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Youth Ministry Year-Long Permission Form (Onsite Programs/Events)

- Faith Formation
  - Adult Faith Formation
    
    Bible Study
    Confirmation Preparation for Adults
    Father's Group
    Faith Sharing Small Groups
    M.O.M.S. Group
    (Ministry of Mother's Sharing)
    Rite of Christian Initiation of Adults (RCIA)
    Women’s Prayer Group
  - Preschool-6th Grade Formation
    
    Catch-Up Catechesis for Children
    K-6 Faith Formation Weekly Program
    1-8 Summer Faith Formation Program 2024
    Sunday Preschool Faith Formation
    Vacation Bible School
  - Youth Ministries (7th-H.S.)
    
    College Ministry
    5th & 6th Graders Youth Bible Study
    Junior High Youth Ministry
    8th Grade Confirmation
    H.S. Youth Ministry, "The Flock"
    
    H.S. Peer Ministry Application 2024-2025 Year
    Youth Ministry Year-Long Permission Form (J.H. & H.S.)
  - Social Action
    
    Earth Shepherds
    Sanctity of Life
  - Information
    
    Education Commission
    Decree on Child Protection (SafeParish™)
    Education & Formation Staff
    Lambtenders
  - Upcoming Programs/Events
    
    Faith Formation Programs Registration for 2024-2025
    Answering Questions about the Catholic Faith with Bishop Joe
Program Information for The Flock, GS H.S. Youth Ministry and J.H. Youth Ministry

Printable copy of the Archdiocese Permission form for J.H & H.S. on campus programs/events for June 1, 2024 to May 31, 2025.
Staff Contact
- Grace Martinez
  
  Coordinator of Youth Ministry
  
  513-489-8815 x737
  grace.curtisgood-shepherd.org

H.S. Flock or J.H. Youth Ministry Permission Form
June 1, 2024 to May 31, 2025
The maximum number of form submissions has been reached. This form is currently not available.
- This is the online H.S. Flock or J.H. Ministry Permission form for June 1, 2024 to May 31, 2025 for our regularly scheduled activities.
  
  This year-long permission form for The Flock” or J.H. Ministry is for our regularly scheduled activities in the timeframe listed. Activities include Sunday meetings, weekday events, Fish Fry-Days, and other supervised activities customarily associated with the youth group, such as city-wide youth events and offsite service opportunities. Please complete and submit the online form below. Thank you!
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Name Please enter valid data.
- Mother's Name Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Home Phone Number Maximum 20 characters Please enter a phone number.
- Dad's Cell Phone Number Maximum 20 characters Please enter a phone number.
- Mom's Cell Phone Number Maximum 20 characters Please enter a phone number.
- Primary Email REQUIRED Please fill out this field. Please enter an email address.
- Are you a registered member of Good Shepherd? REQUIRED Yes No Please fill out this field.
- How many high schoolers would you like to register for our H.S. Flock Youth Ministry? REQUIRED Please fill out this field.
  
  Name of High Schooler 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level (as of fall of 2024) REQUIRED Please fill out this field. Please enter an integer (number).
  
  School District REQUIRED Please fill out this field. Please enter valid data.
  
  Sex
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Transportation Permission
  
  I give permission for my child(ren) to be transported to and from regularly scheduled youth ministry activities by SafeParish-certified adults. I understand that by RSVPing for my child(ren) for a regularly scheduled offsite event, all permissions granted by this form apply to said event.
  
  I have read the Transportation Permission section of this form listed above, and.... REQUIRED Yes, I give permission for transportation as stated above. No, I do not give permission for transportation as stated above. Please fill out this field.
  
  Cell Phone Communication Permission
  
  I give permission for Good Shepherd Youth Ministry to contact my child via cell phone using Flocknote. REQUIRED Yes, I give permission for my child(ren) to be contacted on their cell phone using Flocknote. No, I do not give permission for my child(ren) to be contacted on their cell phone using Flocknote. Please fill out this field.
  
