CCD/Youth Evangelization for School Year 2022-23

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Welcome to CCD/Youth Evangelization. We will have a staggering start to CCD again.

7th,8th & 9th Graders will start with Daring Disciples on August 24th

1st-6th will start August 31st

10th, 11th & 12th Graders will start August 31st with the Youth Spirit Mass & Concert at Maria Stein.

Family Name: *

Email Address: *

Address: (Student Currently Resides include City and Zip) *

Father's Full Name: *

Fathers Cell Phone: *

Would Father like to receive communications throughout the year *

Yes

Mother's Full Name *

Mothers Cell Phone: *

Would Mother like to receive communications throughout the year *

Yes

Additional Guardian Information - Name

Additional Guardian Information - Cell Phone

Would additional guardian like communications throughout the year

Yes

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Emergency Contact (Other than parent/Legal Guardian) Must Be over 18 *

Emergency Contacts Phone Number: *

Marital Status for Parents *

Married

Widowed

Divorced

If Divorced - Please list How and to Whom communications should go to.

How many children will you be registering for Youth Evangelization Grade 1 - 12? *

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