Youth Registration

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Youth Registration

Please note: Registration fee (6th - 8th Grade) 1 Student - $30, 2 Students - $50, 3 Students - $70

If you have more than 3 children planning to enroll, contact the Parish Office at 806-792-6168 or Andrew Cortez.

Please read the Faith Formation Agreement

Family Information

Family Last Name *

Home Phone Number *

Email *

Are You Actively Involved In The Parish? *

In what ministries are you involved with? *

Father's Name

Father's Work or Cell #

Mother's Name

Mother's Work or Cell #

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact

Emergency Contact *

First

Last

Emergency Contact Phone # *

Relationship to Child *

Teen Information

Number of teens being registered *

Teen 1

Name *

First

Last

Date of Birth *

Gender *

Current Grade In School

Did Child Attend Youth Last Year? *

Yes
No

Where? *

Sacraments

Select the Sacraments your teen has completed.

Baptism
Eucharist
Confirmation

Parish Where Child Received Baptism? *

Parish Where Child Received Eucharist? *

Parish Where Child Received Confirmation? *

Does your teen have any medical/dietary needs? *

Yes
No

What are your teens dietary/medical needs? *

Teen 2

Name *

First

Last

Date of Birth *

Gender *

Current Grade In School

Did Child Attend Youth Last Year? *

Yes
No

Where? *

Sacraments

Select the Sacraments your teen has completed.

Baptism
Eucharist
Confirmation

Parish Where Child Received Baptism? *

Parish Where Child Received Eucharist? *

Parish Where Child Received Confirmation? *

Does your teen have any medical/dietary needs? *

Yes
No

What are your teens dietary/medical needs? *

Teen 3

Name *

First

Last

Date of Birth *

Gender *

Current Grade In School

Did Child Attend Youth Last Year? *

Yes
No

Where? *

Sacraments

Select the Sacraments your teen has completed.

Baptism
Eucharist
Confirmation

Parish Where Child Received Baptism? *

Parish Where Child Received Eucharist? *

Parish Where Child Received Confirmation? *

Does your teen have any medical/dietary needs? *

Yes
No

What are your teens dietary/medical needs? *

Typing your full name means you have agreed and read the Faith Formation Agreement. *

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