  If you answered "YES" to your child receiving messages on their cell phone via Flocknote, please provide the cell number. Please enter valid data.
  
  Please list allergies (e.g. food, drugs, anesthetics). If this does not apply, please write "NA." REQUIRED Please fill out this field.
  
  Please list medications taken regularly. If this does not apply, please write "NA." REQUIRED Please fill out this field.
  
  Please list any conditions/impairments (e.g. epilepsy, diabetes, asthma). If this does not apply, please write "NA." REQUIRED Please fill out this field.
  
  Name of High Schooler 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level (as of fall of 2024) REQUIRED Please fill out this field. Please enter an integer (number).
  
  School District REQUIRED Please fill out this field. Please enter valid data.
  
  Sex
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Transportation Permission
  
  I give permission for my child(ren) to be transported to and from regularly scheduled youth ministry activities by SafeParish-certified adults. I understand that by RSVPing for my child(ren) for a regularly scheduled offsite event, all permissions granted by this form apply to said event.
  
  I have read the Transportation Permission section of this form listed above, and.... REQUIRED Yes, I give permission for transportation as stated above. No, I do not give permission for transportation as stated above. Please fill out this field.
  
  Cell Phone Communication Permission
  
  I give permission for Good Shepherd Youth Ministry to contact my child via cell phone using Flocknote. REQUIRED Yes, I give permission for my child(ren) to be contacted on their cell phone using Flocknote. No, I do not give permission for my child(ren) to be contacted on their cell phone using Flocknote. Please fill out this field.
  
  If you answered "YES" to your child receiving messages on their cell phone via Flocknote, please provide the cell number. Please enter valid data.
  
  Please list allergies (e.g. food, drugs, anesthetics). If this does not apply, please write "NA." REQUIRED Please fill out this field.
  
  Please list medications taken regularly. If this does not apply, please write "NA." REQUIRED Please fill out this field.
  
  Please list any conditions/impairments (e.g. epilepsy, diabetes, asthma). If this does not apply, please write "NA." REQUIRED Please fill out this field.
  
  Name of High Schooler 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level (as of fall of 2024) REQUIRED Please fill out this field. Please enter an integer (number).
  
  School District REQUIRED Please fill out this field. Please enter valid data.
  
  Sex
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Transportation Permission
  
  I give permission for my child(ren) to be transported to and from regularly scheduled youth ministry activities by SafeParish-certified adults. I understand that by RSVPing for my child(ren) for a regularly scheduled offsite event, all permissions granted by this form apply to said event.
  
  I have read the Transportation Permission section of this form listed above, and.... REQUIRED Yes, I give permission for transportation as stated above. No, I do not give permission for transportation as stated above. Please fill out this field.
  
  Cell Phone Communication Permission
  
  I give permission for Good Shepherd Youth Ministry to contact my child via cell phone using Flocknote. REQUIRED Yes, I give permission for my child(ren) to be contacted on their cell phone using Flocknote. No, I do not give permission for my child(ren) to be contacted on their cell phone using Flocknote. Please fill out this field.
  
  If you answered "YES" to your child receiving messages on their cell phone via Flocknote, please provide the cell number. Please enter valid data.
  
  Please list allergies (e.g. food, drugs, anesthetics). If this does not apply, please write "NA." REQUIRED Please fill out this field.
  
  Please list medications taken regularly. If this does not apply, please write "NA." REQUIRED Please fill out this field.
  
  Please list any conditions/impairments (e.g. epilepsy, diabetes, asthma). If this does not apply, please write "NA." REQUIRED Please fill out this field.
  
  Name of High Schooler 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level (as of fall of 2024) REQUIRED Please fill out this field. Please enter an integer (number).
  
  School District REQUIRED Please fill out this field. Please enter valid data.
  
  Sex
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Transportation Permission
  
  I give permission for my child(ren) to be transported to and from regularly scheduled youth ministry activities by SafeParish-certified adults. I understand that by RSVPing for my child(ren) for a regularly scheduled offsite event, all permissions granted by this form apply to said event.
  
