Our Lady of the Presentation Catholic Church

Register now and stay informed about all

the events and opportunities to be involved

in your parish and youth group! It is our policy that all youth be formally registered in

Youth Ministry in order to participate in our programs.

*

More activities are added throughout the year! Parents check your email!

Our Lady of the Presentation Youth Ministry

Day Date Event Location Time Cost Who

Thur August 29 NCYC Information Meeting Mulligan 6:30 –8:30pm — Grade 9--12

Thur October 10 NCYC Meeting #2 Mulligan 6:30—8:00pm — Grade 9—12

Sat October 12 UPLIFT Service Op Off-Site 8:30am-12:30pm — Gr. 6—8; 9—12

Sun October 20 Hayride & Corn Maze Fun Farm Kearney, MO

1:15-7:45pm $15 Gr. 6 —8; 9—12

Sun November 10 Friendsgiving Etue 6:30 –8:30pm — Gr. 6 —8; 9—12

Mon November 11 NCYC Meeting #3 Mulligan 6:30-8:00pm — Grade 9-12

Sat November 16 Advent Giving Tree Service Op

Parish Clean Up Day* tentative

Mulligan On parish grounds

9:00-10:00am 10:00am-12:00pm

— Gr. 6 —8; 9—12

Thur -Sun Nov 21-24 NCYC

National Catholic Youth Conference

Indianapolis Indiana

TBA — Grade 9-12

Wed December 18 Christmas Caroling Service Op

Meet at OLP Little Sisters of the Poor

5:30-8:00pm — Gr. 6 —8; 9—12

Sat February 1 Harvesters KC Service Op Off-Site 9:15am-12:45pm — Gr. 6 —8; 9—12

Sat February 22 Middle School LOCK IN St. Margaret’s Mass Legacy Park

8:30pm-5:45am $20 Gr.6 —8

Tue March 17 One City Café Service Op Off-Site 3:15-7:00pm — Gr. 6 —8; 9—12

SERVICE

2019-2020

Day Date Event Location Time Cost Who

Sundays Aug 2019-Mar 2020 2nd Sundays

High School Youth Group Youth Room 6:30 –8:30pm 7-8:15pm

— Grade 9-12

Sundays Sep 2019-Aug 2020 Third Sundays @12noon Mass

Noon MASS 11:00am music 11:30am other

— Gr. 6 —8; 9—12

Mondays Sep 9 - Oct 21 only ALPHA Series –weekly Yellow House 6:30-8:00pm — Gr. 8; Grade 9-12

Monthly & Weekly Events

Register for Youth Group 2019-20 with the Youth Ministry Office. Events off-site require a separate permission form and fee. Calendar dates and times

subject to change. Adult team must be compliant with diocesan safe environment policies. Check parish website and social media for most current information. Please

RSVP to Youth Ministry Office for ALL events by deadline. WWW.OLPLS.ORG

Youth Ministry Office

(816) 251-1107 Christy Gruenbaum, Director OLPYM

Youth Information

Name (first)___________________________(last)______________________________________

Birth Date: Month____________Day________Year_______ Gender (M/F)____________

Address:_______________________________________________State______Zip____________

Youth Cell Phone#___________________ Youth email __________________________________

School________________________________________ Grade in 2019-20 school year_________

Youth T-Shirt Size (circle one) S M L XL XXL

Our family is registered at ____________________________________________Parish/Church.

Parent #1____________________________________Cell Phone #_______________________ Relation to youth?____________________________Alternative Phone #____________________ Home Address______________________________________________State_____Zip_______

(all correspondence will be sent to this address above unless specified otherwise)

E-mail Address:________________________________________________________________

Cell# and email are necessary. We communicate via group email and Calling Post messaging.

Parent #2____________________________________Cell Phone #_______________________ Relation to youth?____________________________Alternative Phone #____________________ Address (if different)________________________________________State______Zip________ E-mail Address :______________________________________________________________

Cell# and email are necessary. We communicate via email and Calling Post messaging.

Emergency Contact Information

Contact #1: Name_________________________Phone Numbers__________________________

Contact #2 Name_________________________Phone Numbers__________________________

Please fill out reverse side! (over)

Our Lady of the Presentation Catholic Church Youth Ministry Office

Youth Group Registration 2019-2020 Youth Ministry Events for Grades 9 thru 12

Youth Ministry Office (816) 251-1107 • 130 NW Murray Road Lee’s Summit, MO 64081

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You are registering for: High School Youth Group - Youth in grades 9—12 $ Registration Fee: $30.00 Includes activities such as: 2nd Sunday night Youth Group, Service Opportunities, Third Sundays, Alpha program, T--shirt.; plus off–site events. Off site activities may require separate fee and permission form.

Parent / Guardian Information

Our Lady of the Presentation High School Youth Group Registration Page 2 Any medical issues, personal matters or needs the director should be aware of so we can best serve your son or daughter? Any allergy to medications, foods, etc.? Please specify:

If an activity fee for registration or an event presents a financial hardship for your family, please call Christy Gruenbaum, Director of Youth Ministries to discuss options for financial assistance. All information is strictly confidential.

