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Thank you for registering online with St. Alphonsus Liguori Youth Ministry.  Please fill out the form below, then print out the following forms and turn them into the parish office along with the registration fee.
-Emergency Form (each child)
-Medical Form (each child)
-Publicity Form (one per family)

Youth Ministry Fees
            The yearly fee for St. Alphonsus Youth Ministry is as follows:

• 
  Grades 7 – 8 (Middle School Youth Ministry): $60
• Grade 9 (High School Youth Ministry/Year 1 Confirmation Preparation): $60
• Grade 10 (High School Youth Ministry/Final Sacramental Preparation): $95
• Grades 11-12 (Confirmed Youth/Youth Leadership): $60

This fee helps to cover the cost of food, supplies, resources, transportation, retreats & conferences, and other materials for the Youth Ministry program.  10^th grade includes a three day retreat and several pilgrimage trips during the year.

Student Information
First Name*
Middle *
Last Name*
Date of Birth*	(MM/DD/YYYY)
Student Cell
Home Address*
Student's Email Address*
School*
Grade*
School Activities/ Talents
T-shirt size *	All sizes are Adult. Small Medium Large X-Large XX- Large
Is this student Confirmed?*	Yes No
Family Information
Parents' Name (s)*
Home Phone*
Mother's Cell Phone*
Father's Cell Phone*
Parent's Email Address(es)*	Please seperate multiple addresses with a comma.
Religion of Mother*
Religion of Father*
Is your family registered in the parish?*	Yes No
Security Code*	(Enter the code above)