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High School Youth Group Registration

- Parish Life

If you are in high school and interested in joining our youth group, please register here using the form below. You will be contacted shortly after and added to our email list!

For additional information, please contact Elizabeth Bolchoz Sanford at (561) 339-5216 or stellamaris.ebs@gmail.com. Thank you!
youth group Registration form
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- Highschool Participant
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number Please enter a phone number.
  
  Parent 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.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  I consent to... having my child contacted via phone/email regarding information pertaining to Stella Maris Youth Ministry having pictures/videos taken of my child during services/events at or with Stella Maris Youth Ministry to possibly be posted on the Stella Maris webpage or Stella Maris Youth Ministry social media
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High School Youth Group Registration

Highschool Participant

Parent Information