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High School Youth Ministry Registration 2018/2019
Please note that you only need to fill out one form per family
Email address *
Family Last Name
Your answer
Street Address
Your answer
Child's Name Child's Name (please include M/F & grade entering this school year for each child you are registering...example John (M) 12th, Mary (F) 9th) *
Your answer
Has your child received the Sacrament of Confirmation? *
Please identify any health issues, allergies, medical issues, etc. *
Your answer
Mother and Father Names
Your answer
Cell Phone Number
Your answer
Email Address
Your answer
Do you allow Our Lady of Grace to photograph your child? These pictures may be used in publications, or on social media. No identifying information will be used. *
Are you interested in preparing our dinner once a month, or helping with carpooling to events happening away from Our Lady of Grace? *
A copy of your responses will be emailed to the address you provided.
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