Becoming Catholic Youth Registration

PARENT INFORMATION

Father's Formal Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.

Mother's Formal Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.

Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Family Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Parent Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Parent Email REQUIRED Please fill out this field. Please enter an email address.

YOUTH REGISTRATION

How many children are you registering? REQUIRED Please fill out this field.
Youth Registration 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- City and State of Birth REQUIRED Please fill out this field. Please enter valid data.
- Has this child been baptized in the Trinitarian Form for the forgiveness of sins (with water, in the name of the Father, Son, and Holy Spirit)? REQUIRED Yes No I'm Not Sure Please fill out this field.
- If Yes, in which demonination was your child baptized? Please enter valid data.
- Has your child received First Holy Communion? REQUIRED Yes No Please fill out this field.
- Comments
Youth Registration 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Has this child been baptized in the Trinitarian Form for the forgiveness of sins (with water, in the name of the Father, Son, and Holy Spirit)? REQUIRED Yes No I'm Not Sure Please fill out this field.
- If Yes, in which demonination was your child baptized? Please enter valid data.
- Has your child received First Holy Communion? REQUIRED Yes No Please fill out this field.
- Comments
Youth Registration 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Has this child been baptized in the Trinitarian Form for the forgiveness of sins (with water, in the name of the Father, Son, and Holy Spirit)? REQUIRED Yes No I'm Not Sure Please fill out this field.
- If Yes, in which demonination was your child baptized? Please enter valid data.
- Has your child received First Holy Communion? REQUIRED Yes No Please fill out this field.
- Comments
Youth Registration 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Has this child been baptized in the Trinitarian Form for the forgiveness of sins (with water, in the name of the Father, Son, and Holy Spirit)? REQUIRED Yes No I'm Not Sure Please fill out this field.
- If Yes, in which demonination was your child baptized? Please enter valid data.
- Has your child received First Holy Communion? REQUIRED Yes No Please fill out this field.
- Comments