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Youth Ministry On-Line Registration

Youth Ministry Registration 2023-2024

This form is for filling out on-line.  If you desire a printable form you can find it (to be posted soon).
If a required field does not apply to your family, insert N/A (for Not Applicable)

* indicates required fields

If no middle name, leave that blank
Month / Day / Year
number, street, city, zip (and unit if applicable)
Indicate which parish it was done at.
Indicate which parish received at
Indicate which parish received at
Enter NA if not applicable for this field or ones below for father
number, street, city, zip (and unit if applicable)
include area code
Please include extension if applicable
Enter NA if not applicable for this field or ones below for mother
number, street, city, zip (and unit if applicable)
include area code
Please include extension if applicable
If none, please enter NONE
Please list all medications child is currently taking. - If none, please write NONE.
List health Insurance provider carrier, policy number, family doctor name and phone number
Name, relationship to child and phone number
Name, relationship to child and phone number
Entering your name here indicates you agree to above verbiage. If you do not agree, enter DO NOT AGREE and contact Helen Deen
Entering your name here indicates you agree to above verbiage. If in disagreement, please enter (Let's discuss) and see Helen Deen.

If form is not properly filled out the “Submit” button will not disappear and you need to check to see items marked as in error.

Tuition Fees are $50 for Middle School and $75 for High School
These fees are only for general youth ministry sessions.  Outings, retreats, youth days and conferences will have their own fees.

Note – If you are paying on line, you may want to pay your fees first using the button below and then come back to submit this form.  If you Submit first, then you can find the Tithe/Donate/Pay button on the parish home page to then pay your fees.  Use Youth Ministry line and enter amount and family name.

Note that clicking on this Tithe/Donate/Pay button opens a new browser tab.  To get back to this form page, revisit that tab again.

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