Youth Ministry Registration

PARENT INFORMATION

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
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.
Are you registered parishioners? REQUIRED Please fill out this field.

EMERGENCY CONTACT (other than parent)

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

PARISH MEDIA & COMMUNICATIONS

MEDIA RELEASE
Photos of my child(ren) taken during youth ministry events may be used by St. Alphonsus Liguori Parish for our website, printed publications, and parish social media. REQUIRED Yes No Please fill out this field.
COMMUNICATION RELEASE
I grant permission to Saint Alphonsus Liguori Catholic Church to call or text my child(ren) in order to remind, update, or clarify questions about events and youth ministry happenings. Yes No

PAYMENT INFORMATION

Payment Options Pay Online Mail a Check

If finances are an issue, please contact us and we can work through that together!

If you have any questions, please EMAIL NICK REBBE.

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