Our Lady of Fatima
Catholic Church

Junior High Registration
Teen's Name: 
Father's Name: 
Cell Number: 
e-mail: 
YOUTH  INFORMATION
School: 
Grade in Fall: 
FAMILY  INFORMATION
Last
First
Middle
Mother's Name: 
Cell Number: 
E-mail: 
Last
First
Last
First
Maiden
Address: 
Number & Street
City
State
Zip
Home Number: 
Name: 
Relationship: 
Home #:
Cell #: 
In the event of an emergency and you cannot reach me, please call:
Our family is registered with Our Lady of Fatima parish:
Gender: 
Birthdate:
/
/
Cell #: 
E-mail: 

Family's last name if different from teen's last name?
The teen has #
brother(s) and #
sister(s)
Does the teen have any special physical or learning disabilities?  If yes, please explain.
Please list any allergies or mediacal conditions that we should be aware of.
Do we (OLF Church and the Diocese of Orange) have permission to photograph your child?  (These pictures may be published in parish or Diocesan articles)
Parent Involvement:
It is important that each parent be involved in our Junior High Program to assure successful faith formation for our teens.  Please check at least one area in which you could serve.  Training, clear direction ans support will be given!  For more information, please call Stephanie in the Junior High Office.
Volunteer
Bring Pizza
Other:
Junior High Crossover Program Fee $90.00
Families with multiple children will receive a discount.  Cash or checks are accepted.  Please make checks payable to :  Our Lady of Fatima (memo line: Junior High)  Fees are non-refundable.  Full payment is due at time of registration unless a payment plan has been aranged with OLF staff.  Scholarships are also available upon request.  Thank you and God Bless!


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