STOCYM Confirmation "YEAR ONE" Registration
This is the registration for the FIRST year of the STOCYM (St. Thérèse of Carmel Youth Ministry) Confirmation Program. The fee for the Year One Program is $125. Checks can be made payable to St. Therese of Carmel or pay ONLINE at this link : https://tinyurl.com/y72fvwua

***When paying online, make sure to add $125.00 to Year ONE Confirmation and include the participant(s) name in the notes section. If you are signing up more than one child, include the total amount and all of the participants names***

Email address *
Student Email Address
Your answer
Are you a registered parishioner at St. Thérèse of Carmel Catholic Church? *
Parish ID #
Your answer
Student First Name *
Your answer
Student Middle Initial *
Your answer
Student Last Name *
Your answer
Gender *
What High School Does Your Student Attend? *
Your answer
What Grade Will Your Student Enter in Fall 2019? *
Mother's Full Name *
Your answer
Mother's Phone Number *
Your answer
Father's Full Name *
Your answer
Father's Phone Number *
Your answer
Are you interested in joining/ receiving more info about our parent committee? *
Emergency Contact (Name/Relation to student) *
Your answer
Emergency Contact Number *
Your answer
Health Issues? *
Your answer
Anything Else We Need to Know About Your Student In Order To Give Them The Best Experience Possible?
Your answer
By submitting this form, I authorize St. Thérèse of Carmel Faith Formation Personnel and volunteers to provide emergency medical treatment to my child if I cannot be reached *
A copy of your responses will be emailed to the address you provided.
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