MINISTRY FOR YOUTH AFFAIRS

10TH VICARIATE YOUTH DAY

October 26-28, 2018|San Antonio De Padua Parish, Marikina City
“Give thanks to the Lord, for He is Good. His love endures forever” (Psalm 136:1)
GROUP REGISTRATION FORM

Parish/Organization/School:
PYM Coordinator/Organization Head/School Head:

Name Nickname Age Gender Contact Number

GROUP LEADER (GL)
1.
ASSISTANT GROUP LEADER (AGL)
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Recommended by:

PYM Coordinator/School Leader/Organization Head

Name and Signature

Endorsed by:

Parish Priest/School Head/ Spiritual Director

Name and Signature
 MINISTRY FOR YOUTH AFFAIRS
10TH VICARIATE YOUTH DAY
October 26-28, 2018|San Antonio De Padua Parish, Marikina City
“Give thanks to the Lord, for He is Good. His love endures forever” (Psalm 136:1)
GROUP REGISTRATION FORM

*Please fill out this form completely. Avoid leaving blank spaces.

Full Name (First, Middle, Last): Nick Name: Shirt Size:

Parish/Organization/School:
Birthdate: Age: Gender: Mobile Number:
Any Sickness or allergies that require special medication/treatment: (e.g asthma, heart ailment, etc)

First time to attend VYD? YES NO

If No, How many times? Year and Host Parishes:

PARISH/ORGANIZATION/SCHOOL INVOLVEMENT

Ministry/Organization Designation/Position Years of Service/Involvement

AGREEMENT

“I hereby certify that the above information is true and correct. I also understand and agree with the rules and
regulations of being a VYD delegate. Should I fail to abide, the Vicariate Ministry for Youth Affairs staff, directors
and volunteers will not be responsible for the consequences of my actions.

Name and Signature of Delegate Date

Recommended by:

PYM Coordinator/School Leader/Organization Head

Name and Signature

Endorsed by:

Parish Priest/School Head/ Spiritual Director

Name and Signature