Register for Life Teen

Teen Name *

First

Last

Date of Birth (MM/DD/YYYY) *

Address *

Gender *

Teen Cell Phone

School Attending '22-'23 *

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

9th Grade Confirmation