Facebook Email Phone Flocknote YouTube

Register your child or teen

- Grow
Contact Us
- Chris McBride
  
  Director of Youth Ministry
  
  (813) 949-7331
  ChrisMladyrosary.org
- Connie Whittington
  
  Director of Children’s Ministry
  
  (813) 949-2699
  ConnieWLadyrosary.org
- Patricia Ikhwan
  
  Associate Director of Youth Ministry
  
  (813) 949-7331
  patricialadyrosary.org
- Kimberly Sievert
  
  Children's Faith Formation Assistant
  
  813-949-2699
  Kimberlyladyrosary.org

Fill out the information below to register your child or teen into one of our faith formation programs.

Don't know which program to place your child or teen? Click here

Please note: Separate registration is required for baptism and Catechesis of the Good Shepherd (CGS)

If your child needs baptism click here

If you need to register for CGS, click here
The maximum number of form submissions has been reached. This form is currently not available.
- Family Information
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Best Email REQUIRED Please fill out this field. Please enter an email address.
  
  Church Member Information REQUIRED Please fill out this field.
  
  If member at another church, please provide the church's name: Please enter valid data.
  
  Father's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Father's Mobile Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Father's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mother's Mobile Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Home Phone Number Please enter a phone number.
  
  Home Address: REQUIRED Please fill out this field.
  
  Parent's Marital Status REQUIRED Please fill out this field.
  
  Child lives with: REQUIRED Please fill out this field.
  
  If child lives with a guardian, please provide guardian's name: Please enter valid data.
  
  Faith Formation:
  
  Don't know which program to place your child or teen? Click here
  
  Faith Formation Programs your child(ren) will be registering for this year: (choose all that apply) REQUIRED Cathechesis of the Good Shepherd (CGS- ages 3 to 8) Limited space available/Separate registration required Young Disciples (K to 5th grade) Kids in Christ (KIC - 4th & 5th grade) EDGE (6th to 8th grade) LifeTeen (9th to 12th grade) Please fill out this field.
  
  Sacramental Preparation:
  
  Is a separate program in addition to Faith Formation
  
  Requires enrollment and completion of 2 consecutive years of Faith Formation (e.g., 1st & 2nd grade or 9th & 10th grade)
  
  First Holy Communion Preparation Program requires your child to be in 2nd grade or older, the age of 7, and baptized Catholic. For children 7 or older and not yet baptized Catholic or have not participated in faith formation for that last 2 years, please choose RCIA adapted for children instead.
  
  Sacramental Preparation Programs your child(ren) will be registering this year: (choose all that apply) REQUIRED None First Holy Communion Confirmation RCIA adapted for Children (for children older than age 7 who have not yet been baptized Catholic) RCIA adapted for Teens (for teens not baptized Catholic or who did not yet receive First Holy Communion) Please fill out this field.
- Emergency contact information. These individuals will also be authorized to pick up your child(ren) from faith formation.
- Emergency Contacts REQUIRED Parents/Guardians only Mother only Father only I will provide additional emergency contact(s) other than a parent/guardian below Please fill out this field.
- Number of additional emergency contacts other than parent/guardian REQUIRED Please fill out this field.
  
  Emergency Contact 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Mobile Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Emergency Contact 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Mobile Number REQUIRED Please fill out this field. Please enter a phone number.
- Number of Children registering in K-5th grade REQUIRED Please fill out this field.
  
  Child 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2020-2021 REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Limited spots available for in person classes. If the class is full, please choose another time or the homestudy option. If you need further assistance, please contact Children's Faith Formation.
  
  Check ONE weekly class session from below, AND if your child is the age of 7 (2nd grade or older) and baptized Catholic check sacrament prep if needed REQUIRED Sunday 11:00 am (K, 1, 2 only, 3rd grade is FULL) Monday 4:45 pm (K, 1, 2, 3) Monday 6:30 pm (4 & 5 KIC Program) Wednesday 4:45 pm (K, 1, 3, 5 only, 2nd grade and 4th grade are FULL) Homestudy + 1 Sunday/mo (1, 2, 3, 4, 5) Sacramental Preparation at OLOR to receive First Reconciliation/First Communion (Please make sure to check one of the above classes) My child will be doing Sacramental Preparation at a Catholic School or Homeschool Please fill out this field.
  
  Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconciliation (Confession) First Communion Please fill out this field.
  
  Name/Location of church where child was baptized Please enter valid data.
  
  If received First Reconciliation (Confession), at what church? Please enter valid data.
  
  If received First Communion, at what church? Please enter valid data.
  
  Please provide a copy or email a photo of your child's completed sacraments to the Children's Faith Formation Office.
  
  Did child previously complete 1st grade or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
  
  Name of other parish, Catholic School, or home school curriculum/book used weekly Please enter valid data.
  
  Does this child have a gluten allergy? REQUIRED Please fill out this field.
  
  Special needs (other allergies, medical, physical)
  
  Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
  
  Do you give permission for your child to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Child 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2020-2021 REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Limited spots available for in person classes. If the class is full, please choose another time or the homestudy option. If you need further assistance, please contact Children's Faith Formation.
  
  Check ONE weekly class session from below, AND if your child is the age of 7 (2nd grade or older) and baptized Catholic check sacrament prep if needed REQUIRED Sunday 11:00 am (K, 1, 2 only, 3rd grade is FULL) Monday 4:45 pm (K, 1, 2, 3) Monday 6:30 pm (4 & 5 KIC Program) Wednesday 4:45 pm (K, 1, 3, 5 only, 2nd grade and 4th grade are FULL) Homestudy + 1 Sunday/mo (1, 2, 3, 4, 5) Sacramental Preparation at OLOR to receive First Reconciliation/First Communion (Please make sure to check one of the above classes) My child will be doing Sacramental Preparation at a Catholic School or Homeschool Please fill out this field.
  
  Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconciliation (Confession) First Communion Please fill out this field.
  
  Name/Location of church where child was baptized Please enter valid data.
  
  If received First Reconciliation (Confession), at what church? Please enter valid data.
  
  If received First Communion, at what church? Please enter valid data.
  
  Please provide a copy or email a photo of your child's completed sacraments to the Children's Faith Formation Office.
  
  Did child previously complete 1st grade or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
  
  Name of other parish, Catholic School, or home school curriculum/book used weekly Please enter valid data.
  
  Does this child have a gluten allergy? REQUIRED Please fill out this field.
  
  Special needs (other allergies, medical, physical)
  
  Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
  
  Do you give permission for your child to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Child 3
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2020-2021 REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Limited spots available for in person classes. If the class is full, please choose another time or the homestudy option. If you need further assistance, please contact Children's Faith Formation.
  
  Check ONE weekly class session from below, AND if your child is the age of 7 (2nd grade or older) and baptized Catholic check sacrament prep if needed REQUIRED Sunday 11:00 am (K, 1, 2 only, 3rd grade is FULL) Monday 4:45 pm (K, 1, 2, 3) Monday 6:30 pm (4 & 5 KIC Program) Wednesday 4:45 pm (K, 1, 3, 5 only, 2nd grade and 4th grade are FULL) Homestudy + 1 Sunday/mo (1, 2, 3, 4, 5) Sacramental Preparation at OLOR to receive First Reconciliation/First Communion (Please make sure to check one of the above classes) My child will be doing Sacramental Preparation at a Catholic School or Homeschool Please fill out this field.
  
  Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconciliation (Confession) First Communion Please fill out this field.
  
  Name/Location of church where child was baptized Please enter valid data.
  
  If received First Reconciliation (Confession), at what church? Please enter valid data.
  
  If received First Communion, at what church? Please enter valid data.
  
  Please provide a copy or email a photo of your child's completed sacraments to the Children's Faith Formation Office.
  
  Did child previously complete 1st grade or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
  
  Name of other parish, Catholic School, or home school curriculum/book used weekly Please enter valid data.
  
  Does this child have a gluten allergy? REQUIRED Please fill out this field.
  
  Special needs (other allergies, medical, physical)
  
  Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
  
  Do you give permission for your child to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Child 4
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2020-2021 REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Limited spots available for in person classes. If the class is full, please choose another time or the homestudy option. If you need further assistance, please contact Children's Faith Formation.
  
  Check ONE weekly class session from below, AND if your child is the age of 7 (2nd grade or older) and baptized Catholic check sacrament prep if needed REQUIRED Sunday 11:00 am (K, 1, 2 only, 3rd grade is FULL) Monday 4:45 pm (K, 1, 2, 3) Monday 6:30 pm (4 & 5 KIC Program) Wednesday 4:45 pm (K, 1, 3, 5 only, 2nd grade and 4th grade are FULL) Homestudy + 1 Sunday/mo (1, 2, 3, 4, 5) Sacramental Preparation at OLOR to receive First Reconciliation/First Communion (Please make sure to check one of the above classes) My child will be doing Sacramental Preparation at a Catholic School or Homeschool Please fill out this field.
  
  Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconciliation (Confession) First Communion Please fill out this field.
  
  Name/Location of church where child was baptized Please enter valid data.
  
  If received First Reconciliation (Confession), at what church? Please enter valid data.
  
  If received First Communion, at what church? Please enter valid data.
  
  Please provide a copy or email a photo of your child's completed sacraments to the Children's Faith Formation Office.
  
  Did child previously complete 1st grade or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
  
  Name of other parish, Catholic School, or home school curriculum/book used weekly Please enter valid data.
  
  Does this child have a gluten allergy? REQUIRED Please fill out this field.
  
  Special needs (other allergies, medical, physical)
  
  Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
  
  Do you give permission for your child to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Child 5
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2020-2021 REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Limited spots available for in person classes. If the class is full, please choose another time or the homestudy option. If you need further assistance, please contact Children's Faith Formation.
  
  Check ONE weekly class session from below, AND if your child is the age of 7 (2nd grade or older) and baptized Catholic check sacrament prep if needed REQUIRED Sunday 11:00 am (K, 1, 2 only, 3rd grade is FULL) Monday 4:45 pm (K, 1, 2, 3) Monday 6:30 pm (4 & 5 KIC Program) Wednesday 4:45 pm (K, 1, 3, 5 only, 2nd grade and 4th grade are FULL) Homestudy + 1 Sunday/mo (1, 2, 3, 4, 5) Sacramental Preparation at OLOR to receive First Reconciliation/First Communion (Please make sure to check one of the above classes) My child will be doing Sacramental Preparation at a Catholic School or Homeschool Please fill out this field.
  
  Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconciliation (Confession) First Communion Please fill out this field.
  
  Name/Location of church where child was baptized Please enter valid data.
  
  If received First Reconciliation (Confession), at what church? Please enter valid data.
  
  If received First Communion, at what church? Please enter valid data.
  
  Please provide a copy or email a photo of your child's completed sacraments to the Children's Faith Formation Office.
  
  Did child previously complete 1st grade or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
  
  Name of other parish, Catholic School, or home school curriculum/book used weekly Please enter valid data.
  
  Does this child have a gluten allergy? REQUIRED Please fill out this field.
  
  Special needs (other allergies, medical, physical)
  
  Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
  
  Do you give permission for your child to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Child 6
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2020-2021 REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Limited spots available for in person classes. If the class is full, please choose another time or the homestudy option. If you need further assistance, please contact Children's Faith Formation.
  
  Check ONE weekly class session from below, AND if your child is the age of 7 (2nd grade or older) and baptized Catholic check sacrament prep if needed REQUIRED Sunday 11:00 am (K, 1, 2 only, 3rd grade is FULL) Monday 4:45 pm (K, 1, 2, 3) Monday 6:30 pm (4 & 5 KIC Program) Wednesday 4:45 pm (K, 1, 3, 5 only, 2nd grade and 4th grade are FULL) Homestudy + 1 Sunday/mo (1, 2, 3, 4, 5) Sacramental Preparation at OLOR to receive First Reconciliation/First Communion (Please make sure to check one of the above classes) My child will be doing Sacramental Preparation at a Catholic School or Homeschool Please fill out this field.
  
  Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconciliation (Confession) First Communion Please fill out this field.
  
  Name/Location of church where child was baptized Please enter valid data.
  
  If received First Reconciliation (Confession), at what church? Please enter valid data.
  
  If received First Communion, at what church? Please enter valid data.
  
  Please provide a copy or email a photo of your child's completed sacraments to the Children's Faith Formation Office.
  
  Did child previously complete 1st grade or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
  
  Name of other parish, Catholic School, or home school curriculum/book used weekly Please enter valid data.
  
