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"Sealed" Registration

- Register for "Sealed" Small Groups
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  "Sealed" small groups meets twice a month on select Mondays from 6:30PM-7:45PM. Since this is a new endeavor for our parish, we are starting with a limited number of slots. Groups are divided by gender. If you are having difficulty registering, please email the Youth Director at [email protected]
  
  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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Youth Attending REQUIRED Please fill out this field.
  
  Youth 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.
  
  Grade (2021-2022) REQUIRED Please fill out this field.
  
  Program Fee REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Youth 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.
  
  Grade (2021-2022) REQUIRED Please fill out this field.
  
  Program Fee REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Youth 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.
  
  Grade (2021-2022) REQUIRED Please fill out this field.
  
  Program Fee REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Youth 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.
  
  Grade (2021-2022) REQUIRED Please fill out this field.
  
  Program Fee REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Youth 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade (2021-2022) REQUIRED Please fill out this field.
  
  Program Fee REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  I give permission for my child's/children's image to be used (without identifying their name) on parish websites, social media and other promotional materials. REQUIRED Please fill out this field.
  
  I understand that small groups will be divided by gender and that this group is meant for confirmed high school youth.
  I Agree Please select this field.
  
  I give permission for my child, in case of emergency, to be taken to a physician or hospital by emergency personnel. I understand every effort will be made to contact me. If I cannot be reached, I hereby give permission to the emergency physician to hospitalize and secure proper treatment for my son/daughter.
  I Agree Please select this field.
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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St. Catherine of Siena

Catholic Church

"Sealed" Registration

Register for "Sealed" Small Groups