Sr. High Youth Registration
Senior High Youth
Email address *
Last Name/First Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Address (Street, City, Zip) *
Your answer
Phone number (Area code & Number) *
Your answer
Are you signed up on our Remind? (Group messaging app) *
High School
Class of
Religious Affiliation *
Sacrements Completed *
Required
I am interested in serving in the following
Special Needs | Food Allergies
Your answer
Parent Guardian Info (Last, First) *
Your answer
Parent Contact Number *
Your answer
Parent Email *
Your answer
Emergency Contact Info (Name) *
Your answer
Emergency (Phone) *
Your answer
Your answer
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