Youth Ministry Peer Leader Form

Please complete the form below. Required fields marked with an asterisk *

Youth Information

Youth First Name*

Answer required for "Youth First Name"

Youth Last Name*

Answer required for "Youth Last Name"

Youth Email*

Answer required for "Youth Email"

Youth Cell Phone*

Number Required

Address

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Date of Birth*

Answer required for "Date of Birth"

Parent Contact Information

Parent First Name*

Answer required for "Parent First Name"

Parent Last Name*

Answer required for "Parent Last Name"

Parent Email*

Answer required for "Parent Email"

Parent Cell Phone*

Number Required

Questionairre

Why do you want to be a peer leader? *

Answer required for "Why do you want to be a peer leader? "

Why do you think you would make a good peer leader?*

Answer required for "Why do you think you would make a good peer leader?"

What areas do you feel comfortable leading in? Please select at least three.*

Answer required for "What areas do you feel comfortable leading in? Please select at least three."

Small Group Leadership

Retreat Staff

Food Ministry

Decorating

Games

Social Media Team

Fundraising

Tech/AV

Do you already participate in liturgical ministry? *

Answer required for "Do you already participate in liturgical ministry? "

Yes

Which ministry are you participating in or interested in joining?*

Answer required for "Which ministry are you participating in or interested in joining?"

Altar Serving

Lector

Usher

Music Slides

Music Ministry

Usher

Peer Leader Expectations

Please note that by joining this group, you are joining a leadership team and taking on a leadership role. This is an honor and a responsibility. There are certain expectations that you must fulfill as part of this team. These expectations are not meant to be burdensome,they're designed to help us work together effectively and to support your growth as a disciple and a leader.

Here's a quick overview of the basic expectations of the teens:

• Be at church every Sunday by 4:30 PM to greet before Mass (4:00 PM on youth night Sundays)

• Attend the 5:00 PM Mass every Sunday

• Greet people and make others feel welcome

• Communicate directly with Amanda if you cannot attend something

• Commit to the full year through May 2027

• Attend the September retreat

• Invite others to Mass and help build our community

*Retreat leadership roles are contingent upon regular attendance at Sunday youth Mass and events, plus attendance at all retreat-related training meetings.

Parental Involvement and Support

As a parent of a peer leader, we ask that you remain actively involved and engaged in your teen's leadership journey. This includes being available to occasionally help at youth events, providing transportation when needed, and offering your consistent support and encouragement as your teen grows in their role as a leader. Your involvement and presence matter greatly to your teen's success and to the overall health of our youth ministry community.

Parent/Guardian Commitment

By signing below, I understand and commit to supporting my teen's peer leadership role.

I, the undersigned below, request that my child be permitted to participate in the above activity. I am not aware of any physical or medical condition my child has that would prevent my child from participating fully in this activity. My son/daughter has the following medical needs, allergies or dietary restrictions:*

Answer required for "I, the undersigned below, request that my child be permitted to participate in the above activity. I am not aware of any physical or medical condition my child has that would prevent my child from participating fully in this activity. My son/daughter has the following medical needs, allergies or dietary restrictions:"

If my child needs to take medication while participating in this activity, I hereby give my child permission to and, if my child cannot self-administer, I give permission to the responsible staff members or chaperones to administer or to assist in the administration of my child’s medication. I also give permission to the responsible staff members, chaperones, medical practitioners and medical facilities to use their judgement in obtaining and providing medical treatment for my child should it become necessary to do so. I understand that health insurance benefits through St. Dorothy and the Archdiocese of Los Angeles, if any, may have limited application, and that I am entirely responsible for the cost of all medical treatment provided to my child. I agree to reimburse the location for the cost of any medical treatment and related expense incurred.

Release of Liability: As a condition of participating in this activity, I hereby hold harmless, release and discharge The Roman Catholic Archbishop of Los Angeles, a corporation sole, Archdiocese of Los Angeles Education & Welfare Corporation and the Location, their respective agents and employees and any parent/volunteer/chaperone, from any and all liability, loss or claims for personal injuries, wrongful death or property damage that I or my child may suffer as a result of participation in the activity described above.

Authorization And Release To Use Likeness:

I further grant the Released Parties the right to photograph and/or video or audiotape my child and further to display, use and/or otherwise exploit my child’s name, face, likeness, voice, and appearance forever and throughout the world, in all media, whether now known or hereafter devised (including, without limitation, in online web casts, television, motion pictures, films, newspapers, and magazines) and in all forms including, without limitation, digitized images, whether for advertising, publicity, or promotional purposes, including, without limitation, publication of Activity results and standings, without compensation, reservation or limitation.

Alternate Emergency Contact Information (if a parent cannot be reached)

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Phone*

Number Required

Relationship To The Teen*

Answer required for "Relationship To The Teen"

Parent/Guardian Signature*

Signature Required

Please fix the highlighted areas below before submitting.

Youth Ministry Peer Leader Form