Register for Life Teen

Teen Name *

First

Last

Date of Birth (MM/DD/YYYY) *

Address *

Gender *

Teen Cell Phone

School Attending '23-'24 *

Grade *

T-Shirt Size *

Allergies or learning-physical exceptionalities

If none, put N/A

Symptoms/Treatments of Allergies or conditions

Guardian Name *

Relationship to child *

Cell Phone *

Do you receive text messages from our Remind App? *

If no, would you like to receive our Remind texts about events and information?

Email *

2nd Guardian Name (Or Emergency Contact) *

Secondary Cell phone *

I understand I need to print out the Image Waiver (link below) and return to my first attended event. *

http://lifeteen.ascensioncatholic.net/wp-content/uploads/2020/08/2020-2021-Edge-Registration.pdf

Confirmation (9th grade or older)

Check box if your teen will begin our Confirmation prep this October (if your teen is already in our Confirmation program, do not check box)