  Does this child have a gluten allergy? REQUIRED Please fill out this field.
  
  Special needs (other allergies, medical, physical)
  
  Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
  
  Do you give permission for your child to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Child 7
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2020-2021 REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Limited spots available for in person classes. If the class is full, please choose another time or the homestudy option. If you need further assistance, please contact Children's Faith Formation.
  
  Check ONE weekly class session from below, AND if your child is the age of 7 (2nd grade or older) and baptized Catholic check sacrament prep if needed REQUIRED Sunday 11:00 am (K, 1, 2 only, 3rd grade is FULL) Monday 4:45 pm (K, 1, 2, 3) Monday 6:30 pm (4 & 5 KIC Program) Wednesday 4:45 pm (K, 1, 3, 5 only, 2nd grade and 4th grade are FULL) Homestudy + 1 Sunday/mo (1, 2, 3, 4, 5) Sacramental Preparation at OLOR to receive First Reconciliation/First Communion (Please make sure to check one of the above classes) My child will be doing Sacramental Preparation at a Catholic School or Homeschool Please fill out this field.
  
  Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconciliation (Confession) First Communion Please fill out this field.
  
  Name/Location of church where child was baptized Please enter valid data.
  
  If received First Reconciliation (Confession), at what church? Please enter valid data.
  
  If received First Communion, at what church? Please enter valid data.
  
  Please provide a copy or email a photo of your child's completed sacraments to the Children's Faith Formation Office.
  
  Did child previously complete 1st grade or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
  
  Name of other parish, Catholic School, or home school curriculum/book used weekly Please enter valid data.
  
  Does this child have a gluten allergy? REQUIRED Please fill out this field.
  
  Special needs (other allergies, medical, physical)
  
  Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
  
  Do you give permission for your child to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Child 8
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Grade for 2020-2021 REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Limited spots available for in person classes. If the class is full, please choose another time or the homestudy option. If you need further assistance, please contact Children's Faith Formation.
  
  Check ONE weekly class session from below, AND if your child is the age of 7 (2nd grade or older) and baptized Catholic check sacrament prep if needed REQUIRED Sunday 11:00 am (K, 1, 2 only, 3rd grade is FULL) Monday 4:45 pm (K, 1, 2, 3) Monday 6:30 pm (4 & 5 KIC Program) Wednesday 4:45 pm (K, 1, 3, 5 only, 2nd grade and 4th grade are FULL) Homestudy + 1 Sunday/mo (1, 2, 3, 4, 5) Sacramental Preparation at OLOR to receive First Reconciliation/First Communion (Please make sure to check one of the above classes) My child will be doing Sacramental Preparation at a Catholic School or Homeschool Please fill out this field.
  
  Which Sacraments has this child received? (check all that apply) REQUIRED None Baptism First Reconciliation (Confession) First Communion Please fill out this field.
  
  Name/Location of church where child was baptized Please enter valid data.
  
  If received First Reconciliation (Confession), at what church? Please enter valid data.
  
  If received First Communion, at what church? Please enter valid data.
  
  Please provide a copy or email a photo of your child's completed sacraments to the Children's Faith Formation Office.
  
  Did child previously complete 1st grade or above in faith formation classes LAST school year? REQUIRED Please fill out this field.
  
  Name of other parish, Catholic School, or home school curriculum/book used weekly Please enter valid data.
  
  Does this child have a gluten allergy? REQUIRED Please fill out this field.
  
  Special needs (other allergies, medical, physical)
  
  Publicity Release
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items.
  
  Do you give permission for your child to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
- If you are registering for Children's Faith Formation above, please select "1" to complete the required section below: REQUIRED Please fill out this field.
  
  Acknowledgments 1
  
  The First & Most Important Teachers of the Faith
  
  As a parent, I acknowledge the privilege and responsibility I have to pass on the Catholic faith to my child. I will share and model my relationship with Jesus with my child by praying daily with my child, bringing my child to Mass every Sunday, participating regularly in the weekly program for which my child is registered, and by serving others.
  
  If registering for sacrament preparation, I along with my child will attend each of the seven Wednesday night prep sessions from 6:30-8:00 p.m. with my child. See calendar for dates. Please contact the Children's Faith Formation office if you need to arrange an alternate schedule due to parents work schedule or custody arrangement only.
  
