2018-19 YM-Confirmation Registration--St. Dominic's Church
Your Email
to receive a confirmation once you've submitted this registration
Your answer
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Gender *
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Email
Your answer
Student's Cellphone
Include this if you give permission for us to text YM-Confirmation announcements to your student.
Your answer
Social Networks
Mark those that apply, if you give permission for us to share announcements with your student via social networking.
School *
Your answer
School Type *
Language/s spoken *
Your answer
Siblings, w/ dates of birth
Your answer
Authorized Adults *
Please include up to 2 adults, other than parents, who you authorize to also pick-up your student from class. Please include name, cellphone, and their relationship to your child
Your answer
Grade (Fall 2018) *
What grade in school will the student be entering in Fall 2018?
Share contacts? *
Please indicate which parent contact information you are willing to share with other families in the YM-Confirmation Directory
Required
New or Returning Student? *
Is your student new to St. Dominic's family/youth formation, or are they returning from last year?
Which YM-Confirmation Session? *
Which time and program is your student signing up for?
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