2021-2022 St. John Vianney Catholic Church Youth Ministry

YDisciple is open to all teenagers in Grades 9-12.

Father's Information:

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

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

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.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Mother's Information:

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

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

Address (If different from above) Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Student Information:

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

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

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email Please enter an email address.

Gender REQUIRED Please fill out this field.

Birthdate: REQUIRED Please fill out this field. Please enter valid data.

Please select which Roman Catholic Sacraments your student has received. REQUIRED Baptism Reconciliation Holy Communion Confirmation Please fill out this field.

Please provide any additional information that would be helpful for us to know about your student. This will be kept confidential within YDisciple leadership.

Media and SJV Web Page Release:

We believe that both the youth and the Parish benefit from positive recognition. There may be occasions for media coverage including your student throughout the year, through shared video or pictures.

This could include, but not be limited to:
Public Media: Newspaper, TV, Catholic Moment, other public media
Church Media: Bulletin Boards, Parish Videos, Newsletters, other church media
Web Based Media: Parish Web site, Other related ministry and religious web sites, social meda
By checking the box "I agree", below you are indicating your permission and consent.

I Agree Please select this field.

Safe Environment Committment

The Diocese of Lafayette-in-Indiana, as well as St. John Vianney Catholic Church, is committed to protecting our young people. We require all staff and adult volunteers to have a current background check on file, and to be certified in our diocesan provided, and mandated, Safe and Sacred Training program. Please contact the parish office at 485-0150, for more details on how to receive the training, or check to see if yours is still current (valid for three years).

How would you like to volunteer? Mentor for Small Groups (training provided) ADOREUMUS Nights (Food for Social Events) ADOREUMUS Nights (Set Up for Social Events) Youth Retreat Committee Outreach Day Committee

St. John Vianney
Catholic Church, Fishers, IN

A Pastorate of the Diocese of Lafayette-in-Indiana

YDisciple Online Registration Form

2021-2022 St. John Vianney Catholic Church Youth Ministry

Father's Information:

Mother's Information:

Student Information:

Media and SJV Web Page Release:

Safe Environment Committment