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Student Name(Required)
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Parent Name(Required)
Emergency Contact(Required)
Parents are:
Please indicate if your child has received the following sacraments:*
Parents - would you like to: (please check all that apply)
May the Sacred Heart Youth Ministry team contact your child directly via phone, text or email?*(Required)
Photo Release: I give permission for Sacred Heart Cathedral to take photos or video of my child during Antioch and Antioch-related activities to use in SHC sponsored media (i.e. bulletin, videos, newsletters, parish Facebook, SHC website, etc.).(Required)
This field is for validation purposes and should be left unchanged.