High School (9th-12th Grade)

CCD Registration Form/ 2017-2018

Return to:

Youth Director

Christ the King, 299 Colony Blvd. Lexington, KY 40502

Please complete one form for each child. (Please Print). Include the registration fee of $45 per child

with this form. Please make check payable to: Christ the King Youth!

Student’s Full Name ______Gender M F

School ______Grade level ______T-Shirt Size______

Family Email ______Student Birthday ______

Father’s Name ______Home # ______

Address ______Zip ______Cell # ______

Religion ______Occupation______Registered in parish Y / N

Mother’s Name ______Home # ______

Address ______Zip ______Cell # ______

Religion ______Occupation ______Registered in parish Y / N

Sacraments student has received: Baptism Reconciliation 1st Communion Confirmation

Please list any allergies, special needs, reading or writing difficulties, learning disabilities, ADHD, shyness – anything that we need to know to assist your child in learning and being comfortable.______

The High School Youth Group meets on Sunday Nights from 6:15-8:00 pm in the Youth Ministry Room located in the school basement. You can enter the building through the Youth Ministries Building entrance. Students are encouraged to join us for the Teen Mass prior to Youth Group at 5:00 pm!

Publicity Permission Form

On occasion the Cathedral of Christ the King takes photographs or makes a video recording of the participants involved in parish activities. Such photographs or video recordings may be used in Christ the King publications, advertising materials, the webpage and/or the Youth Ministry Face book page to let others know about Christ the King and past activities. In addition, local news organizations may hear of our activities or events, and our parish may invite or allow them to photograph or record the event to be used, distributed or displayed as agents of Christ the King. This consent includes but is not limited to: photographs, videotape, web pages and audio recordings.

Signature of Parent/Guardian

Printed name of Parent/Guardian

Signature of Youth

Printed Name of Youth

Please fill out and send back to:

Youth Director

Cathedral of Christ the King

299 Colony Blvd.

Lexington, Kentucky 40502

08/07