St. John's Youth Ministry Registration Form

St. John's Middle School Youth Group is for grades 6-8 and High School Youth Group is for grades 9-12. Instead of regularly scheduled meetings, youth group consists of a variety of events from several annual Catholic college visits, pizza nights with the SSVM religious sisters and events with the seminarians, as well as Bible studies and other events. By registering, you'll provide us with information needed to add you to email distribution lists for these events. You can also see scheduled events on our parish webpage at https://www.stjohnsparishhollywood.org/youth.

Mother's First Name:

Mother's Last Name:

Mother's Cell Ph #:

Father's First Name:

Father's Last Name:

Father's Cell Ph #:

Primary Phone Number: *

Home Parish: *

Street Address: *

City, State, Zip Code: *

Primary Email Address: * 🛈

Confirm Email Address: * 🛈

Child 1

CHILD 1: First Name *

Last Name: *

Grade? *

Email Address (optional)?

Cell Phone Number (optional):

Notes for Child 1 (please include info on allergies, medical conditions, faith life, or anything else you think we should know):

Child 2

CHILD 2: First Name

Last Name:

Grade?

Email Address (optional)?

Cell Phone Number (optional):

Notes for Child 2 (please include info on allergies, medical conditions, faith life, or anything else you think we should know):

Child 3

CHILD 3: First Name

Last Name:

Grade?

Email Address (optional)?

Cell Phone Number (optional):

Notes for Child 3 (please include info on allergies, medical conditions, faith life, or anything else you think we should know):

Child 4

CHILD 4: First Name

Last Name:

Grade?

Email Address (optional)?

Cell Phone Number (optional):

Notes for Child 4 (please include info on allergies, medical conditions, faith life, or anything else you think we should know):