Name (Optional): Grade:

Bored and tired of having nothing to do and no place to go? If you are in 6th thru 12th grade then WE WANT YOU!
Catholic Youth Ministry is a program that puts into action what you learn in Religious Education and we can show you how to apply those lessons to your everyday life. Survey Instructions: Please answer the questions below and place completed survey in the basket on the piano in the fellowship room or email your answers to Nisa Vera at: nisa_vera@yahoo.com. 1. Are you willing to participate in youth group events? Yes No 2. What are the top three FUN things you would like to do with the youth group (such as Carowinds, Putt-Putt, Bowling, Skating, Six Flags, White Water Rafting?) a. b. c. 3. Check the community service projects you would like to do? o VA Bingo o Golden Harvest Food Bank o VA Christmas Project & Caroling o Spaghetti Supper o Soup Kitchen If you have been confirmed are you willing to serve our faith community as an o Usher o Lector Would you be interested in joining the youth singers for a youth mass once a month? o Singer o Musician What instrument(s)?

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