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RE & YM Registration

- IMPORTANT: New 2-Step Registration Process for Pre-K to 4th Grade
  
  Complete registration and payment below.
  
  Promptly go to SignUpGenius to select your child's class day and time.
  
  Look for confirmation email with SignUpGenius link to choose specific class day and time. Note: classes fill up quickly!
  
  Ministry Contacts
  Elementary: re@zionsvillecatholic.com | Middle School: middleschool@zionsvillecatholic.com | High School: youthministry@zionsvillecatholic.com
- REGISTRATION
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  FAMILY INFORMATION
  
  PARENT 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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.
  
  Mobile 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.
  
  I wish to receive communications from ministry leaders. REQUIRED Please fill out this field.
  
  I am interested in volunteering with... Elementary Middle School High School
  
  Are you registered parishioners at St. Alphonsus Liguori? REQUIRED Please fill out this field.
  
  Please note parish of registration and/or any comments if not a member of SAL. Please enter valid data.
  
  PARENT 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Street Address (if different from Parent 1) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Mobile Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  I wish to receive communications from ministry leaders. (This excludes elementary school communication which is automatically sent to both parents.) REQUIRED Please fill out this field.
  
  I am interested in volunteering with... Elementary Middle School High School
  
  EMERGENCY CONTACT
  
  In the event of an emergency, evey effort is made to contact parents first.
  If a parent cannot be reached, whom should we contact?
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relation to Child REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  PARTICIPANT INFORMATION
  
  Number of Children Registering REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name (For sacramental records) REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Level REQUIRED Please fill out this field.
  
  Program REQUIRED Please fill out this field.
  
  ALLERGIES & DIETARY RESTRICTIONS
  
  Does your student have allergies? REQUIRED Please fill out this field.
  
  Please list allergies and/or any other medical concerns that would help us minister to your teen, such as anxiety, asthma, diabetes, etc. Please enter valid data.
  
  Please list any dietary restrictions. Please enter valid data.
  
  BAPTISM INFORMATION
  
  Has your child been baptized? REQUIRED Please fill out this field.
  
  If baptized in another parish, please provide church name, city, and state. Please enter valid data.
  
  MEDIA RELEASE & AUTHORIZATION
  
  We like to share what's happening in ministry! May we include photos of your child(ren) on parish print, electronic and social media platforms? REQUIRED Yes, I consent No, I do not consent Please fill out this field.
  
  MIDDLE SCHOOL AND HIGH SCHOOL ONLY
  
  What school does your child attend? Please enter valid data.
  
  What are your child's hobbies, activities, and/or interests? Please enter valid data.
  
  In an effort to make your child feel comfortable, please list one or two friends with whom they'd like to be grouped. Please enter valid data.
  
  What do you hope your child will take away from youth ministry? Please enter valid data.
  
  Is there any additional information we should know about your child? Please enter valid data.
  
  HIGH SCHOOL ONLY
  
  We love to help our high school teens take ownership of their faith and make it their own. To encourage this, please share with us their email and phone number so they can stay up to date with what is going on in ministry.
  
  **By sharing this information you give us permission to contact your teen in accordance with Safe and Sacred Protocol.**
  
  HIGH SCHOOL TEEN MOBILE NUMBER Maximum 20 characters Please enter a phone number.
  
  HIGH SCHOOL TEEN EMAIL Please enter an email address.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name (For sacramental records) REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Level REQUIRED Please fill out this field.
  
  Program REQUIRED Please fill out this field.
  
  ALLERGIES & DIETARY RESTRICTIONS
  
  Does your student have allergies? REQUIRED Please fill out this field.
  
  Please list allergies and/or any other medical concerns that would help us minister to your teen, such as anxiety, asthma, diabetes, etc. Please enter valid data.
  
  Please list any dietary restrictions. Please enter valid data.
  
  BAPTISM INFORMATION
  
  Has your child been baptized? REQUIRED Please fill out this field.
  
  If baptized in another parish, please provide church name, city, and state. Please enter valid data.
  
  MEDIA RELEASE & AUTHORIZATION
  
  We like to share what's happening in ministry! May we include photos of your child(ren) on parish print, electronic and social media platforms? REQUIRED Yes, I consent No, I do not consent Please fill out this field.
  
  MIDDLE SCHOOL AND HIGH SCHOOL ONLY
  
  What school does your child attend? Please enter valid data.
  
  What are your child's hobbies, activities, and/or interests? Please enter valid data.
  
  In an effort to make your child feel comfortable, please list one or two friends with whom they'd like to be grouped. Please enter valid data.
  
