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Family RReeggiisstteerreedd Other Parish (Name) _______________________

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PARENT ONE _____________________________________________________________ Cell# __________________ (Primary Contact) Last First

Email __________________________________________________ Relationship to Teen ________________________

___________________________________________________________________________________________________ Home Address: City Zip Additional Phone

PARENT TWO _____________________________________________________________ Cell#___________________ (Secondary Contact) Last First

Email ________________________________________________ Relationship to Teen__________________________

___________________________________________________________________________________________________ Home Address if different than above: City Zip Additional Phone _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

AUTHORIZATION for EMERGENCY MEDICAL ATTENTION FOR CHILD(REN)

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Print Parent Name ___________________________ Parent Signature _________________________ Date________

Additional Emergency Contact for Teen - (Other Than Parent)

Name __________________________________________________________________________________________________________ Relationship ____________________________

Contact Phone #________________________________________________________________

C.R.E.W. – PARENT SUPPORT OPPORTUNITIES!!!Seton CREW needs YOU!!! There are several areas where support is needed.

Please fill in the information below. Seton FF Staff will contact you. Thank you!!!

As with all Seton ministry volunteer opportunities, we will provide training and Safe Environment clearing process for you.

❑ Adult Mentor for CREW: Help CREW Council Teens facilitate Small Groups – coaching and possibly facilitating

❑ Need more information about the Adult Mentor role in CREW

❑ Resource Aide: Help during CREW session - in the office or as “Cleared” 2nd adult - weekly, or monthly shift

❑ Hall Monitor: Help during CREW session – to help monitor hallway/exits during sessions - weekly, or monthly shift

❑Ministry of Munchies: help plan, set up and clean up food for C.R.E.W. nights – weekly on a rotating schedule

Name: ___________________________________ E-mail (if different from above)_______________________________________

IMPORTANT! You must DOWNLOAD and SAVE the form to your device BEFORE YOU FILL IT OUT

C.R.E.W. Teen Information – PLEASE PRINT

______________________________________________________________________________________________________________

Teen Last Name First Name Middle Name Date of Birth Sex: M/F

Grade-Fall of 2021 _____ School___________________________________ Friend Request Name (One)-____________________

Check correct box: ❑ Baptized Catholic ❑ Not Baptized ❑ Baptized Other Faith tradition__________________________

Check if received: ❑ Eucharist (1st Communion) ❑ Confirmation

Previous Faith Formation: ❑ None ❑ Catholic School ❑ Parish Program Last Grade Level & Year of CREW or FF:________

Text & Email reminders may be sent to my teen on their cell phone at:

Youth Cell Number ______________________________ Youth E-Mail _________________________________________________

The email addresses and cell numbers listed may be used for communication with myself and/or my son/daughter regarding Seton YM/CREW activities

Does this teen have any medical conditions, physical disabilities or learning differences? Please disclose:______________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Teen Last Name First Name Middle Name Date of Birth Sex: M/F

Grade-Fall of 2021 _____ School___________________________________ Friend Request Name (One)-____________________

Check correct box: ❑ Baptized Catholic ❑ Not Baptized ❑ Baptized Other Faith tradition__________________________

Check if received: ❑ Eucharist (1st Communion) ❑ Confirmation

Previous Faith Formation: ❑ None ❑ Catholic School ❑ Parish Program Last Grade Level & Year of CREW or FF:________

Text & Email reminders may be sent to my teen on their cell phone at:

Youth Cell Number ______________________________ Youth E-Mail _________________________________________________

The email addresses and cell numbers listed may be used for communication with myself and/or my son/daughter regarding Seton YM/CREW activities

Does this teen have any medical conditions, physical disabilities or learning differences? Please disclose:______________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Teen Last Name First Name Middle Name Date of Birth Sex: M/F

Grade-Fall of 2021 _____ School___________________________________ Friend Request Name (One)-____________________

Check correct box: ❑ Baptized Catholic ❑ Not Baptized ❑ Baptized Other Faith tradition__________________________

Check if received: ❑ Eucharist (1st Communion) ❑ Confirmation

Previous Faith Formation: ❑ None ❑ Catholic School ❑ Parish Program Last Grade Level & Year of CREW of FF:______

Text & Email reminders may be sent to my teen on their cell phone at:

Youth Cell Number ______________________________ Youth E-Mail _________________________________________________

The email addresses and cell numbers listed may be used for communication with myself and/or my son/daughter regarding Seton YM/CREW activities

Does this teen have any medical conditions, physical disabilities or learning differences? Please disclose:______________________

______________________________________________________________________________________________________________

9th ~12th grade Session Time is Sunday, 6:15~7:45pm

Questions: contact Beth Ann Apt bapt@eseton.org 972-398-54005 x4288

Use the buttons to SAVE the COMPLETED FORM and then either EMAIL it to bapt@eseton.org, FAX it to 972-985-0431 or MAIL IT TO: Seton Faith Formation Center, 3100 W Spring Creek Pkwy, Plano, TX 75023 attn: Beth Ann Apt