CYM Registration

Youth Information

Number of Youth Registering REQUIRED Please fill out this field.
Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade Level (2024-2025) REQUIRED Please fill out this field.
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Youth's Email (If Applicable) Please enter an email address.
- Youth's Cell Phone Number (If Applicable) Maximum 20 characters Please enter a phone number.
- Indicate whether you authorize this youth to receive communications from St. Anne Youth Ministry via the GroupMe App. REQUIRED Please fill out this field.
- Does this student have any allergies or special needs? REQUIRED Yes (please list in comments below) No Please fill out this field.
- Comments
Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade Level (2024-2025) REQUIRED Please fill out this field.
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Youth's Email (If Applicable) Please enter an email address.
- Youth's Cell Phone Number (If Applicable) Maximum 20 characters Please enter a phone number.
- Indicate whether you authorize this youth to receive communications from St. Anne Youth Ministry via the GroupMe App. REQUIRED Please fill out this field.
- Does this student have any allergies or special needs? REQUIRED Yes (please list in comments below) No Please fill out this field.
- Comments
Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade Level (2024-2025) REQUIRED Please fill out this field.
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Youth's Email (If Applicable) Please enter an email address.
- Youth's Cell Phone Number (If Applicable) Maximum 20 characters Please enter a phone number.
- Indicate whether you authorize this youth to receive communications from St. Anne Youth Ministry via the GroupMe App. REQUIRED Please fill out this field.
- Does this student have any allergies or special needs? REQUIRED Yes (please list in comments below) No Please fill out this field.
- Comments
Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade Level (2024-2025) REQUIRED Please fill out this field.
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Youth's Email (If Applicable) Please enter an email address.
- Youth's Cell Phone Number (If Applicable) Maximum 20 characters Please enter a phone number.
- Indicate whether you authorize this youth to receive communications from St. Anne Youth Ministry via the GroupMe App. REQUIRED Please fill out this field.
- Does this student have any allergies or special needs? REQUIRED Yes (please list in comments below) No Please fill out this field.
- Comments
Youth 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade Level (2024-2025) REQUIRED Please fill out this field.
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Youth's Email (If Applicable) Please enter an email address.
- Youth's Cell Phone Number (If Applicable) Maximum 20 characters Please enter a phone number.
- Indicate whether you authorize this youth to receive communications from St. Anne Youth Ministry via the GroupMe App. REQUIRED Please fill out this field.
- Does this student have any allergies or special needs? REQUIRED Yes (please list in comments below) No Please fill out this field.
- Comments
Youth 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade Level (2024-2025) REQUIRED Please fill out this field.
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Youth's Email (If Applicable) Please enter an email address.
- Youth's Cell Phone Number (If Applicable) Maximum 20 characters Please enter a phone number.
- Indicate whether you authorize this youth to receive communications from St. Anne Youth Ministry via the GroupMe App. REQUIRED Please fill out this field.
- Does this student have any allergies or special needs? REQUIRED Yes (please list in comments below) No Please fill out this field.
- Comments
Youth 7
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade Level (2024-2025) REQUIRED Please fill out this field.
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Youth's Email (If Applicable) Please enter an email address.
- Youth's Cell Phone Number (If Applicable) Maximum 20 characters Please enter a phone number.
- Indicate whether you authorize this youth to receive communications from St. Anne Youth Ministry via the GroupMe App. REQUIRED Please fill out this field.
- Does this student have any allergies or special needs? REQUIRED Yes (please list in comments below) No Please fill out this field.
- Comments

Indicate Activities That Most Interest Your Youth REQUIRED Faith: Adoration, Prayer Groups, Bible Study Fellowship: Games, Music, Fun Activities Service: Work Projects, Community/Church Service Trips: Pilgrimages, Retreats, Conferences Please fill out this field.

Other Activity Interests or Suggestions

Parent / Guardian Information

Parents / Guardians REQUIRED Please fill out this field.
Parent / Guardian 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Indicate whether this parent/guardian would like to receive communication from St. Anne Youth Ministry via the GroupMe App. REQUIRED Please fill out this field.
Parent / Guardian 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Indicate whether this parent/guardian would like to receive communication from St. Anne Youth Ministry via the GroupMe App. REQUIRED Please fill out this field.

Emergency Contact Information

Emergency Contact (Other than Parent/Guardian)

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

CYM Program Code of Conduct and Expectations

I/we, the parent(s) or guardian(s) listed above, grant permission for the youth named above to participate in the St. Anne Youth Ministry.

I/we understand that CYM events will take place under the supervision and direction of parish staff and/or volunteers from the parish and/or Diocese of Savannah.

I/we agree to support and participate in all communications relating to the weekly events.

I/we understand that events will be posted to the website (www.stannerh.org/cym), to St. Anne GroupMe, and/or in the weekly bulletin, and I grant permission for my child to attend.

I/we have reviewed the St Anne CYM Code of Conduct (linked here) with our youth and agree to abide by it during all St. Anne Youth Ministry activities.

ACKNOWLEDGE REQUIRED AGREE Please fill out this field.

Payment Information

Payment is due at time of registration.

An annual fee of $50/youth will be used to cover the cost of materials and food for weekly CYM program events. Additional costs may be required from special events such as retreats, conferences and trips.

Scholarships and payment plans are available. No family will be turned away due to financial circumstances. Please email stannescym@gmail.com discuss options that are availble to your family.

Saint Anne
Catholic Church

Richmond Hill, Georgia

CYM Registration

2024 - 2025 CYM Registration Form