  By typing my name below, I acknowledge that I:
  
  have read and agree to the above
  
  have read the Parent Handbook and agree to all that it contains
  
  understand there will be forms that require my signature at the parent orientation or first day of classes.
  
  (click on Parent Handbook above to read before signing)
  
  Please type your name below to agree to the terms stated above: REQUIRED Please fill out this field. Please enter valid data.
- Number of teens registering in 6th-12th grade REQUIRED Please fill out this field.
  
  Teen 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  Small Group Requests
  During Small Groups, teens can discuss the teaching in depth, ask questions, support one another, and share how the topic has impacted them personally. Meeting with the same small group each week allows the conversation to go deeper as the group gets to know each other better. This year, small groups will consist of multiple grades but the same gender (i.e. 3 freshmen boys, 3 sophomore boys, 2 junior boys, 1 senior boy). We cannot guarantee that your small group will reflect all of your requests, but we will do our best to meet your needs and the information is helpful for our discernment.
  
  What students would your teen LIKE to have in his/her small group? (List up to 3) Please enter valid data.
  
  What students would your teen NOT like to have in his/her small group? (List up to 3) Please enter valid data.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to the Youth Ministry Office.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary Life Teen. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with Youth Ministers and Core Member through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  Small Group Requests
  During Small Groups, teens can discuss the teaching in depth, ask questions, support one another, and share how the topic has impacted them personally. Meeting with the same small group each week allows the conversation to go deeper as the group gets to know each other better. This year, small groups will consist of multiple grades but the same gender (i.e. 3 freshmen boys, 3 sophomore boys, 2 junior boys, 1 senior boy). We cannot guarantee that your small group will reflect all of your requests, but we will do our best to meet your needs and the information is helpful for our discernment.
  
  What students would your teen LIKE to have in his/her small group? (List up to 3) Please enter valid data.
  
  What students would your teen NOT like to have in his/her small group? (List up to 3) Please enter valid data.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to the Youth Ministry Office.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary Life Teen. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with Youth Ministers and Core Member through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 3
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  Small Group Requests
  During Small Groups, teens can discuss the teaching in depth, ask questions, support one another, and share how the topic has impacted them personally. Meeting with the same small group each week allows the conversation to go deeper as the group gets to know each other better. This year, small groups will consist of multiple grades but the same gender (i.e. 3 freshmen boys, 3 sophomore boys, 2 junior boys, 1 senior boy). We cannot guarantee that your small group will reflect all of your requests, but we will do our best to meet your needs and the information is helpful for our discernment.
  
  What students would your teen LIKE to have in his/her small group? (List up to 3) Please enter valid data.
  
  What students would your teen NOT like to have in his/her small group? (List up to 3) Please enter valid data.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to the Youth Ministry Office.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary Life Teen. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with Youth Ministers and Core Member through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 4
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  Small Group Requests
  During Small Groups, teens can discuss the teaching in depth, ask questions, support one another, and share how the topic has impacted them personally. Meeting with the same small group each week allows the conversation to go deeper as the group gets to know each other better. This year, small groups will consist of multiple grades but the same gender (i.e. 3 freshmen boys, 3 sophomore boys, 2 junior boys, 1 senior boy). We cannot guarantee that your small group will reflect all of your requests, but we will do our best to meet your needs and the information is helpful for our discernment.
  
  What students would your teen LIKE to have in his/her small group? (List up to 3) Please enter valid data.
  
  What students would your teen NOT like to have in his/her small group? (List up to 3) Please enter valid data.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to the Youth Ministry Office.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary Life Teen. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with Youth Ministers and Core Member through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 5
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  Small Group Requests
  During Small Groups, teens can discuss the teaching in depth, ask questions, support one another, and share how the topic has impacted them personally. Meeting with the same small group each week allows the conversation to go deeper as the group gets to know each other better. This year, small groups will consist of multiple grades but the same gender (i.e. 3 freshmen boys, 3 sophomore boys, 2 junior boys, 1 senior boy). We cannot guarantee that your small group will reflect all of your requests, but we will do our best to meet your needs and the information is helpful for our discernment.
  
  What students would your teen LIKE to have in his/her small group? (List up to 3) Please enter valid data.
  
