Youth Programs Signup 2023-2024

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Child's First Name REQUIRED Please fill out this field. Please enter valid data.
Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
Street Address REQUIRED Please fill out this field. Please enter valid data.
Apartment # Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Name of Child's School (in 2023-24 school year) REQUIRED Please fill out this field. Please enter valid data.
New Grade (in 2023-24 school year) REQUIRED Please fill out this field. Please enter valid data.
Parents' Preferred Language REQUIRED Please fill out this field.
Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
Mother's Full (Maiden) Name REQUIRED Please fill out this field. Please enter valid data.
Home Phone Maximum 20 characters Please enter a phone number.
Parents' Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Name and Phone Number of Person Picking Up Child (or "may go home alone") REQUIRED Please fill out this field.
Guardianship? Please enter valid data.
Parents' Email REQUIRED Please fill out this field. Please enter an email address.
Medical Conditions?
Has the child been baptized? REQUIRED No Yes Please fill out this field.
Has the child already made First Confession? REQUIRED No Yes Please fill out this field.
Has the child already made First Communion? REQUIRED No Yes Please fill out this field.
Has the child already received Confirmation? REQUIRED 75.0 – NO (the fee is for a year of sacramental preparation) 20.0 – YES (the fee is for a year of ongoing participation, including food and supplies) Please fill out this field.
Is this your first year participating in St. Anthony's programs? REQUIRED Yes No Please fill out this field.
If this is the child's first year studying at St. Anthony's, we will need to receive copies of the child's birth certificate and certificates of all the sacraments received so far.

All children in grades 6-12 are required to do a retreat in February or March that costs an additional amount (this varies by grade) which will be paid at a later date.

Given my child's participation in the Religious Education Program of St. Anthony of Padua Parish of the Archdiocese of New York, I agree that photos, videos, and other media in which my child appears may be taken as part of the program. I also authorize the use of any such photos and videos on the website and promotional materials of St. Anthony of Padua Parish. I understand and give my consent to this.
I Agree Please select this field.

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