Youth Registration

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

*Disclaimer: The 2020-2021 Registration Fee will be waived for all grades except for Sacramental preparations (Reconciliation, First Communion, Pre-Confirmation, Confirmation) The cost will be $20 for each child/teen to purchase workbooks.

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

Family Information

Family Last Name *

Home Phone Number *

Email *

Are You Actively Involved In The Parish? *

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 *

Children's Information

Teen 1

Name *

First

Last

Date of Birth *

Gender *

Current Grade In School

Did Child Attend Youth Last Year? *

Sacraments

Parish Where Child Received Baptism?

Parish Where Child Received Eucharist?

Parish Where Child Received Confirmation?

Teen 2

Name

First

Last

Date of Birth

Gender

Current Grade In School

Did Child Attend Youth Last Year?

Sacraments

Parish Where Child Received Baptism?

Parish Where Child Received Eucharist?

Parish Where Child Received Confirmation?

Teen 3

Name

First

Last

Date of Birth

Gender

Current Grade In School

Did Child Attend Youth Last Year? *

Sacraments

Parish Where Child Received Baptism?

Parish Where Child Received Eucharist?

Parish Where Child Received Confirmation?

Name