Youth Group Registration

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1 East Union Street
Goffstown, NH 03045
[email protected] 603-497-2651

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- Family Faith Formation
Contact Us
- Anne Marie Ashford
  
  Teen Group Leader
  
  youthvolunteerstlawrencegoffstown.org

Youth Group Registration
The maximum number of form submissions has been reached. This form is currently not available.
- Is your family registered in the Parish REQUIRED YES NO Please fill out this field.
- Please note that all families must be registered in the Parish for children to attend Youth Group. Parish registration can be found here or please contact the Parish Office at [email protected] to register.
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Family Home Phone Maximum 20 characters Please enter a phone number.
- Street 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.
- Father/Guardian Full Name REQUIRED Please fill out this field. Please enter valid data.
- Father/Guardian cell phone Maximum 20 characters Please enter a phone number.
- Mother/Guardian Full Name REQUIRED Please fill out this field. Please enter valid data.
- Mother/Guardian cell phone Maximum 20 characters Please enter a phone number.
- Family Email REQUIRED Please fill out this field. Please enter an email address.
- Additional Family Email (if applicable) Please enter an email address.
- Emergency Contact Info-
  If we are unable to reach you in an emergency, who else shall we contact?
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Please list ALL CHILDREN who will be participating in Youth Group - Grade 6-12
- Number of Students REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YEAR
  Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade in School as of Sept 1, 2024 REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YEAR
  Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade in School as of Sept 1, 2024 REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YEAR
  Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade in School as of Sept 1, 2024 REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED
  MM/DD/YEAR
  Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade in School as of Sept 1, 2024 REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
- Are there any special circumstances that we should be aware of?
- I understand that occasionally photographs of my child may be taken and used for publicity, newspaper articles, and/or the Parish website. If you do NOT want your child’s photograph used, please notify the Parish Catechetical leader in writing. mailto:[email protected]
- Electronic Signature REQUIRED Please fill out this field. Please enter valid data.
- Please remember to hit 'submit' below or your registration will not be complete. Thank you!
Submit

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