Student Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Gender

Male

Female

Cell Phone *

You will be sent a link to join the student GroupMe, where current students can get in touch with one another, plan get-togethers, request prayers from peers, and share event info. You can unsubscribe at any time.

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Want to serve as a liturgical minister? *

We are always looking for students who may be interested in serving as a liturgical minister at Mass on Sundays. Are you interested? Let us know how you would like to serve:

Altar Server

Eucharistic Minister

Lector

Not Interested

Parent Name

First Name

Last Name

Parent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent Phone

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Parent #2 Name

First Name

Last Name

Parent #2 Address

If different than parent #1

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent #2 Phone

If different than parent #1

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Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Phone *

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Sacramental Information *

Which sacraments have you received?

Baptism

First Communion

Confirmation

Marriage

Name

First Name

Last Name

Birthday

MM

DD

YYYY

Phone

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Sacramental Information

Which sacraments have you received?

Baptism

First Communion

Confirmation

Marriage

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have any children? *

If yes, we will be reaching out to you to collect information about them, including name, age, and sacramental records information.

Yes

No

Are any family members looking to receive sacraments, such as Baptism, Confirmation, or First Eucharist? *

If yes, we will be reaching out to help you complete the steps necessary to receive the sacraments.

Yes

No