• 2019-2020 Registration

  CROWD - Fridays 7-9pm, Parish Hall
  Life Teen - Sundays after 6pm Mass, Parish Hall

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  • I’m registering for (please select one)/ Me estoy registrando para: REQUIRED (Select One) CROWD Middle School Program (Fridays, 7-9pm) Life Teen High School Program (Sundays after 6pm Mass) Please fill out this field.
  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Prefers to be called/Apodo: Please enter valid data.
  • Birthdate/Fech del Nacimiento (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
  • Mailing Address/Dirección REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Youth Cell Phone Number/Número del teléfono del joven REQUIRED Please fill out this field. Please enter a phone number.
  • Youth Email/Correo electrónico del joven REQUIRED Please fill out this field. Please enter an email address.
  • School Currently Attending/Escuela REQUIRED Please fill out this field. Please enter valid data.
  • Grade/Grado REQUIRED (Select One) 6 7 8 9 10 11 12 Please fill out this field.
  • T-Shirt size/Talla de camiseta REQUIRED (Select One) Youth Small Youth Medium Youth Large Youth XL Adult Small Adult Medium Adult Large Adult X-Large Please fill out this field.
  • Parent #1 First Name/ Nobre de la madre REQUIRED Please fill out this field. Please enter valid data.
  • Parent #1 Last Name/Apellido Please enter valid data.
  • Preferred Phone Number/ Número del teléfono REQUIRED Please fill out this field. Please enter a phone number.
  • Alternate Phone Number/ número del teléfono alternativo REQUIRED Please fill out this field. Please enter a phone number.
  • Parent #1 E-mail/Correo REQUIRED Please fill out this field. Please enter an email address.
  • Parent #2 First Name/ Nobre del padre Please enter valid data.
  • Parent #2 Last Name/Apellido Please enter valid data.
  • Preferred Phone Number/ Número del teléfono Please enter a phone number.
  • Alternate Phone Number/ número del teléfono alternativo Please enter a phone number.
  • Parent #2 E-mail/Correo Please enter an email address.
  • Photo/Videotape Release Statement (please mark one): REQUIRED (Select One) I grant permission. I decline permission. Please fill out this field.
  • I hereby grant permission for my child to be photographed and/or videotaped during church activities and events. I understand that my child may decline to be photographed and/or videotaped at any time. I further grant permission for the resulting photographs and/or videotaped footage to be edited, if necessary, and then published and/or broadcast for the purpose of promoting youth programs at St. Louise Parish.
    Yo permito que mi hijo sea fotografiado  y / o grabado en video durante las actividades y eventos de la iglesia. Entiendo que mi hijo puede negarse a ser fotografiado y / o grabado en video en cualquier momento. También doy permiso para que las fotografías y / o grabación de video resultantes sean editadas, si es necesario, y publicadas o transmitidas con el propósito de promover programas de la juventud en la parroquia de Sta. Luisa.
     

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