Marian Group Registration
Registration for the Marian Group program 2021/22 School Year.
Registration is not complete until a "minor activity release form" is PRINTED, Filled-out, and RETURNED to the Holy Name office or Youth Minister.
Suggested $50 donation per child. Look for retreat fees information in the near future!
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Child's Name (1st child) *
Grade Level 1st child (Fall 2019) *
Date of Birth (1st child) *
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Child's Name (2nd child) - Leave blank if N/A
Grade Level 2nd child (Fall 2019) - Leave blank if N/A
Date of Birth (2nd child)  - Leave blank if N/A
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Child's Name (3rd child) - Leave blank if N/A
Grade Level - 3rd child (Fall 2019) - Leave blank if N/A
Date of Birth (3rd child) - Leave blank if N/A
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Child's Name (4th child)  - Leave blank if N/A
Grade Level 4th child (Fall 2019)  - Leave blank if N/A
Do any of the children have allergies? *
Parents or Guardians' Name *
Parents or Guardians' Phone Number *
Email *
Address *
Holy Name Parishioner? *
Payment Options/ $50 suggested donation (not required) per child (Families with multiple children max $100)
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Or Use Vanco link below:
Minor Activity & Release Form - PLEASE PRINT 1 PER CHILD & HAND-IN to HN OFFICE or Youth Director (Forms also available at the office)
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