  What do you hope your child will take away from youth ministry? Please enter valid data.
  
  Is there any additional information we should know about your child? Please enter valid data.
  
  HIGH SCHOOL ONLY
  
  We love to help our high school teens take ownership of their faith and make it their own. To encourage this, please share with us their email and phone number so they can stay up to date with what is going on in ministry.
  
  **By sharing this information you give us permission to contact your teen in accordance with Safe and Sacred Protocol.**
  
  HIGH SCHOOL TEEN MOBILE NUMBER Maximum 20 characters Please enter a phone number.
  
  HIGH SCHOOL TEEN EMAIL Please enter an email address.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name (For sacramental records) REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Level REQUIRED Please fill out this field.
  
  Program REQUIRED Please fill out this field.
  
  ALLERGIES & DIETARY RESTRICTIONS
  
  Does your student have allergies? REQUIRED Please fill out this field.
  
  Please list allergies and/or any other medical concerns that would help us minister to your teen, such as anxiety, asthma, diabetes, etc. Please enter valid data.
  
  Please list any dietary restrictions. Please enter valid data.
  
  BAPTISM INFORMATION
  
  Has your child been baptized? REQUIRED Please fill out this field.
  
  If baptized in another parish, please provide church name, city, and state. Please enter valid data.
  
  MEDIA RELEASE & AUTHORIZATION
  
  We like to share what's happening in ministry! May we include photos of your child(ren) on parish print, electronic and social media platforms? REQUIRED Yes, I consent No, I do not consent Please fill out this field.
  
  MIDDLE SCHOOL AND HIGH SCHOOL ONLY
  
  What school does your child attend? Please enter valid data.
  
  What are your child's hobbies, activities, and/or interests? Please enter valid data.
  
  In an effort to make your child feel comfortable, please list one or two friends with whom they'd like to be grouped. Please enter valid data.
  
  What do you hope your child will take away from youth ministry? Please enter valid data.
  
  Is there any additional information we should know about your child? Please enter valid data.
  
  HIGH SCHOOL ONLY
  
  We love to help our high school teens take ownership of their faith and make it their own. To encourage this, please share with us their email and phone number so they can stay up to date with what is going on in ministry.
  
  **By sharing this information you give us permission to contact your teen in accordance with Safe and Sacred Protocol.**
  
  HIGH SCHOOL TEEN MOBILE NUMBER Maximum 20 characters Please enter a phone number.
  
  HIGH SCHOOL TEEN EMAIL Please enter an email address.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name (For sacramental records) REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Level REQUIRED Please fill out this field.
  
  Program REQUIRED Please fill out this field.
  
  ALLERGIES & DIETARY RESTRICTIONS
  
  Does your student have allergies? REQUIRED Please fill out this field.
  
  Please list allergies and/or any other medical concerns that would help us minister to your teen, such as anxiety, asthma, diabetes, etc. Please enter valid data.
  
  Please list any dietary restrictions. Please enter valid data.
  
  BAPTISM INFORMATION
  
  Has your child been baptized? REQUIRED Please fill out this field.
  
  If baptized in another parish, please provide church name, city, and state. Please enter valid data.
  
  MEDIA RELEASE & AUTHORIZATION
  
  We like to share what's happening in ministry! May we include photos of your child(ren) on parish print, electronic and social media platforms? REQUIRED Yes, I consent No, I do not consent Please fill out this field.
  
  MIDDLE SCHOOL AND HIGH SCHOOL ONLY
  
  What school does your child attend? Please enter valid data.
  
  What are your child's hobbies, activities, and/or interests? Please enter valid data.
  
  In an effort to make your child feel comfortable, please list one or two friends with whom they'd like to be grouped. Please enter valid data.
  
  What do you hope your child will take away from youth ministry? Please enter valid data.
  
  Is there any additional information we should know about your child? Please enter valid data.
  
  HIGH SCHOOL ONLY
  
  We love to help our high school teens take ownership of their faith and make it their own. To encourage this, please share with us their email and phone number so they can stay up to date with what is going on in ministry.
  
  **By sharing this information you give us permission to contact your teen in accordance with Safe and Sacred Protocol.**
  
  HIGH SCHOOL TEEN MOBILE NUMBER Maximum 20 characters Please enter a phone number.
  
  HIGH SCHOOL TEEN EMAIL Please enter an email address.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name (For sacramental records) REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Level REQUIRED Please fill out this field.
  
  Program REQUIRED Please fill out this field.
  
  ALLERGIES & DIETARY RESTRICTIONS
  
  Does your student have allergies? REQUIRED Please fill out this field.
  
