| St. Patrick Catholic Church

|||

Facebook Phone YouTube Email Flocknote

SUmmer programming

Summer 2021 will have Youth In Action (YNIA) for High School and Youth In Action (YIA) for Middle School

Youth In Action is our summer service and fun program for all students who have finished grades 5 through 8. This will be August 9th through the 13th from 9 am to 3 pm. We will spend the morning in various service projects around the parish. Bring a bag lunch every day. Cost is $100 for Tshirts, supplies, drinks and snacks.

.YNIA (Young Neighbors in Action) theme this year is "Pay It Forward". While we are still able to travel due the pandemic, we will be based at St. Patrick's and working in the local community. Our community has served us well over the years and this is our chance to pay it forward. Our mission will be Saturday June 26th through Thursday July 1st. The cost of the week is $275, $50 is due to reserve your spot.

After submitting the applications, you can return to the Summer Teen Programming Page (this page) and use the Online Giving button to make any required payments.
The maximum number of form submissions has been reached. This form is currently not available.
- Student Application
  
  Thank you for applying for our summer programming! We are pleased to offer programming for all ages Pre-School through 12th grade. Please fill out the applications and indicate which program you are signing up for.
- Student:
- Name as appears on license (if applicable): REQUIRED Please fill out this field. Please enter valid data.
- Cell Phone Number: REQUIRED Please fill out this field. Please enter valid data.
- Email Address: REQUIRED Please fill out this field. Please enter valid data.
- School: REQUIRED Please fill out this field. Please enter valid data.
- Grade you will be entering in the fall of 2021: REQUIRED Please fill out this field. Please enter valid data.
- Please list all food allergies or special dietary needs (vegetarians, vegans, etc.) as well as medical allergies and/or conditions of which we should be aware: REQUIRED Please fill out this field. Please enter valid data.
- Medical Conditions REQUIRED Please fill out this field. Please enter valid data.
- Physician Name REQUIRED Please fill out this field. Please enter valid data.
- Physician Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Insurance Company REQUIRED Please fill out this field. Please enter valid data.
- Insurance ID Number Please enter valid data.
- Parents
- Mother's Name: REQUIRED Please fill out this field. Please enter valid data.
- Mother's Cell: REQUIRED Please fill out this field. Please enter valid data.
- Father's Name: REQUIRED Please fill out this field. Please enter valid data.
- Father's Cell: REQUIRED Please fill out this field. Please enter valid data.
- Email Address: REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact and Phone Number: REQUIRED Please fill out this field. Please enter valid data.
- T-shirt size REQUIRED Please fill out this field.
- Please check what you are registering your child for: REQUIRED YNIA Youth in Action Please fill out this field.
- Payment options Pay electronically Send check in mail
- Submit Application
  
  By submitting this application, I understand the responsibilities and participation requirements involved in the St. Patrick’s Parish summer teen programming (i.e. YNIA and/or Steubenville East and/or WYD.)
  
  After submitting the application, you can return to the Summer Teen Programming Page to make any required payments electronically using the Online Giving button.
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.