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High School Youth Nights- 2025-2026 on Sunday, September 28, 2025 @ 6:15 PM

Price:

*Attendee's First Name:

*Attendee's Last Name:

*Attendee's Email Address:

*Attendee's Phone Number:

Country:

Address Line 1:

Address Line 2:

City, State Zip:

Youth Ministry Faith Formation

*Gender:

BoyGirl

*Date of Birth:

*Name of School:

*Child's Primary Language:

*Does your child have any special needs? (e.g. food allergies, IEP, reading difficulties, etc).:

YesNo

*If your answer is yes, please provide more details.:

*What is the name of the child's primary contact?:

*What is the relationship of the child's primary contact?:

*Primary Contact's Phone Number:

*Would you like to receive text message alerts?:

YesNo

*Is your child interested in receiving any of the following sacraments this year?:

Promo Code:

Registration Total: