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Middle School Youth Nights on Wednesday, October 1, 2025 @ 6:15 PM

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*Attendee's First Name:

*Attendee's Last Name:

*Attendee's Email Address:

*Attendee's Phone Number:

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Youth Ministry Faith Education

Option Group	Qty	Price
Option Price	1	-

*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?:

By completing this registration, I understand that as an integral part of our faith formation curriculum, the Growing with God Curriculum by Loyola Press will be presented. This age-appropriate program about Christian living, chastity, character formation and safe environment training promotes communication between you and your child. You are encouraged to review the program materials the catechist will be using in the session, as well as the materials you will receive for home discussion. After examining the program, if you have any questions or concerns about your child's participation, please contact Doug Payne at dpayne@sjpmd.org

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St. Joseph

Event Registration

Middle School Youth Nights on Wednesday, October 1, 2025 @ 6:15 PM