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EDGE Registration 2017-2018

Middle School Youth Ministry (Grades 6-7-8)

EDGE NIGHTS:
EDGE meets on Monday evenings in the Youth Center from 7:00 PM to 8:30 PM.

WHEN WILL CLASSES BEGIN?
Monday, September 11, 2017

FEE: Free!

ADDITIONAL INFORMATION:
Contact Marty De Los Santos at 361-460-4397

STUDENT INFORMATION

Name of Student

First Name*

Last Name*

Date of Birth

Required* //

Current Age

Required*

Address

Street 1*

Street 2

City*

State*

Zip*

Name of School Attending

Required*

Grade Level

Required*

Shirt Size

STUDENT SACRAMENT INFORMATION

Baptized?
Required*

	Yes
	No

Church of Baptism

Name of Church and City/State)

Received First Confession?
Required*

	Yes
	No

Received First Holy Communion?
Required*

	Yes
	No

PARENT/GUARDIAN INFORMATION

Name of Parent/Guardian

First Name*

Last Name*

Phone Number

Required* --

E-mail

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
Required*

	Yes
	No

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EDGE Registration 2017-2018

Middle School Youth Ministry (Grades 6-7-8)

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