Registration 2018-2019
Youth Group registration for the 2018/2019 school year.
PLEASE double check to make sure contact information is correct!
All areas are required! Thank you!
If you are registering more than one student please fill out a separate form for each.

Annual YM fee for the 2018/2019 school year is $60. It can be handed in to any parish office or on August 19th at Kickoff!

*We know not all family units look the same and that sometimes certain questions can be difficult to answer. Please answer to the best of your ability while noting that parent names are equally important especially for our Confirmation candidates.

All high school students are welcome at our events. Registration provides us information in the event of emergencies!

Participant's Full Name *
Your answer
Gender *
Grade *
School *
Parish Registered at *
Student Email *
Your answer
Student Cell Phone *
Your answer
I give permissions to the YMs to text my child. *
Birth date *
MM
/
DD
/
YYYY
Primary Address *
Your answer
City, State and Zip Code *
Your answer
Unisex Shirt Size *
Sacraments ALREADY received *
Required
Requesting the Sacrament of Confirmation this year (juniors and seniors). *
Required
Place of Baptism - parish, city, state/country *
Your answer
Date of Baptism (or closest guess) *
MM
/
DD
/
YYYY
Please list and explain any medical conditions, including allergies, we should know about. *
Your answer
Father's Full Name *
Your answer
Mother's Full Name *
Your answer
Best Contact Number *
Your answer
Father's Cell *
Your answer
Mother's Cell *
Your answer
Best email for parent or guardian *
Your answer
Emergency Contact (in the event neither parent can be reached) *
Your answer
Relationship to Student *
Your answer
Phone Number *
Your answer
As a parent volunteer, I could be interested in helping in these areas - Tell me more! *
Required
I give permission for my child's photo to be taken (while at youth ministry events) and shared (instagram, website, bulletins). *
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