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DIocesan Youth Rally 23 October 2022

- Youth Ministry
  - Youth Formation & Outreach
    
    High School Youth Ministry
    
    Youth Registration
    
    Permission Form
    
    CYO Sports
    Scouting
  - Young Adult Ministry
    
    Young Adult Events
    Around the Diocese

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- Please fill out the information below about the high school youth who will be attending Diocesan Youth Rally on Sunday, 23 October 2022
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender 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 valid data.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Known allergies, allergies to medicine, or other medical conditions which may affect involvement in youth activities. REQUIRED Please fill out this field.
- Please fill out the parent/guardian information below.
- Mother's Information
  
  Mother's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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.
  
  Mother's Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Mother's Work Phone Maximum 20 characters Please enter a phone number.
  
  Mother's Email REQUIRED Please fill out this field. Please enter an email address.
- Father's Information
  
  Father's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Father's Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Father's Work Phone Maximum 20 characters Please enter a phone number.
  
  Father's Email REQUIRED Please fill out this field. Please enter valid data.
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St. Louis Catholic Church

Alexandria, VA

DIocesan Youth Rally 23 October 2022