Facebook

Youth Group Registration

- Faith Formation

Please register below for the 2023 Youth Group.
When you have finished this form, please select the pay button on the left side of the page The fee is $50.00. Thank you.
Youth 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.
- 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Cell Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Medical Condition (list none, if none REQUIRED Please fill out this field. Please enter valid data.
- Allergies(list none, if none) REQUIRED Please fill out this field. Please enter valid data.
- Permission to treat medical conditions
  I Agree Please select this field.
- Permission to photograph your child(ren) Yes No
- Religious affiliation Catholic Other
- Parent/Adult Contact information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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.
- Cell Phone 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.
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

St. Joseph Catholic Church

Colbert, WAshington

Youth Group Registration

Youth Information

Parent/Adult Contact information