Sr. High Youth Registration
Senior High Youth
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Email *
Last Name/First Name *
Date of Birth *
MM
/
DD
/
YYYY
Address (Street, City, Zip) *
Phone number (Area code & Number) *
Are you signed up on our Remind? (Group messaging app) *
High School *
Class of *
Religious Affiliation *
Sacrements Completed *
Required
Special Needs | Food Allergies
Parent Guardian Info (Last, First) *
Parent Contact Number *
Parent Email *
Emergency Contact Info (Name) *
Emergency (Phone) *
Submit
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