Registration
Youth Group registration for the 2017/2018 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 2017/2018 school year is $60. It can be handed in to any parish office or on August 20th 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.

Participant's Full Name
Your answer
Gender
Grade
School
Parish Registered at:
Student Email
Your answer
Student Cell Phone
Your answer
I give permission to the YMs to text my child.
Primary Address
Your answer
City, State, Zip
Your answer
Birth date
MM
/
DD
/
YYYY
Sacraments ALREADY received
Required
Requesting the Sacrament of Confirmation this year (juniors and seniors).
Required
Place of Baptism- parish, city, state
Your answer
Date of Baptism
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
Primary Contact Number
Your answer
Father's Cell
Your answer
Mother's Cell
Your answer
Primary Email for Parent or Guardian
Your answer
Emergency contact Name. (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
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