Saint Gerard Majella Catholic Church • Fort Oglethorpe, Georgia

POWERTEEN REGISTRATION

Student Information

First Name

Last Name

Name Child Called

M/F

Date of Birth
(mm/dd/yyyy)

Guardian's Name

Home Tel #

Address

Father Work #

Cell #

City/State/ZIP
,

Mother Work #:

Cell #

Student Email*

Student Cell

Parent E-Mail Address*

* Please supply both teen/parent email addresses if possible so that we can keep everyone informed of Lifeteen events.

Emergency Telephone Numbers if Parent Cannot Be Reached

Telephone #1	Name	Relationship
Telephone #2	Name	Relationship

School Attending

Grade

Syblings attending Religious Ed.
Name	Grade
Name	Grade
Name	Grade

Sacraments

Has your child been Baptized? Yes	Celebrated First Communion? Yes

Parent Volunteer Opportunities
Parents play a vital role in the religious growth of their children. During the year, we welcome parent volunteers to help with retreats, rallies and field trips. If you would like to volunteer for special event or trip, just talk to Tracey, Donna or Annastasia.

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