Senior High Youth Ministry Registration Form Please complete this form and return it to the parish office. Please print clearly. Registration fee for the year $50 (checks can be made payable to St. Anne Catholic Church)Teen Information!NameFirstLastPrefers to be called*Address:*City*State*Zip Code*Home Phone:*Teen Cell Phone:*Date*Gender:*MaleFemaleSchool: *Grade:*Teen Email address*Shirt Size (circle one):*SMMEDLRGX-LRGXX-LRGSacraments Received:*BaptismEucharistConfirmationPrimary language spoken in the home:*EnglishSpanishVietnameseOtherList any special needs or allergies:I prefer to get reminders and updates by (check all that apply)*emailchurch bulletinI am eligible and would like to join the Confirmation Class*YESNOParent/Guardian InformationParent/Guardian(s) Name: FirstLastParent/Guardian(s) Name: FirstLastHome Phone:Parent Cell Phone:*Parent Email:*I prefer to get reminders and updates by (check all that apply)*Text messageEmailChurch bulletinIn the event of an emergency, if you are unable to reach me, please contact:Name:FirstLastRelationship to teen:*Phone:*SendThis field should be left blank
