Youth Ministry Registration Form

SJV YOUTH MINISTRY ENROLLMENT FORM

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

First NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
E-mail*
Mobile Phone Number*

PrefixNumber
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
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?*

YESNO
If Yes, When were you enrolled?
Are you a Catholic?*

YESNO
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 SmallSmallMediumLargeExtra Large2X Large3X 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