MS Edge / HS Life Teen Registration Form -

Date REQUIRED Please fill out this field. Please enter a date.

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Address Please enter valid data.

Father's Full Name

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Religion REQUIRED Please fill out this field. Please enter valid data.

Mother's Full Name

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Religion REQUIRED Please fill out this field. Please enter valid data.

Youth Information Please fill out this field.
Youth 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.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter valid data.
- Sex Male Female
- Baptized REQUIRED YES NO Please fill out this field.
- Church of Baptism Please enter valid data.
- City/State Please enter valid data.
- Other Sacraments Received Reconciliation Eucharist Confirmation
- 2026/2027 Grade in School REQUIRED 6th 7th 8th 9th 10th 11th 12th Please fill out this field.
- Last Grade and Year of Faith Formation Completed REQUIRED Please fill out this field. Please enter valid data.
Youth 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.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter valid data.
- Sex Male Female
- Baptized REQUIRED YES NO Please fill out this field.
- Church of Baptism Please enter valid data.
- City/State Please enter valid data.
- Other Sacraments Received Reconciliation Eucharist Confirmation
- 2026/2027 Grade in School REQUIRED 6th 7th 8th 9th 10th 11th 12th Please fill out this field.
- Last Grade and Year of Faith Formation Completed REQUIRED Please fill out this field. Please enter valid data.
Youth 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.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter valid data.
- Sex Male Female
- Baptized REQUIRED YES NO Please fill out this field.
- Church of Baptism Please enter valid data.
- City/State Please enter valid data.
- Other Sacraments Received Reconciliation Eucharist Confirmation
- 2026/2027 Grade in School REQUIRED 6th 7th 8th 9th 10th 11th 12th Please fill out this field.
- Last Grade and Year of Faith Formation Completed REQUIRED Please fill out this field. Please enter valid data.
Youth 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter valid data.
- Sex Male Female
- Baptized REQUIRED YES NO Please fill out this field.
- Church of Baptism Please enter valid data.
- City/State Please enter valid data.
- Other Sacraments Received Reconciliation Eucharist Confirmation
- 2026/2027 Grade in School REQUIRED 6th 7th 8th 9th 10th 11th 12th Please fill out this field.
- Last Grade and Year of Faith Formation Completed REQUIRED Please fill out this field. Please enter valid data.
Youth 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter valid data.
- Sex Male Female
- Baptized REQUIRED YES NO Please fill out this field.
- Church of Baptism Please enter valid data.
- City/State Please enter valid data.
- Other Sacraments Received Reconciliation Eucharist Confirmation
- 2026/2027 Grade in School REQUIRED 6th 7th 8th 9th 10th 11th 12th Please fill out this field.
- Last Grade and Year of Faith Formation Completed REQUIRED Please fill out this field. Please enter valid data.
Youth 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter valid data.
- Sex Male Female
- Baptized REQUIRED YES NO Please fill out this field.
- Church of Baptism Please enter valid data.
- City/State Please enter valid data.
- Other Sacraments Received Reconciliation Eucharist Confirmation
- 2026/2027 Grade in School REQUIRED 6th 7th 8th 9th 10th 11th 12th Please fill out this field.
- Last Grade and Year of Faith Formation Completed REQUIRED Please fill out this field. Please enter valid data.

Please list any special health, safety or educational considerations
ie: allergies (including food), medications, history of seizures, IEP/Learning needs.

Name of Child(ren) and considerations

Emergency Contact-someone other than parent/guardian.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Relationship to Child REQUIRED Please fill out this field. Please enter valid data.

Other Approved Pick-up Person

First Name Please enter valid data.

Last Name Please enter valid data.

Phone Number Please enter a phone number.

Relationship to Child Please enter valid data.

Acknowledgements

I acknowledge that by checking the 'I Agree' boxes and typing my name in the signature box below, that it has the same effect/authority as my signature.

Drop off/Pick-up/Student Driver (required)

I acknowledge that my child will only be released to me or my approved pick-up person (above) at the end of each session and that I will drop-off and pick-up my child inside the Parish Hall.
For safety reasons, there are no drive-by pick-ups or drop-offs allowed.
I Agree Please select this field.
OR: I authorize my child, named below, who is a licensed driver, to transport him/herself (and sibling(s) if applicable) to Edge of Life Teen Sessions.
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
I Agree Please select this field.

Medical Release (required)

As parent/guardian, I give my permission to the Adult Advisors or their designees to request usual and customary medical/safety services for my children if needed at any Edge/Life Teen activity in which my Child(ren) participate with the understanding that I will cover all such emergency costs not covered by my insurance.
I Agree Please select this field.

Photo/Video Permission (required)

As parent/guardian, I understand that I need to notify the Faith Formation Office in writing that I DO NOT WANY PICTURES/VIDEOS Individual or group) of my child taken during sessions or parish events throughout their enrollment in SEAS Faith Formation/Edge/Life Teen/Parish activities.
If this request is not presented In writing to the Office of Faith Formation-pictures of my child can be used for parish activities and publications.
I Agree Please select this field.

Parent/Guardian Signature: REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

Volunteer Opportunities

Would you be interested in volunteering for any of the following roles?
Materials/Training provided. Safe Environment Training and background check required for all volunteers who work with children/youth in any capacity.
* Fully Initiated Catholics in good standing
Volunteer Opportunities Catechist* Catechist Aide* Substitute Catechist* Safety Monitor
For your convenience-click the button below to connect to our online giving site to pay the registration fee. Thank you!
Pay Registration Fee Here

St Elizabeth Ann Seton

Fayetteville, NC

MS Edge / HS Life Teen Registration Form

Please complete this form in its entirety

Registration forms are completed annually for accurate family information