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Sign Up Form
Sign Up Form
Please complete the form below if you're interested
in signing up your child for our Youth Ministry!
The youth are not only the future of the Catholic Church, they
ARE
the present!
Contact Us
Name of Child:
Date of Birth:
Grade:
Address:
Parish Child Belongs To:
Parent/Guardian Name
Parent/Guardian Cell Number:
Best Email to Use for Communication:
Emergency Contact Person:
Relationship to Emergency Contact Person:
Emergency Contact Cell Number:
School Child Attends:
Allergies to Medication/Food:
Does the child carry medication with them or epi-pen?
No
Yes
Does your child have special needs that we need to be made aware of?
Is there someone who MAY NOT transport your child home? List their name below.
Thank you for contacting us.
We will get back to you as soon as possible.
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Contact Us
59 Main Street
High Bridge, NJ 08829
Phone:
908-638-6211
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