Please return this form and payment to: Our Lady of the Presentation

Youth Ministry Office 130 NW Murray Road Lee’s Summit, MO 64081

Please leave all Youth Ministry Forms in Youth Ministry Lock Box:

There are two Youth Ministry Lock Boxes. One is located in the parish office entryway, the oth-er is next to the front door of the yellow house near the playground. You may place your forms in the lock boxes anytime 24 hours a day. Please note: it is helpful when you notify the Youth Ministry Office when you’ve dropped off a form in the lock box!

Be on the Youth Group Adult Team. (there are several ways to share your gifts on this team)

Be present once a month at 2nd Sundays Youth Group and Sports Night (Sept—Mar; 7 nights)

Assist with Third Sundays @12noon Mass; guide teens in helping with our liturgy and/or music

Be on the Adult planning team; plan and implement the Youth Ministry events and activities.

Chaperone and drive for an off-site youth activity

Help lead middle school OR high school youth ministry activities and events.

Co-Lead a short term event for middle or high school youth (3—6 weeks-Bible Study, Theology of

the Body, Alpha program, Visions for Middle School, etc.)

Service Opportunity Leader—Help with a community service project as a chaperone / driver.

Make a financial contribution towards a youth in need or to youth ministry needs.

Provide a simple meal for a group meeting for 12 people (Alpha, youth group, etc)

Parent support is crucial in a thriving youth ministry program! PLEASE CHOOSE AT LEAST ONE WAY YOU ARE ABLE TO SUPPORT THIS MINISTRY All adults must be Diocesan Safe Environment compliant. More information will be given to you when you volunteer to help.

Registration Checklist:

Registration 2 page Form completed Social Media Policy & Consent for use of Photos Form completed Permission Form completed

Registration Fee $30.00 Checks made payable to Our Lady of the Presentation OR

you can pay via Online Giving on our website: www.OLPLS.org.

You will receive important information about Youth Ministry events after registration via email.

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Parent/Guardian Consent for Photos and Recordings I hereby grant permission for the student on this registration to be included in the photographs, videos or other recordings made in connection with Youth Ministries and the Catholic Diocese of Kansas City/ St. Joseph for a period of one calendar year.

I have read, understand and agree to the above statement.

Signature of parent/guardian__________________________________Date_____________

Our Lady of the Presentation Youth Ministry

Diocesan Social Media Policy

This form allows you to identify who may communicate with your minor children and by what means.

Parents and guardians will be copied into all written or text-based communications except those that oc-cur on an official social networking site or online community administered and maintained by the ministry, parish, or school pursuant to the terms of diocesan policy and approved by parents or guardians on this form.

Diocesan Ministry, Organization, Parish or School Completes (Ministry / Parish / School / Organization) communicates via:

(This section must be completed by diocesan ministry, organization, parish or school.)

Youth Ministry Office does NOT have a cell phone at this time but we do use

the Group Me app occasionally.

cgruenbaum@olpls.org

pfoster@olpls.org

Instagram– OLPYM

Parent or Guardian Completes

◊ You MAY NOT contact my children directly. (Sign and return).

◊ You MAY contact my children directly. (Sign, complete all sections and return).

_______________________________________________

Contact with my children is permissible via the following methods: _____________________

__________________________

______________________

___________________________

Parental or Permission

Direct Contact with Minors

Form will be kept on file in the youth ministry office for a period of three years.

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Diocese of Kansas City – St. Joseph

OUR LADY OF THE PRESENTATION PARTICIPATION FORM FOR YOUTH MINISTRY EVENT (This form is for anyone under 18 years old who would like to participate in Youth Ministry events. Please Print)

Youth Ministry Office 816-251-1103 www.OLPLS.org All 18 and over attending youth events must have a Protecting God’s Children Certificate on file.

See Youth Ministry Calendar for ALL events.

ATTENTION PARENTS: Your child is considered REGISTERED for a particular event ONLY when: (1) your payment (if applicable) is

received in the Youth Ministry office by the deadline for that event (2) Your child’s fully completed permission form is on file in

the YM Office. If you have questions, please contact the Youth Office at 251-1103. www.OLPLS.org Place your permission forms in the Youth Ministry Lock box located just inside the parish office glass entry or outside the Yellow House. (Forms are required for OFF-SITE events only).

Event Date Event Details Cost Form & fee

DUE by this date

Initial here if attending

Sat. Oct 12 UPLIFT Sorting Day Depart 8:30am Grades 6 & up!

