Youth Group Registration
9th to 12th Graders
On Thursday from 7:00 pm - 8:30 pm
St. Mary school building, 3rd floor
Full Name (Youth) *
Your answer
Phone Number *
Your answer
Email Address
Your answer
Mailing Address
Your answer
City
Your answer
Date of Birth
MM
/
DD
/
YYYY
School
Your answer
Grade
Are you Catholic?
Which Church do you typically attend?
Allergies/important medical information:
Your answer
What is the best way to get a hold of you?
Your answer
Activities you are involved in (sports, clubs, band, etc):
Your answer
Do you wish to be confirmed this year?
Must be 16 years or older on date of Confirmation
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