YOUTH MINISTRY REGISTRATION  2021-2022
Please complete this form and the Parish Photo Release Form on our website.
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Name of Student *
Home Mailing Address *
City *
State *
Zip *
Home phone *
Parents names *
Student cell phone *
Mother's cell phone *
Father's cell phone
High School graduation year (Class of...)                 (Example - Class of 2022) *
Student email address *
Parent email address *
Current School *
Student birthday
Does your child have any allergies that we should be aware of? If so, please explain. *
Have you filled out the Parish Photo Release Form? This is required as part of registration for St. Catherine of Siena Youth Ministry (go to https://www.stcatherine.info/) *
Parent is able/willing to volunteer occasionally?
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Parishioner of St. Catherine of Siena (your child is welcome regardless of whether you are a parishioner or not). *
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