CCD/Youth Evangelization for School Year 2022-23
Welcome to CCD/Youth Evangelization.  We will have a staggering start to CCD again.

7th,8th & 9th Graders will start with Daring Disciples on August 24th

1st-6th will start August 31st

10th, 11th & 12th Graders will start August 31st with the Youth Spirit Mass & Concert at Maria Stein.

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Family Name: *
Email Address: *
Address: (Student Currently Resides include City and Zip) *
Father's Full Name: *
Fathers Cell Phone: *
Would Father like to receive communications throughout the year *
Mother's Full Name *
Mothers Cell Phone: *
Would Mother like to receive communications throughout the year *
Additional Guardian Information - Name
Additional Guardian Information - Cell Phone
Would additional guardian like communications throughout the year
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Emergency Contact (Other than parent/Legal Guardian) Must Be over 18 *
Emergency Contacts Phone Number: *
Marital Status for Parents *
If Divorced -  Please list How and to Whom communications should go to.
How many children will you be registering for Youth Evangelization Grade 1 - 12? *
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