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

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  • 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's Information ***

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  • How you would like to help?
    As a Core Team Member at Life Teen
    A substitute at Life Nights or Social Events
    As a Nurse at select events
    A Photographer at select events
    With Dinners at Life Nights
    Join the Prayer Team
  • Due to Safe Environment Rules, we need a certain amount of adults in the room with teens. If you volunteer this could help if some of the adult volunteers can't make it to Life Teen.

  • *** Life Teen Schedule***

    For more information and to view the schedules please visit our website at https://allsaintsdunwoody.org/education/youth-group/life-teen/
  • ***** Payment Information: Life Teen & EDGE *********
    Cash & Check Annual Fee:
    One teen is $145
    Two teens $200
    Three or more teens additional fee $25 each.

    If you have a teen in EDGE and a teen in Life Teen your total cost would be $200. Please write on the memo line the names of your teens if they are in different programs.
  • *Please fill out only if payer last name is different than teen.
  • NO HIGH SCHOOLER IS EVER TURNED AWAY FOR LACK OF FUNDS
  • *** Payment Plan Information ***

    * 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 - 2PM
  • *** Emergency Contact ***

    Relative or friend to contact if unable to reach parent/guardian in he event of emergency:
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  • *** PARENTAL CONSENT AND EMERGENCY MEDICAL RELEASE FORM ***

    Life Teen [Sundays]
    Fall 2021 - Spring 2022
    Ref. ID: LT_MR_04252013.14
  • I/We, the parent(s)/guardian(s) of the teen, hereby give my/our permission and approval for my/our son/daughter/guardianship to participate in the Life Teen Program on July 2021 - July 2022, with the All Saints Youth Group.

    I/ 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, XLT Atlanta, Lux 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 ***

  • EITHER A PHYSICIAN’S PRESCRIPTION OR PARENT NOTE MUST ACCOMPANY ALL MEDICATIONS, PRESCRIPTION / NOTE SHOULD BE ATTACHED TO THIS FORM.
  • ** Requested information on this form MUST be filled in completely in order for the student to participate in these events. **

  • Dosage
    Description
    Description
  • *** MEDIA RELEASE FORM ***
    REF ID#: YP-MEDIA-04302013.14

    Our parish, All Saints Catholic Church, uses images, interviews, and videos of our children for a variety of internal and external communications. Our forms of internal and external communications include but are not limited to: print, such as newspapers, bulletins, and newsletters; photographs and digital images; film and videos; web posts, web pages, and image carousels; social networking platforms including but not limited to Facebook, Twitter,
    and Instagram.

    We follow the Archdiocese of Atlanta’s Social Media Policy and Guidelines for the Use of Social Networking Sites with
    Minors. Please see this resource for more information.

    Please indicate below whether our parish and/or school has permission to circulate interviews, images, and/or videos of your child for all parish and/or school events for one year: *
  • My child may be photographed and/or interviewed for The Georgia Bulletin, and other media outlets. I understand content may be reprinted in The Georgia Bulletin or other media for public dissemination, including but not limited to film; video; television; radio; newspapers such as The Atlanta Journal and Constitution; websites and online platforms; and social media networks including but not limited to Facebook, Twitter, and Instagram. I release and relieve the parish and/or school, and the Archdiocese of Atlanta, from any responsibility or liability for any claims arising from the publication or reproduction of any photographs or interview in any news or other media. I waive any and all right to inspect or approve the finished images, video, or printed matter that may be used in conjunction with any image or video, or to approve the eventual use for which it may be applied. I understand that photographs, videos, and/or interviews are being done with the knowledge and approval of the parish and/or school, and that a signed release form is required for every participating individual.
  • *** ASSUMPTION OF THE RISK RELATING TO COVID-19 ***
    REF ID#: YP-COVID-04302013.14

    The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person to person through respiratory droplets when an infected individual cough, sneezes, or speaks. As a result, government agencies at all levels and federal, state, and local health agencies recommend social distancing and have placed limits on the congregation of groups of individuals.

    All Saints Catholic Church has put preventative measures in place to reduce the spread of COVID-19; however, the parish cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending activities on the campus of All Saints Catholic Church could increase your risk and that of your children for contracting COVID-19.

    While All Saints Catholic Church/youth group will make all reasonable efforts to lower the risk of COVID-19 exposure and spread at the parish, the parish is unable to provide any guarantee that students or their families will not be exposed to or infected by COVID-19.

    By enrolling your child(ren) in and attending parish faith formation, you acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that you, your child(ren), and or other family members may be exposed to or infected by COVID-19. It is expected that students and other family members will follow the preventative measures and guidelines implemented by All Saints Catholic Church/youth group including not coming to the parish premises if demonstrating any signs or symptoms of COVID-19.
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  • POLICY OF THE ARCHDIOCESE OF ATLANTA CONCERNING THE PROTECTION OF CHILDREN training class.

  • *** 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).
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  • The Medical Release, Parental Consent, Media, and Covid Waviers are good for the period of one year; beginning July. 2021, and ending July 2022)