St. Gabriel Youth Ministry                                                        EDGE Registration Form
Registration form for Middle Schoolers grade 6-8, in our Middle School Faith Formation program.                                        If you have multiple children to register please submit a separate form for each child.
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1. Full Name of Child (Full, Middle, & Last)* *
2. Date of Birth: * *
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3. Gender *
4. Current Grade of Child in School*                                                           (Mark only one circle) *
5. Current School Attending (2021-2022) *
6. Primary Email Address *
7. Father's Full Name (First and Last) * *
8. Father's Cell Phone Number * *
9. Father's Email Address * *
10. Mother's Full Name (First, Last & Maiden) * *
11. Mother's Cell Phone Number * *
12. Mother's Email Address * *
13. Family Home Address (Address/City/State/Zip Code) * *
14. Emergency Person Contact Name *
15. Emergency Person Contact Phone Number *
16. Emergency Contact Relationship to Child *                           Mark only one circle. *
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