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Home
About
Liturgical Schedule
Staff
Contact Us
Our History
Ministries
Advisory Councils
Youth Ministry
Liturgical Ministries
Faith Formation
Hispanic Ministry
Respect Life Ministry
Community Worship and Service
Sacraments
Baptism
First Reconciliation/Communion
Confirmation
Holy Matrimony
Faith Life
Perpetual Adoration Chapel
Families
Youth Resource Page
Annual Parish Auction
Purchase Auction Dinner Tickets
Auction Paddle Raiser
Purchase Golden Tickets
Media
Bulletins
Forms
Documents
Formed
Online Catholic Resources
Informative Articles
Audio/Video Recordings
Job Opportunity
Photos
Online Giving
Offertory Donations
Special Collections
Mass Intention Offerings
Religious Ed Fund Donations
Building Fund Donations
Fundraisers
Capital Campaign Donations
Online Giving FAQ's
Assisance Request Form
Giving Account Login
YM Online Registration 2022-2023
Ministries
Advisory Councils
Youth Ministry
Online Registration
Liturgical Ministries
Faith Formation
Hispanic Ministry
Respect Life Ministry
Community Worship and Service
The maximum number of form submissions has been reached. This form is currently not available.
How many children do you wish to register for Youth Group?
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INSURANCE AND MEDICAL INFORMATION
If you are are unable, we and/or The Archdiocese are authorized to contact the following person(s) for any youth listed in case of sudden illness, accident, or other emergency.
Please list any physical and/or medical needs and medications that staff should be aware of: (Allergies, etc...)
Emergency Contact Name
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Family Doctor
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Child 2
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Grade Level
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6th Grade
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8th Grade
9th Grade
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11th Grade
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Please enter a phone number.
INSURANCE AND MEDICAL INFORMATION
If you are are unable, we and/or The Archdiocese are authorized to contact the following person(s) for any youth listed in case of sudden illness, accident, or other emergency.
Please list any physical and/or medical needs and medications that staff should be aware of: (Allergies, etc...)
Emergency Contact Name
REQUIRED
Please fill out this field.
Please enter valid data.
Emergency Contact Number
REQUIRED
Please fill out this field.
Please enter valid data.
Family Doctor
REQUIRED
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Please enter valid data.
Take Youth to Nearest Hospital?
None
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No
Child 3
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Last Name
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Youth Group
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Grade Level
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7th Grade
8th Grade
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Phone Number
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Maximum 20 characters
Please fill out this field.
Please enter a phone number.
INSURANCE AND MEDICAL INFORMATION
If you are are unable, we and/or The Archdiocese are authorized to contact the following person(s) for any youth listed in case of sudden illness, accident, or other emergency.
Please list any physical and/or medical needs and medications that staff should be aware of: (Allergies, etc...)
Emergency Contact Name
REQUIRED
Please fill out this field.
Please enter valid data.
Emergency Contact Number
REQUIRED
Please fill out this field.
Please enter valid data.
Family Doctor
REQUIRED
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Please enter valid data.
Take Youth to Nearest Hospital?
None
Yes
No
Child 4
First Name
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Last Name
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Youth Group
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Middle School YG
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Grade Level
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(Select One)
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
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Address
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City
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AL
AR
AS
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IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
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OK
OR
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PR
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Email
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Phone Number
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
INSURANCE AND MEDICAL INFORMATION
If you are are unable, we and/or The Archdiocese are authorized to contact the following person(s) for any youth listed in case of sudden illness, accident, or other emergency.
Please list any physical and/or medical needs and medications that staff should be aware of: (Allergies, etc...)
Emergency Contact Name
REQUIRED
Please fill out this field.
Please enter valid data.
Emergency Contact Number
REQUIRED
Please fill out this field.
Please enter valid data.
Family Doctor
REQUIRED
Please fill out this field.
Please enter valid data.
Take Youth to Nearest Hospital?
None
Yes
No
Child 5
First Name
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Please enter valid data.
Last Name
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Youth Group
REQUIRED
(Select One)
Middle School YG
High School YG
Please fill out this field.
Grade Level
REQUIRED
(Select One)
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
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Address
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City
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AL
AR
AS
AZ
CA
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CT
DC
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GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
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OK
OR
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PR
PW
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VT
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WY
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Zip
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Email
REQUIRED
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Please enter an email address.
Phone Number
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
INSURANCE AND MEDICAL INFORMATION
If you are are unable, we and/or The Archdiocese are authorized to contact the following person(s) for any youth listed in case of sudden illness, accident, or other emergency.
Please list any physical and/or medical needs and medications that staff should be aware of: (Allergies, etc...)
Emergency Contact Name
REQUIRED
Please fill out this field.
Please enter valid data.
Emergency Contact Number
REQUIRED
Please fill out this field.
Please enter valid data.
Family Doctor
REQUIRED
Please fill out this field.
Please enter valid data.
Take Youth to Nearest Hospital?
None
Yes
No
___________________________________________
Registration Fees
___________________________________________
Number of Children Registered Above for Youth Group
REQUIRED
$0.00 – (Select One)
$40.00 – 1 Child
$80.00 – 2 or More Children
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This amount per child does not combine with students in grades pre-K – 5
Total:
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