Youth Ministry Registration Form

SJV YOUTH MINISTRY ENROLLMENT FORM

All information will be used for Youth Ministry only
Full Name *

First Name Last Name
Gender *

Male Female
Date of Birth *

Month Day Year
E-mail *
Mobile Phone Number *

Prefix Number

Address

Your school & Grade *
Your Parish *
Parent/Guardian name & cell phone info
Parent/Guardian name & cell phone info
Emergency contact information other than parent
Have you been enrolled before? *

YES NO
If Yes, When were you enrolled?
Are you a Catholic? *

YES NO
What are some of your talents and/or giftings? *
What role do you play in your church youth group, if any?
What type of activities would you like to see from youth ministry? *
If you could ask Jesus one question, what would it be? *
How can we pray for you?
Places where you see God? *
Hobbies
Favorite place to relax
Fears and Phobias
Favorite Colors
Favorite Music
Favorite Sports Team
Favorite foods
Favorite Book
Favorite Movie
T shirt Size *

Extra Small Small Medium Large Extra Large 2X Large 3X Large
Please note all Allergies, Medications, or Special needs
Please remember that a registration fee of $100.00 will be required to process your SJV YM Registration. You can walk payments into the parish office center 4600 Hyland Ave. San Jose CA 9512 408-258-7832
All correspondence to The Director Of Youth Ministry Office, Mary Ann Andrade 408-258-7832 || E-mail: mandrade@sjvsj.net || Cellphone: 408-209-0858 || FACEBOOK: St. John Vianney Youth
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SJV YOUTH MINISTRY ENROLLMENT FORM