  I have read the Transportation Permission section of this form listed above, and.... REQUIRED Yes, I give permission for transportation as stated above. No, I do not give permission for transportation as stated above. Please fill out this field.
  
  Cell Phone Communication Permission
  
  I give permission for Good Shepherd Youth Ministry to contact my child via cell phone using Flocknote. REQUIRED Yes, I give permission for my child(ren) to be contacted on their cell phone using Flocknote. No, I do not give permission for my child(ren) to be contacted on their cell phone using Flocknote. Please fill out this field.
  
  If you answered "YES" to your child receiving messages on their cell phone via Flocknote, please provide the cell number. Please enter valid data.
  
  Please list allergies (e.g. food, drugs, anesthetics). If this does not apply, please write "NA." REQUIRED Please fill out this field.
  
  Please list medications taken regularly. If this does not apply, please write "NA." REQUIRED Please fill out this field.
  
  Please list any conditions/impairments (e.g. epilepsy, diabetes, asthma). If this does not apply, please write "NA." REQUIRED Please fill out this field.
- FAMILY DOCTOR
- What is the name of your family doctor? REQUIRED Please fill out this field. Please enter valid data.
- Phone number for your family doctor. REQUIRED Please fill out this field. Please enter valid data.
- #1 EMERGENCY CONTACT
- List Emergency Contact (other than parents).
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Relationship Please enter valid data.
- Phone Number Maximum 20 characters Please enter a phone number.
- #2 EMERGENCY CONTACT
- List Emergency Contact (other than parents).
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Relationship Please enter valid data.
- Phone Number Maximum 20 characters Please enter a phone number.
- ARCHDIOCESE OF CINCINNATI YOUTH
  PERMISSION FORM FOR THE H.S. FLOCK OR J.H. YOUTH MINISTRY FOR REGULARY SCHEDULED ACTIVITIES IN THE TIMEFRAME LISTED FOR EACH EVENT/PROGRAM.
  For June 1, 2024 to May 31, 2025
  
  Please download, read and retain the Archdiocese of Cincinnati Permission, Release and Authorization to Seek Medical Treatment form ►
- I have read and agree to the Archdiocese of Cincinnati Permission, Release and Authorization to Seek Medical Treatment form that has been provided in the block above. REQUIRED Yes No Please fill out this field.
- PHOTO PERMISSION
  I understand that Good Shepherd’s Faith Formation staff may take photos and videos during activities for the purpose of promoting the programs via our website, Sunday bulletin, parish social media page (for example, Facebook, Twitter, Instagram), or news releases to local or diocesan papers. I give my permission for pictures that are taken of my family, adults and children, to be used for this purpose.
- I have read and agree to the Photo Permission statement listed above. REQUIRED Yes No Please fill out this field.
- Please be aware that we will continue to follow the guidelines of the Archdiocese of Cincinnati regarding social distancing and other precautions due to the COVID-19 pandemic. We appreciate your patience and flexibility in the event changes in the pandemic leads to restructuring of program dates and classroom capacities.
- I have read and understand that we are following all Archdiocesan Guidelines related to the pandemic, and if changes occur with the pandemic we will adjust accordingly. REQUIRED Yes, I have read and agree to the statement above regarding the pandemic. Please fill out this field.
- By clicking on the "I Agree" box, it will serve as your digital signature for this submission.
  I Agree Please select this field.
- If you would like to share any additional information, please do so in the box below.
- Name of Custodial Parent/Legal Guardian REQUIRED Please fill out this field. Please enter valid data.
- Please type your initials below. REQUIRED Please fill out this field. Please enter valid data.
- Today's Date REQUIRED Please fill out this field. Please enter a date.
Submit

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Gathering In Faith, Sharing In Hope, Growing In Love

AddressThe Good Shepherd
8815 East Kemper Road
Cincinnati OH 45249

Our Parish Parish Office/Emergency: (513) 489-8815
Fax: (513) 489-8521
Email: [email protected]

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