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LIFE TEEN REGISTRATION FORM 2017-2018

 

JOIN US AS WE KICK OFF THE YEAR!

WHEN:         SUNDAY, SEPTEMBER 10, 2017
NEW TIME:   3:30 PM to 5:30 PM; Mass at 6 PM
LOCATION:  St. Anthony Parish Hall

FOR MORE INFORMATION, CONTACT: KATHERINE CASTRO AT 361-387-2774
 

TEEN INFORMATION
Name
  •  
Date of Birth //
  •  
Address
  •  
Phone --
  •  
Do you receive text messages?
  •  
Name of High School Attending
  •  
Grade Level
  •  
Do you need any Sacraments?
  •  
GIRLS: Will you be celebrating your 15th or 16th Birthday with a Mass at St. Anthony?
  •  
PARENT/GUARDIAN INFORMATION
Dad's Name
  •  
Dad's Phone --
  •  
Does your Dad receive text messages?
  •  
Mom's Name
  •  
Mom's Phone --
  •  
Does your Mom receive text messages?
  •  
Name of Legal Guardian
  •  
Legal Guardian's Phone --
  •  
Does your Legal Guardian receive text messages?
  •  
For Security Purposes
Parent/Guardian Signature: I acknowledge that as the parent/guardian, this information will be submitted to the Parish for use in Registration
  •  
Spam Capture For security purposes, please enter the text that appears in the box below.
  •  
 
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