Pickup 12:30pm FREE

Oct 4 @ 6pm

Initial here if attending

Sun Oct 20 Hayride & CornMaze

FUN FARM, Kearney

Depart 1:15m Grades 6 & up! Pick up 7:45pm

$15.00 plus your spending $

Oct 11 @ 6pm

Initial here if attending

Wed Dec 18 Christmas Caroling

Little Sisters of the Poor

Depart 5:30pm Grades 6 & up! Pick up 8:00pm

FREE Dec 11 @ 6pm

Initial here if attending

Sat Feb 1 Harvesters KC Depart 9:15am Grades 6 & up! Pick up 12:45pm

FREE Jan 24 @ 6pm

Initial here if attending

Tue Mar 17 One City Cafe

Depart 3:15pm Grades 6 & up! Pick up 7:00pm

FREE Mar 6 @

6pm

Initial the

event you

plan to attend.

PARTICIPANT INFORMATION

Name of Participant:____________________________________________________Gender Male Female

Date of Birth: ______________________________ Grade in 2019/20_________________School ____________________________

PARENT/GUARDIAN INFORMATION

Name of Parent/Guardian #1________________________________________Parent #1 Cell ________________________________

Email for Parent/Guardian #1 ___________________________________________________________________________________

Name of Parent/ Guardian #2________________________________________Parent #2 Cell________________________________

Email for Parent/Guardian #2____________________________________________________________________________________

Other Contacts in case of illness or injury:

Name / Phone:____________________________________________________________________________________

Name / Phone:____________________________________________________________________________________

PARTICIPANT INFORMATION (HEALTH)

Are you in general good health and able to participate in normal activities? Yes NO If NO, please describe your limitations. Use a separate sheet if necessary. __________________________________________________________________________

Medications: List any prescription medications you are taking, and frequency of dosage. Also, please list any over-the-counter medica-tions you will be bringing to the event.

Prescriptions/Dosage:____________________________________________________________________________________

Over-the-Counter:________________________________________________________________________________________

TURN OVER TO COMPLETE PAGE 2

Diet: Identify any special dietary needs:_______________________________________________________________________

Allergies, diseases, disorders, disabilities, surgeries or serious injuries:_______________________________________________

All immunizations up to date? ______YES ______NO Date of Last Tetanus Booster:__________________________________

Physician's Name:________________________________________________________________________________________

Telephone:____________________________________ Address___________________________________________________

Participant's Health Insurance Provider:________________________________________________________________________

Policy or Group#____________________________________ Primary Policyholder Name: ________________________________

PERMISSION OF PARENT/GUARDIAN I/We, the parent(s)/guardian(s) of _____________________________________, request that he/she be allowed to participate in the Event described above, and hereby give my/our permission for such participation. I/We give my/our permission to the sponsoring Diocese/Parish/School/Organization to take photographs, video or digital images of Participant during the Event for future promotional purposes. Initials _______ I/We give my/our permission to Youth Ministries to contact me with pertinent information regarding upcoming Events at the email address indicated. Initials _______

Parent Name:____________________________Email Address:___________________________________________________

CONSENT FOR DISCLOSURE TO INDIVIDUAL INVOLVED IN THE CARE AND TREATMENT OF PARTICIPANT For the duration of the Event, I/We grant to the Diocese/Parish/School/Organization and its agents the following powers, to be used for the benefit of and on behalf of Participant (check all that apply): _____ to receive any and all individually identifiable health information about the past, present and future medical condition of Participant, including, but not limited to, information necessary to the care and treatment of Participant and any illness or injury Participant may have sustained; _____ to authorize medical care for Participant, including, but not limited to, any and all treatment, examination, diagnosis or outpatient medical care rendered under the general or special supervision of and on the advice of any physician or surgeon licensed to practice medicine by the applicable licensing body in the state in which physician or surgeon practices. I/We understand that the Diocese/Parish/School/Organization will not be liable to me/us or any or my/our successors in interest for any action taken or not taken in good faith. I/We consent to the logistics and conditions described above, including the method of transportation. I/We understand that as parent(s) or legal guardian(s) I/we may be responsible for any liability which may result from the conduct of Participant at or during the Event. I/We understand that there is a risk of injury involved in any Youth Ministry activity. I/We hereby release the Diocese of Kansas City-St. Joseph, and its officers, agents, employees and volunteers, from any liability arising from claims of any kind or nature whatsoever in connection with Participant's participation in the Event.

_________________________________________________________ ____________________________ Signature of Parent/Guardian Date

YOUTH CONTRACT:

I______________________________, agree to abide by the following:

· I will stay within the boundaries set forth by the adult chaperones. I will not leave the designated area without permission.

· I will respect the chaperones, individuals and property where the event will take place.

· I will report to chaperones at designated times to ensure my personal safety.

· I agree not to bring or use drugs, cigarettes, or alcohol while on church property, to and from the event, and while at the event

destination.

· I will be ready to depart and return from the event at the designated times.

Youth Participant Signature: Date:

PERMISSION FORM & FEE MUST BE TURNED IN BY DEADLINE TO YOUTH MINISTRY

OFFICE TO BE OFFICIALLY REGISTERED FOR THAT EVENT.

Forms will be kept on file in the Youth Ministries Office for a period of one year following the Event. Form:DIO-12-2005

Participants are NOT allowed to leave an event early without written or verbal permission from a parent or guardian to a designated adult chaperone.