  What students would your teen NOT like to have in his/her small group? (List up to 3) Please enter valid data.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to the Youth Ministry Office.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary Life Teen. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with Youth Ministers and Core Member through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 6
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  Small Group Requests
  During Small Groups, teens can discuss the teaching in depth, ask questions, support one another, and share how the topic has impacted them personally. Meeting with the same small group each week allows the conversation to go deeper as the group gets to know each other better. This year, small groups will consist of multiple grades but the same gender (i.e. 3 freshmen boys, 3 sophomore boys, 2 junior boys, 1 senior boy). We cannot guarantee that your small group will reflect all of your requests, but we will do our best to meet your needs and the information is helpful for our discernment.
  
  What students would your teen LIKE to have in his/her small group? (List up to 3) Please enter valid data.
  
  What students would your teen NOT like to have in his/her small group? (List up to 3) Please enter valid data.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to the Youth Ministry Office.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary Life Teen. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with Youth Ministers and Core Member through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 7
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  Small Group Requests
  During Small Groups, teens can discuss the teaching in depth, ask questions, support one another, and share how the topic has impacted them personally. Meeting with the same small group each week allows the conversation to go deeper as the group gets to know each other better. This year, small groups will consist of multiple grades but the same gender (i.e. 3 freshmen boys, 3 sophomore boys, 2 junior boys, 1 senior boy). We cannot guarantee that your small group will reflect all of your requests, but we will do our best to meet your needs and the information is helpful for our discernment.
  
  What students would your teen LIKE to have in his/her small group? (List up to 3) Please enter valid data.
  
  What students would your teen NOT like to have in his/her small group? (List up to 3) Please enter valid data.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to the Youth Ministry Office.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary Life Teen. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with Youth Ministers and Core Member through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 8
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  Small Group Requests
  During Small Groups, teens can discuss the teaching in depth, ask questions, support one another, and share how the topic has impacted them personally. Meeting with the same small group each week allows the conversation to go deeper as the group gets to know each other better. This year, small groups will consist of multiple grades but the same gender (i.e. 3 freshmen boys, 3 sophomore boys, 2 junior boys, 1 senior boy). We cannot guarantee that your small group will reflect all of your requests, but we will do our best to meet your needs and the information is helpful for our discernment.
  
  What students would your teen LIKE to have in his/her small group? (List up to 3) Please enter valid data.
  
  What students would your teen NOT like to have in his/her small group? (List up to 3) Please enter valid data.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to the Youth Ministry Office.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary Life Teen. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with Youth Ministers and Core Member through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
- If you are registering for EDGE/LifeTeen above, please select "1" to complete the required section below: REQUIRED Please fill out this field.
  
  Acknowledgments 1
  
  By typing my name below, I acknowledge that I:
  
  Declare that all information I have provided to Our Lady of the Rosary is true and correct to the best of my knowledge.
  
  If any information above changes, especially medical information, it is my responsibility to contact the Youth Ministry Office of Our Lady of the Rosary so they can update my family and child’s records
  
  I have read the policies and procedures outlined for Our Lady of the Rosary and agree or acknowledge all information contained within.
  
  I understand that I need to sign and complete the following forms which will be kept on file for all Youth Ministry events including retreats:
  
  Medical Release (if a parishioner of OLOR you don’t need to notarize)
  
  COVID-19 Waiver
  
  Please type your name below to agree to the terms stated above: REQUIRED Please fill out this field. Please enter valid data.
Submit

Register your child or teen

Fill out the information below to register your child or teen into one of our faith formation programs. Don't know which program to place your child or teen? Click here Please note: Separate registration is required for baptism and Catechesis of the Good Shepherd (CGS)

Faith Formation:

Sacramental Preparation:

Publicity Release

Publicity Release

Publicity Release

Publicity Release

Publicity Release

Publicity Release

Publicity Release

Publicity Release

The First & Most Important Teachers of the Faith

Small Group Requests

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Small Group Requests

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Small Group Requests

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Small Group Requests

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Small Group Requests

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Small Group Requests

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Small Group Requests

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Small Group Requests

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Fill out the information below to register your child or teen into one of our faith formation programs.

Don't know which program to place your child or teen? Click here

Please note: Separate registration is required for baptism and Catechesis of the Good Shepherd (CGS)