Register for Youth Programs

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Age as of September 1, 2022 REQUIRED Please fill out this field. Please enter valid data.

School Grade as of September 1, 2022 REQUIRED Please fill out this field.

Baptism Date and Parish (if baptized) Please enter valid data.

Parish of First Holy Communion (leave blank if child has not received First Holy Communion) Please enter valid data.

Parish of Confirmation (leave blank if child has not received Confirmation) Please enter valid data.

Enroll child in the following programs for 2022-23:

("REQUIRED" means that you need to fill in a Yes or No answer, but not necessarily that attendance is required.)

Religious Education classes REQUIRED Yes No Please fill out this field.

If student is age 3 or 4, will he/she attend Friday 4:30pm Religious Education class? (Note the 3-year-old class will not be offered on Sundays.) REQUIRED Yes No N/A Please fill out this field.

First Holy Communion classes (Grade 2 and up; if not age 7 by Sept. 1, please contact Florence Porter at [email protected] for approval.) REQUIRED Yes No Please fill out this field.

Confirmation classes (expected in Grade 6, as well as older students who have not received Confirmation) REQUIRED Yes No Please fill out this field.

Youth Group (Grades 6-12) REQUIRED Yes No Please fill out this field.

Jubilate Deo Youth Schola (Grades 2-12) REQUIRED Yes No Please fill out this field.

Student's Home Parish (if not the Basilica) Please enter valid data.

Please list any allergies or special needs below (include medical or learning diagnosis such as cognitive, motor, social, speech): Please enter valid data.

Address Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Student Email (if any) Please enter valid data.

Student Phone Number (if any) Please enter a phone number.

Register for Youth Programs

Register your student here for one or more of our youth programs for 2022-23:

Registration for St. Ambrose Homeschool Co-op, American Heritage Girls, and Trail Life USA must be done separately for those programs.

First Guardian's Name

Second Guardian's Name