Life Teen Registration
Catholic Archdiocese of Atlanta
All Saints Catholic Church
REF ID#: LT-REG-04302013.14
  • *** Student's INFORMATION ***

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  • (Once you have paid your registration fee, a t-shirt will be given)
  • If your school name wasn't listed please type here.
  • Anything we should know about your teen that can help us journey with him/her in the faith.
  • *** Parents/Guardian INFORMATION ***

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  • *** Payment Information: Life Teen & EDGE ***

    Cash & Check Annual Fee:
    One teen is $145
    Two teens $200
    Three or more teens additional fee $25 each.
  • *Please fill out only if payer last name is different than teen.
  • *** Payment Play Informations ***

    * All Checks should be made out to All Saints Catholic Church

    * If you pay with cash feel free to bring the cash to the event.

    *Office Hours: M-F 9AM - 3PM

    Life Teen [Sundays]
    Fall 2019 - Spring 2020
    Ref. ID: LT_MR_04252013.14
  • I/We, the parent(s)/guardian(s) of the teen
    do hereby give my/our permission and approval for my/our son/daughter/guardianship to participate on the Life Teen Program on Aug. 18th, 2019 - Apr. 26th, 2020, with the All Saints Youth Group.

    / We do hereby, for myself, my heirs, executors, and administrators, waive, release, absolve, indemnify and agree to hold harmless any and all adults who chaperone this event, other participants, All Saints, the Catholic Archdiocese of Atlanta, All Saints Life Teen, All Saints EDGE, and any of the above named parties’ representatives, successors, supervisors, sponsors, and/or organizers, for any injuries in connection with the outing / event(s) named above provided that said injuries are not the result of negligence. I/We hereby grant permission for publication of group (two or more persons) photos taken at youth events.

    I/We also give permission to seek any emergency care should my child be involved in any accident or be injured in any way during such events named above. I/We understand that in any such instance, all attempts will be made to contact the parent/guardian. In the event that I/we cannot be contacted, I/we hereby give permission to the attending physician to hospitalize, secure treatment for, and to order injection, anesthesia, and/or surgery for my child, as named herein.

    I also agree that I am legally responsible for all/any personal actions taken by my child/guardianship during this event, and agree to be financially responsible for any/all damages, legal fees, and other costs incurred as a result of the actions/behavior of my child/guardianship.

    Furthermore, I/we agree that if the above named student’s behavior is inappropriate, unsafe and/or detrimental to the group, I will be contacted immediately to secure means of removing my child/guardianship from the event premises. I understand that any financial costs incurred as a result of my child/guardianship being sent home are my responsibility.
  • *** Insurance Information ***

  • ** Requested information on this form MUST be filled in completely in order for the student to participate in these events.

  • Dosage
  • *** Emergency Contact ***

    Relative or friend to contact if unable to reach parent/guardian in he event of emergency:
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    REF ID#: YP-MEDIA-04302013.14

    I hereby grant permission for my youth to be photographed and/or interviewed for the The Georgia, The Atlanta Journal Constitution, or other print, radio, television or electronic media. I understand photographs or quotations may be reprinted in the Georgia Bulletin or other media, including but not limited to television, radio, newspapers, and the internet, for public dissemination. I release and relieve All Saints Catholic Church and XLT Atlanta and the Archdiocese of Atlanta from any responsibility or liability for any claims arising from publication or reproduction of any photographs or interviewers in any news or other media.

    I waive any and all rights to inspect or approve the finished photographs or printed matter that may be used in conjunction with any photograph, or to approve the eventual use for which it may be applied.

    I also understand that the photography or interview is being done with the knowledge and approval of All Saints Catholic Church and XLT Atlanta, but that a signed release form is on file for every individual who is photographed or interviewed by the media.

    The Life Teen Program on Aug. 18th, 2019 - Apr. 26th, 2020, with the All Saints Youth Group.
  • *** Teen's agreement ***

    I agree to abide by any / all policies and rules established for this event / activity. Should I not be able to maintain the guidelines and expectations of the adults and my peers, I understand that there will be consequences for my actions, including being removed from the activity and being sent home at my parent’s expense.

    Basic rules / expectations include, but are not limited to, the following: Respect for all adult leaders, peers, and all property; NO illegal drugs, alcohol, underage smoking, firearms, explosives, or other illegal substances; Males and females are to remain in separate sleeping spaces at all times; No inappropriate physical / sexual activity; Appropriate attire is to be worn at all times. Other guidelines may be set forth accordingly by adult chaperones present for the event(s).
  • *** Once you click "Submit" the Acknowledge of Agreement form. The Online Registration is completed once payment and Acknowledgement of Agreement Form are turned in. ***