Register for 2017-2018 Middle School & High School Youth Group

All Information will be Used Exclusively by and for the Parish

For Children's Religious Education Registration, Click Here

For RCIA Registration, Click Here

STUDENT INFORMATION
Student's Full Name*
Age as of September 10, 2017*
School Grade as of September 10, 2017*
Student's Email Address

(if any)

Student's Home Parish
Please List any Allergies Below:
Address*
Primary Phone #*
CONTACT & GUARDIAN INFORMATION
1st Guardian's Name*
     •Relationship to Student*
     •Phone # (if different from Primary #)
     •Email Address*
2nd Guardian's Name
     •Relationship to Student
     •Phone # (if different from Primary #)
     •Email Address