12:2 Ministries Registration Form

12:2 Ministries Junior and Senior High Faith Formation

Please complete this form for all children you are registering in 12:2 Ministries for both Middle School (EDGE) and High School (Life Teen) programs.

PLEASE NOTE: This is the program registration portion only. You must complete the Faith Formation Family Payment form in order for your registration to be complete.

If you have any questions, please contact:

Cathleen Ito (6-8th grade): cathleeni@hfkparish.org

Amanda Koppes (9-12th grade): amandak@hfkparish.org

Family Name

FAMILY NAME	Required*	Please provide the last name of the parent or guardian who is registering the child(ren) for programming.

Teen 1

Teen's Name

First Name*

Last Name*

Gender
Required*

	Male
	Female

Date of Birth

Required* //

Teen's Cell

Required* --

Grade (in the fall)

Required*

Teen's E-mail

Required*

School

Required*

Registering for...

Required*

Teen 2

Teen's Name

First Name

Last Name

Gender

	Male
	Female

Date of Birth

Teen's Cell

Teen's Email

Grade (in the fall)

School

Registering for...

Teen 3

Teen's Name

First Name

Middle Name

Last Name

Gender

	Male
	Female

Date of Birth

Teen's Cell

Teen's Email

School

Grade (in the fall)

Registering for...

Teen 4

Teen's Name

First Name

Middle Name

Last Name

Gender

	Male
	Female

Date of Birth

Teen's Email

Teen's Cell

School

Grade (in the fall)

Registering for...

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12:2 Ministries Registration Form

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