Life Teen – St. Luke Catholic Church

Life Teen is a weekly gathering of high school youth, grades 9-12. Each night will feature delicious free food, fun games, a chance to develop new friendships in faith, and an opportunity to encounter Christ in a new way.

We meet on Sundays throughout the 2026-27 school year from 6:15-8:15pm in the Youth Room at St. Luke School (7005 Georgetown Pk. Mclean, VA). All high school teens are welcome to attend!

Please consider helping us offset some of the cost of our Life Teen program by providing the (optional) registration fee of $80. This greatly helps us to address some of the costs associated with running the program – more details at the bottom of the page!

*Don’t forget to join our Flocknote messaging system to get communications on upcoming Life Teen dates and other high school events! Click / tap here to sign up, it’s totally free.

Registration for Life Teen

This form is for registration in the Life Teen program at St. Luke Catholic Church which meets Sunday evenings from 6:15-8:15pm throughout the the 2026-27 year (August 2026-August 2027). Please fill out the following form and submit. All information will be received by St. Luke Youth Ministry staff and will be kept in our databases. If you are able, please consider paying the optional $80.00 registration cost per-participant by check or electronic payment. If you wish to do payment online, please see the bottom of this page for details. The registration cost is not required, but it greatly helps our ability to continue providing quality ministry at St. Luke Catholic Church. Thank you!

*Non registered St. Luke Parishioners, please pay via check.

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

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

Parent / Legal Guardian #1 Name

First

Last

Legal Parent Phone

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 LIFE TEEN program from Aug. 23, 2026 - Aug. 31, 2027 on Sundays from 6:15-8:15pm as scheduled. 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.

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

Online Payment

Follow the link below to pay the optional $80.00 registration fee online via ParishSOFT. This is an optional fee that greatly helps us offset the cost of the semester of Life Teen. All payments go directly to offsetting the cost of Life Teen and will not be used for any other purposes. When submitting the payment, please choose the Youth Ministry Registration option. If you are unable to make the payment, please know that you are always welcome to attend free of charge. If you have any questions, please contact me at bemrich@saintlukemclean.org or at (703) 356-3092. Thank you!

*Non St. Luke registered parishioners please pay via check made out to “St. Luke Catholic Church”

SAINT LUKE
CATHOLIC
CHURCH

SAINT LUKE
CATHOLIC
CHURCH

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SAINT LUKE CATHOLIC CHURCH

Quick Links

Visit Us

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SAINT LUKE
CATHOLIC
CHURCH