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MCCYM Registration Form 2023-2024
Our mission is to serve the young people of our parishes and their families by walking with them in faith and implementing the Catholic teachings handed on by Jesus Christ to his Church. Please pray for us as we gather together. We are praying for you!
Choose Your Parish *
Required
Parent 1 Name *
Parent 1 Phone Number *
Parent 1 Email *
Parent 2 Name
Parent 2 Phone Number
Parent 2 Email
Family Address *
Youth 1 Name *
Youth 1 Grade *
Youth 1 Phone Number *
Youth 2 Name
Youth 2 Grade
Youth 2 Phone Number
Youth 3 Name
Youth 3 Grade
Youth 3 Phone Number
Please list any medical conditions that we should be aware of, including allergies:
Permission and Consent *
Required
Permission and Consent
Digital Signature - Parent's Name *
Digital Signature - Date *
Date
Please check all that apply
Please let us know how we can help you!
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