  Please list allergies and/or any other medical concerns that would help us minister to your teen, such as anxiety, asthma, diabetes, etc. Please enter valid data.
  
  Please list any dietary restrictions. Please enter valid data.
  
  BAPTISM INFORMATION
  
  Has your child been baptized? REQUIRED Please fill out this field.
  
  If baptized in another parish, please provide church name, city, and state. Please enter valid data.
  
  MEDIA RELEASE & AUTHORIZATION
  
  We like to share what's happening in ministry! May we include photos of your child(ren) on parish print, electronic and social media platforms? REQUIRED Yes, I consent No, I do not consent Please fill out this field.
  
  MIDDLE SCHOOL AND HIGH SCHOOL ONLY
  
  What school does your child attend? Please enter valid data.
  
  What are your child's hobbies, activities, and/or interests? Please enter valid data.
  
  In an effort to make your child feel comfortable, please list one or two friends with whom they'd like to be grouped. Please enter valid data.
  
  What do you hope your child will take away from youth ministry? Please enter valid data.
  
  Is there any additional information we should know about your child? Please enter valid data.
  
  HIGH SCHOOL ONLY
  
  We love to help our high school teens take ownership of their faith and make it their own. To encourage this, please share with us their email and phone number so they can stay up to date with what is going on in ministry.
  
  **By sharing this information you give us permission to contact your teen in accordance with Safe and Sacred Protocol.**
  
  HIGH SCHOOL TEEN MOBILE NUMBER Maximum 20 characters Please enter a phone number.
  
  HIGH SCHOOL TEEN EMAIL Please enter an email address.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name (For sacramental records) REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Level REQUIRED Please fill out this field.
  
  Program REQUIRED Please fill out this field.
  
  ALLERGIES & DIETARY RESTRICTIONS
  
  Does your student have allergies? REQUIRED Please fill out this field.
  
  Please list allergies and/or any other medical concerns that would help us minister to your teen, such as anxiety, asthma, diabetes, etc. Please enter valid data.
  
  Please list any dietary restrictions. Please enter valid data.
  
  BAPTISM INFORMATION
  
  Has your child been baptized? REQUIRED Please fill out this field.
  
  If baptized in another parish, please provide church name, city, and state. Please enter valid data.
  
  MEDIA RELEASE & AUTHORIZATION
  
  We like to share what's happening in ministry! May we include photos of your child(ren) on parish print, electronic and social media platforms? REQUIRED Yes, I consent No, I do not consent Please fill out this field.
  
  MIDDLE SCHOOL AND HIGH SCHOOL ONLY
  
  What school does your child attend? Please enter valid data.
  
  What are your child's hobbies, activities, and/or interests? Please enter valid data.
  
  In an effort to make your child feel comfortable, please list one or two friends with whom they'd like to be grouped. Please enter valid data.
  
  What do you hope your child will take away from youth ministry? Please enter valid data.
  
  Is there any additional information we should know about your child? Please enter valid data.
  
  HIGH SCHOOL ONLY
  
  We love to help our high school teens take ownership of their faith and make it their own. To encourage this, please share with us their email and phone number so they can stay up to date with what is going on in ministry.
  
  **By sharing this information you give us permission to contact your teen in accordance with Safe and Sacred Protocol.**
  
  HIGH SCHOOL TEEN MOBILE NUMBER Maximum 20 characters Please enter a phone number.
  
  HIGH SCHOOL TEEN EMAIL Please enter an email address.
  
  CATECHISTS | MIDDLE & HIGH SCHOOL CORE TEAM
  
  In appreciation of your time and talent, you will receive a $40 refund in the fall. Please check the box if you prefer to forego the refund.
  
  ANYTHING ELSE WE SHOULD KNOW?
  
  Type comments in the box below.
  
  PAYMENT INFORMATION
  
  Payment Options REQUIRED Please fill out this field.
  
  Please click below to continue the registration process and complete payment.
  
  DON'T FORGET: If your registration is for Pre-K through 4th Grade, you will receive a SignUpGenius link in your confirmation email to make your class selection. Sign up promptly as classes fill up!
  
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RE & YM Registration

Please click below to continue the registration process and complete payment. DON'T FORGET: If your registration is for Pre-K through 4th Grade, you will receive a SignUpGenius link in your confirmation email to make your class selection. Sign up promptly as classes fill up!

Please click below to continue the registration process and complete payment.

DON'T FORGET: If your registration is for Pre-K through 4th Grade, you will receive a SignUpGenius link in your confirmation email to make your class selection. Sign up promptly as classes fill up!