Youth Ministry Event Registration
St. Elizabeth of Hungary
Francis Serpico, Youth Minister
Youth Information
Name of Event you will be attending: *
First Name: *
Last Name: *
Date of Birth *
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Address *
City *
Zip Code *
Telephone Number *
Email *
Current Grade *
Name of school you attend *
Activities you are involved in *
Youth Declaration: I understand that by participating in St. Elizabeth Youth Ministry Event, I am representing myself, my family, my community, my church, and my God, and will conduct myself as a Christian. I understand that if I don't I may be asked to rethink my involvement in the Youth Ministry Events. *
Please list any allergies, special needs, or medical needs below:
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