

Baptism

First Communion

Confirmation

Parent / Guardian Permission:

I hereby consent to participation by my son(s)/ daughter(s) in the youth group program at St. Matthew during the 2024-2025 academic year. I understand that this program will take place on parish grounds and that my child(ren) will be under the supervision of authorized personnel.

Your Signature

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