The Roman Catholic Archdiocese of
Cebu
OUR LADY OF THE VISITATION
PARISH
PARISH YOUTH
COORDINATING COUNCIL
Bagay, Daanbantayan, Cebu
2nd PARISH YOUTH DAY 2025
Theme: “Anchored in Christ, Journeying with Hope”
Our Lady of the Visitation Parish, Bagay, Daanbantayan, Cebu
IRF
Individual
July 26 – 27, 2025 Registration
Form
A. ORIGIN
Chapel: ____________________________________________________________
Chapel Address: _____________________________________________________
Chapel Leader: _______________________________________ Contact Number:
_____________________
B. PERSONAL DETAILS
Name: _____________________________________________________ Nickname:
____________________
Last Name First Name M.I.
Age: ______ Gender: ___________ Mobile Number: __________________ T – Shirt Size:
_______________
Home Address:
____________________________________________________________________________
C. CONTACT PERSON (IN CASE OF EMERGENCY)
Full Name Relationship Contact Number
D. HEALTH DECLARATION
D1. Have you ever suffered from any allergy? (e.g. medicine, Yes
food, etc.) No
If yes, provide details:
D2. Are you on regular medication? Yes
No
If yes, provide details of medicine/s:
E. WAIVER AND CONSENT
I, ___________________________________, parent/guardian of
____________________________________, hereby give permission for my child to attend
and participate in the 2nd Parish Youth Day organized by Our Lady of the
Visitation Parish Youth Coordinating Council.
I understand that safety measures will be observed throughout the event. I
acknowledge and agree that I will not hold the church, its leaders, volunteers, or
representatives liable for any accident, injury, or loss that may occur during the
said activities.
I allow my child to participate.
I do not allow my child to participate.
Signature of Parent/Guardian:
________________________________________________________________
Contact Number: _________________________________________ Date:
__________________________
F. ATTESTATION BY DELEGATION HEAD
Full Name of Delegation Head Signature Date