It takes a Parish!

Please share your thoughts and ideas for our Youth Ministry Program.

First Name

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* 1. First Name

Last Name

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* 2. Last Name

Email

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* 3. Email

Preferred Phone (best to reach you)

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* 4. Preferred Phone (best to reach you)

Address

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* 5. Address

Please indicate your age group

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* 6. Please indicate your age group

If student, please indicate your age

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* 7. If student, please indicate your age

If yes, how many children do you have?

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* 9. If yes, how many children do you have?

If yes, please indicate school ages of your children:

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* 10. If yes, please indicate school ages of your children:

Preferred meeting time for Jr High students

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* 11. Preferred meeting time for Jr High students

If weeknight, which weeknight

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* 12. If weeknight, which weeknight

Preferred meeting time for High School students

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* 13. Preferred meeting time for High School students

If weeknight, which weeknight

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* 14. If weeknight, which weeknight

Would you be willing to be a prayer partner for a teen?

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* 15. Would you be willing to be a prayer partner for a teen?

Would you be willing to be an adult presence at a youth event?

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* 16. Would you be willing to be an adult presence at a youth event?

I would be willing to attend a meeting or activity as a sponsor/adult presence:

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* 17. I would be willing to attend a meeting or activity as a sponsor/adult presence:

Are you Virtus certified?

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* 18. Are you Virtus certified?

Would you be willing and able to transport students to activities?

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* 19. Would you be willing and able to transport students to activities?

What do you think is the most important thing Youth Ministry should offer our young people?

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* 20. What do you think is the most important thing Youth Ministry should offer our young people?

Of the following are possible events and activities, please select those you think would be good for our program:

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* 21. Of the following are possible events and activities, please select those you think would be good for our program:

Please share any other ideas or suggestions.

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* 22. Please share any other ideas or suggestions.

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