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Bishop's Annual Appeal
Our School
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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
(Select One)
9th
10th
11th
12th
Please fill out this field.
Program Fee
REQUIRED
$0.00 – (Select One)
$15.00 – Youth Participant
$0.00 – Youth Participant (I am a catechist/assistant/small group leader)
Please fill out this field.
Gender
REQUIRED
(Select One)
Male
Female
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
(Select One)
9th
10th
11th
12th
Please fill out this field.
Program Fee
REQUIRED
$0.00 – (Select One)
$15.00 – Youth Participant
$0.00 – Youth Participant (I am a catechist/assistant/small group leader)
Please fill out this field.
Gender
REQUIRED
(Select One)
Male
Female
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
(Select One)
9th
10th
11th
12th
Please fill out this field.
Program Fee
REQUIRED
$0.00 – (Select One)
$15.00 – Youth Participant
$0.00 – Youth Participant (I am a catechist/assistant/small group leader)
Please fill out this field.
Gender
REQUIRED
(Select One)
Male
Female
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
(Select One)
9th
10th
11th
12th
Please fill out this field.
Program Fee
REQUIRED
$0.00 – (Select One)
$15.00 – Youth Participant
$0.00 – Youth Participant (I am a catechist/assistant/small group leader)
Please fill out this field.
Gender
REQUIRED
(Select One)
Male
Female
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
(Select One)
9th
10th
11th
12th
Please fill out this field.
Program Fee
REQUIRED
$0.00 – (Select One)
$15.00 – Youth Participant
$0.00 – Youth Participant (I am a catechist/assistant/small group leader)
Please fill out this field.
Gender
REQUIRED
(Select One)
Male
Female
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
(Select One)
Yes
No
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:
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