St. Patrick Youth Group Registration
12424 Brogdon Lane
Baton Rouge, LA 70816

Youth Minister: Melissa Harshbarger
Email: melharsh@gmail.com
Facebook page: https://www.facebook.com/St-Patrick-CYM-1427280910910215/

St. Patrick Youth Group welcomes 6-12 graders to youth nights! We meet on Sundays from 5:30-7:30 to enjoy a meal, fellowship and share our faith. We participate in community conferences and events throughout the year.

Youth First & Last name
Your answer
Youth Email
Your answer
Address
Your answer
Youth Cell Phone number
Your answer
Male or Female
Birthdate
ex: 09/28/82
Your answer
Grade
Your answer
School
Your answer
Medical History/Limitations
Include Allergies, Physical & Emotional Limitations...if not, then type NONE.
Your answer
About You
Tell us about yourself. Do you play a sport, love to read, dance, sew, sing, etc?
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms