First Name (or nickname used)required

Last Namerequired

I'm coming this Sunday! *

Yes No

Our mailing list was drawn from parish lists and needs updating for the new year. Please note your preferences below. We always publicize schedules and events (service opportunities, trips, etc.) through parish channels, but do use the mailing list for time-sensitive or more direct announcements.

Keep me on the Youth Ministry email list*

Yes No (you will remain on the parish list) Change my email address (I filled this out last time)

Parent Email Address

Parent Cell Phone

for emergency contact when your student is with us

Student Email Address

Student Cell Phone

School Name