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2025-2026 St. Thomas More Catholic Church Youth Group Registration (Junior High and High School)
Youth Group is open to junior high and high school students
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* Indicates required question
Student's Full Name
*
Your answer
Gender
*
Male
Female
Other
Home Phone Number
Your answer
Cell Phone Number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Student Email Address
Your answer
Parent Email Address
Your answer
Mailing Address
Your answer
Grade Level
6th
7th
8th
9th
10th
11th
12th
Other:
Clear selection
School attended
Regina Junior High
Northwest Junior High
North Central Junior High
Clear Creek Junior High
Regina High School
Iowa City West High School
Liberty High School
Clear Creek High School
Other
Clear selection
T-Shirt Size for Youth
XS
S
M
L
XL
XXL
Other:
Clear selection
Pictures of my child taken during events may be used in print or electronic media for the purposes of publicity for future events or parish newsletters
Yes
No
Clear selection
Parent/Guardian 1 Name
Your answer
Parent/Guardian 1 Phone Number
*
Your answer
Parent/Guardian 2 Name
Your answer
Parent/Guardian 2 Phone Number
Your answer
Is your Family Registered at St. Thomas More?
Yes
No
Clear selection
What gifts are you interested in learning more about how you can share with the parish?
*
Singing
Instrumental
Drama
Dance
Sports
Lector
Altar Server
Service Work
Speech Team
Artist
Agriculture
Social Justice
Photography
Greeter at Mass
Other
Please note any physical, health or learning condition of your child of which we should be aware
Your answer
In the event of an emergency, if parent/guardian can't be reached, the following contact should be made: (Name, Relationship, Phone Number)
*
Your answer
Family Physician & Preferred Hospital
*
Your answer
EMERGENCY INFORMATION:
*There is a physical Permission, Health and Medical Release Form that must be completed and on file with the R.E. office. This form is a requirement per the Diocese of Davenport for the safety of our youth. Check to indicate that you will complete the form and email or send, drop off to the R.E. office.
*
email to
coralstmym@diodav.org
mail to office
drop off at church
TUITION:
$45 for Youth Group. Check to indicate that you will send or drop off payment to the R.E. office or if you'd like us to email you an invoice to pay electronically.
*
I will drop off the payment
I will mail the payment
Please send me an electronic invoice to pay
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