CYO Registration – St. Luke Catholic Church

REGISTRATION INSTRUCTIONS: You will need to complete 2 forms of registration in order to participate in CYO at St. Luke (1) a Parish Registration Form and (2) the SportsPilot registration. The Parish form is the permission form that authorizes participation and SportsPilot puts you on the team. If you don’t complete both forms, you will be unable to participate – we will try to review all submissions to make sure nobody has incomplete registration, but it’s hard to keep track of so please be sure to complete both forms. If you have any questions or issues with registering, reach out to us at CYO@saintlukemclean.org and we will try to get back to you ASAP.

* Please fill out the Parish Registration Form below and then you will be prompted with a link to the SportsPilot registration upon submitting the form.

** Reach out to Benj Emrich (bemrich@saintlukemclean.org) if you would like to help volunteer as a coach.

*** Please understand that there are minimum participant and coach requirements to be able to host a team. For example, each basketball team requires at least 8 youth participants, 1 head coach, and 1 assistant coach. If a particular grade / team is unable to meet those requirements then we will be unable to offer a team, and we will get in touch with you a few weeks into when registration opens to let you know if there’s any issues.

(STEP 1) CYO Parish Registration Form

Teen's Name

First

Last

Date of Birth

Address

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone #

Grade for 2026-27 Academic Year

School for 2026-27 Academic Year

Agreement Legal Contact

To be eligible to play, you must be either a registered SLCS student or enrolled in the Parish Religious Education program. Please check which box applies to the registering youth:

SLCS Student
Enrolled in St. Luke Religious Education

Known Allergies, Allergies to Medication(s), or Medical Conditions that May Affect Your Ability to Participate

Parent / Legal Guardian #1 Name

First

Last

Parent / Legal Guardian #1 Address

Parent / Legal Guardian #1 Phone

Parent / Legal Guardian #1 Email

Parent / Legal Guardian #2 Name

First

Last

Parent / Legal Guardian #2 Address

Parent / Legal Guardian #2 Phone

Parent / Legal Guardian #2 Email

Emergency Contact #1 Name, Relationship, & Phone Number

Emergency Contact #2 Name, Relationship, & Phone Number

Parent Permission Agreement

As parent/legal guardian of the youth named on this form, I give my permission to participate fully in St. Luke's CYO Sports program from Oct. 1 2026 to Jun. 30, 2027 for games and practice times as scheduled per team. I agree to indemnify and hereby release the Most Reverend Michael F. Burbidge Bishop of the Catholic Diocese of Arlington and his successors in office, as well as the Catholic Diocese of Arlington and all Diocesan clergy, employees, volunteers, and participating parishes and schools from any and all liability, claims, demands for personal injury, sickness and death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned of the participant resulting from said participant’s involvement in the above mentioned event (including transportation to and from the event). Furthermore, I on behalf of the participant hereby assume all risk of personal injury, sickness, death, damage, and expenses resulting from said participant’s involvement in the above described event.

Informed Consent to Medical Treatment

I request that in my absence the above-named minor be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff, duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the above minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named minor. I assume full responsibility for all costs of such treatment. Further, should it be necessary for the participant to return home due to medical, disciplinary, or other reasons, I do hereby assume responsibility for the participant’s transportation home and any costs related thereto.

Photo, Press, Audio, and Electronic Media Release

I authorize the Catholic Diocese of Arlington, its parishes, its schools and/or the Arlington Catholic Herald to use and publish my child’s photograph, video and/or audio recording along with their name identifying them for educational, news stories, illustration and/or marketing purposes. Use of electronic communication: I authorize St. Luke’s Youth Ministry and its Volunteers to communicate with the participant through the following electronic means: phone call, email, text messaging, Facebook, and Instagram. This permission is granted with the understanding that communication will take place at reasonable times and in limited durations. Parents/guardians who do not wish to grant this permission should notify St. Luke’s Office of Youth Ministry in writing.

Code of Conduct

All players are required to abide by the CYO Code of Conduct in order to ensure that we are maintaining a positive and encouraging environment at all times. Please review the Code of Conduct document linked below. By checking this box you are indicating that you (the youth participant & parents / legal guardian) have read and agree to abide by the CYO Code of Conduct.

CYO Codes of Conduct

Acknowledgment

I understand and hereby agree to the terms and conditions of the participant’s involvement in the above described event and I freely execute this Acknowledgement with full knowledge of its content.

Parent / Legal Guardian Signature

Clear Signature

SAINT LUKE
CATHOLIC
CHURCH

(STEP 1) CYO Parish Registration Form

CYO Codes of Conduct

SAINT LUKE
CATHOLIC
CHURCH

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(STEP 1) CYO Parish Registration Form

CYO Codes of Conduct

SAINT LUKE CATHOLIC CHURCH

Quick Links

Visit Us

Call Us

Follow Us

SAINT LUKE
CATHOLIC
CHURCH