Senior High School Youth Group Registration

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First and Last name *

Age

Name of High School *

Grade *

Freshman

Sophomore

Junior

Senior

Other:

Birthday *

YYYY

Address *

Phone Number *

Email *

Name of Parents/Guardians *

Parents/Guardians Emails *

Parents/Guardians Phone Numbers
*

Medical Needs/Concerns, Allergies, ETC (if none please state N/A) *

Emergency Contact and Relationship *

Catholic? Yes/No
*

Yes

Sacraments Received *

Baptism

First Communion

Confirmation

Required

Any Hobbies, Sports, Talents, Interests, Extracurricular Activities?
*

What youth Ministry Activities interest you? (I.e. big parish-wide events, Boo Bash, Service Projects, Retreats)
*

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