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Saint Mary of the Annunciation Youth Ministry Registration 2023-2024
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* Indicates required question
Parent(s) Names:
*
Your answer
Parent Email 1:
*
Your answer
Parent Email 2:
Your answer
Parent Name & Phone Number 1:
*
Your answer
Parent Name & Phone Number 2:
Your answer
Full Mailing Address:
*
Your answer
Emergency Contact Name:
*
Your answer
Emergency Contact Phone Number:
*
Your answer
Youth's Full Name and Nickname:
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Your answer
Youth's Birthday:
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MM
/
DD
/
YYYY
What School does your youth attend?
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Your answer
Male/Female
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Male
Female
Grade
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6th
7th
8th
9th
10th
11th
12th
Allergies or any Medical Information:
*
Your answer
How will your youth be getting to youth group?
*
Your answer
I give permission for my child/children to be photographed and understand that the photo may be used in publications.
*
Yes, I give permission
No, I do not give permission
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