SMY Youth Event Sign Up

The form below registers the youth(s) for the selected event; however, a "Parent Consent Form" must be printed (online SMY Home Page)and then signed, mailed, e-mailed, or faxed to the Office of Faith Formation prior to the start of the event.

Participant Information

First Name

Last Name

Sex

Birth Date

Grade

First Name

Last Name

Sex

Birth Date

Grade

First Name

Last Name

Sex

Birth Date

Grade

St. Monica Parishioner? (non-parishioners are always welcome!)

Yes - We are parishioners

No - We are not parishioners

Name of SMY Youth Event

Health insurance provider and policy number

Total Fees for all Participants:

Adult Primary Contact

Relationship to Participants:

Mother

Father

Guardian

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Alternate Phone

Email Address

Payment Information

Enter the amount for all who are going:

Indicates Response Required