Young LINKS Program Registration
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Email *
What Parish are you a member of? *
YOUNG LINKS PROGRAM
Stay LINKED in, as you begin your Mission!

Join Us as we EXLORE New Ways to
Stay Connected

Life After Confirmation
Prepare yourself for Life's Mission

Open to HS Seniors, and College Students,

Our Mission is to keep those recently Confirmed going off to Colleges. We will meet a few times throughout the year, especially during breaks.
Last Name of High School or College Student *
First Name of High School or College Student *
Student's Phone Number *
Is the above phone number a Landline or Cell ? *
Current Grade (2021-2022 School Year) *
Name of High School or College currently Enrolled In (Must be enrolled to participate) *
Address of High School or College (Optional)
Are you over 18 years of Age? *
Date of Birth *
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If you are under 18 years of Age, you are required to have your parent/guardian permission to participate, have you discussed this with your parent/guarding? *
Full Name of parent / Guardian, if you are Over 18, simply put your name *
Phone Number of Parent/Guardian, if you are Over 18, simply put your phone number *
I Certify that I am the Legal Parent / Guardian of the above individual with authority to give permission to participate and am over 18 years of Age *
Emergency Contact Full Name *
Emergency Contact Phone Number *
MEETING LOCATION AND DETAILS
Thank you for Registering for the Young LINKS Meeting

We will send you and email or call you when we have a another meeting scheduled.

If you need to make a change to this registration, please call: 262.898.5666 or email us at: eloy@actsyouthministry.org
A copy of your responses will be emailed to the address you provided.
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