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Request for YM Information

- To have information sent to you about High School Youth Ministry please fill out the form below with the high school student's information.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade (20-21 school year) REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. 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.
  
  Parent/Guardian Name(s) REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Student Has / El estudiante tiene: Been Baptized / Sido bautizado Received First Eucharist/Communion / Recibió la Primera Comunión Been Confirmed / Se ha confirmado
  
  Program Interested In Enrolling In / Programa de interesados en inscribirse en: REQUIRED Please fill out this field.
  
  Were you involved in HS Youth Ministry last year, Religious Education or any other parish program? REQUIRED Yes No Please fill out this field.
  
  If yes, what were you involved in: REQUIRED Please fill out this field. Please enter valid data.
  
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St. Vincent de Paul Parish

Iglesia San Vicente de Paúl

Request for YM Information