High School Youth Ministry

- Faith Formation
  - Youth Formation
    
    High School Youth Ministry
  - Adult Faith Formation

We are thrilled to be introducing a High School Youth Ministry program at SHJC for the 2025-2026 school year. Please be sure to fill out the registration form at the bottom of the page for each High School youth in your family to participate in youth group. Can't wait to see you at our events this year!
Something went wrong - please email Annie Aker at [email protected]
- Register For High School Youth Ministry
  $40 Registration Fee Per High School Student
  Please complete and submit one form per youth participant, if there is more than one from your household.
- Family/Household Information
- Parent REQUIRED Please fill out this field. Please enter valid data.
- Primary Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Parent Please enter valid data.
- Secondary Cell Phone Please enter valid data.
- Address REQUIRED Please fill out this field.
- Email REQUIRED Please fill out this field. Please enter valid data.
- Youth Participant Information
- Name REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- School REQUIRED Please fill out this field. Please enter valid data.
- Email Address REQUIRED Please fill out this field. Please enter valid data.
- Cell Phone Please enter valid data.
- Health/Emergency Required Information
- Allergies (if any) Please enter valid data.
- Contact In Case Of Emergency: REQUIRED Please fill out this field. Please enter valid data.
- Health Insurance Provider REQUIRED Please fill out this field. Please enter valid data.
- Liablity Release REQUIRED Yes No Please fill out this field.
- I give permission for my child to take part in the Sacred Heart of Jesus, Cicero sponsored activities and programs for 2025-2026, both onsite Church property and offsite events. In consideration of the opportunity for my child to participate and fully recognizing that such an undertaking involves an element of risk, we assume all risks and hazards incidental in such participation and do hereby release, absolve, indemnify, and agree to hold harmless the Diocese of Lafayette-in-Indiana/Sacred Heart of Jesus Parish its agents, employees and officers, the chaperones, leaders, organizers, sponsors, and persons transporting our child to and/or from these activities. Neither the Diocese of Lafayette-in-Indiana/Sacred Heart of Jesus Parish nor any of said persons shall be held financially responsible for any injury, illness, or death incurred as a direct or indirect result of the activity. I, the undersigned, have read this release and understand all its terms and execute it voluntarily and with full knowledge of the significance. In the event of an emergency and I cannot be contacted, I hereby authorize emergency treatment to be administered.
- Media Release REQUIRED Yes No Please fill out this field.
- I give my permission for my child to be used in forms of media.
- Communication Release REQUIRED Yes No Please fill out this field.
- I give my permission for my 9th-12th grade child to be contact through social media or text-based communication (including, but not limited to, email, GroupMe, Flocknote)
- Please type your name and today's date here, indicating your electronic signature for the above statements. REQUIRED Please fill out this field. Please enter valid data.
Submit

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