Youth Group Registration 2023-2024

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This form is for any family to enroll youth grades 6 -12 in Youth Group. All are welcome and there is no cost. There are generally gatherings on most Sunday evenings, as well as other service, fellowship and worship events throughout the year.

Please take your time and fill out the complete form for your junior high and high school youth. Please contact Christine Bondi at 544-8889 x3133 or christine.bondi@dor.org with any questions.

Email *

Are you registered at Saint Kateri Parish? *

Yes

No, we belong to another parish

No, but need to, please send us a registration form

Required

Family Last Name: *

Mailing Address: *

Father's Name: *

Mother's Name (include maiden name): *

Primary Phone: *

Secondary Phone: *

Email address: *

Emergency Contact (other than parent) Name: *

Relationship to family: *

Emergency Contact Phone Number: *

I hereby grant permission to Saint Kateri Faith Formation to use photographs and/or video of my family taken during programing to be used in publications, news releases, online, bulletins, and in other communications related to the mission of Saint Kateri Parish. *

Yes

Youth 1

Name of Youth *

Birth Date: *

YYYY

Grade Entering '23-'24 *

Name of School Attending 23-24 *

Sacrament(s) Received *

Confirmation

Baptism

First Reconciliation

First Eucharist

Required

Special Needs/Medication *

Do you have another youth in your family to register for Youth Group? *

Yes

Youth 2

Youth Name:

Birth Date:

YYYY

Grade Entering '23-'24

Clear selection

Name of School Attending 23-24 *

Sacrament(s) Received *

Confirmation

Baptism

First Reconciliation

First Eucharist

Required

Special Needs/Medication *

Do you have another youth in your family to register for Youth Group? *

Yes

Youth 3

Youth Name:

Birth Date:

YYYY

Grade Entering '23-'24

Clear selection

Name of School Attending 23-24 *

Sacrament(s) Received *

Confirmation

Baptism

First Reconciliation

First Eucharist

Required

Special Needs/Medication *

Please contact Christine Bondi at christine.bondi@dor.org with any questions. Thank you!

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