Middle School Youth Group Registration 2022-2023

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Middle School registration form - Please submit one form per youth plus $40 registration fee
For the complete schedule, please see: https://www.stmarymagonline.org/youth-ministry.html

Email *

Child's First & Last Name *

Sex *

Female

Male

Date of Birth *

YYYY

Teen's cell IF they would like to receive text reminders

Grade 2022-2023 *

6th grade

7th grade

8th grade

School attending 2022-2023 *

Home Address (street, city, and zip code) *

Living arrangements *

with both parents

with mother

with father

with guardian

Is there anything we should know about special living arrangements/custody, etc.?

Does your child have allergies? If yes, please list them.

Does your child have any medical conditions (physical, mental, emotional, cognitive, or other) we should be aware of? If yes, please list them.

Does your child need any of the following sacraments?

Baptism

First Reconciliation

First Communion

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