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Youth & Family Ministry

- Youth & Family
Contact Us
- Wyatt Wentrcek
  
  Director of Faith Formation & Youth Ministry
  
  (830) 896-4233 ext.233
  wyatt.wentrceknotredamechurch.cc
- Lucy Campos
  
  Coordinator of Children's Faith Formation
  
  (830) 896-4233
  lucy.camposnotredamechurch.cc
- Denise Jenschke
  
  Coordinator of Catechesis of the Good Shepherd & Sacrament Preparation
  
  (830) 896-4233 ext.294
  denise.jenschkenotredamechurch.cc

You may register your child for Faith Formation by coming to our Youth and Family Ministry office during normal business hours or by completing the registration form below. We will contact you upon receiving your registration.

Youth and Family Ministry Office hours are as follows:
Monday - Friday - 8:00am - 5:00pm (closed from 12-1:00pm for lunch)
Faith Formation Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
- Father's Information
  
  First 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 Please fill out this field. Please enter valid data.
  
  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.
  
  Home Phone Please enter valid data.
  
  Cell Phone Please enter valid data.
  
  Email Please enter an email address.
  
  Occupation Please enter valid data.
  
  Work Phone Please enter valid data.
  
  Religion
  
  Marital Status REQUIRED Please fill out this field.
- Mother's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Home Phone Please enter valid data.
  
  Cell Phone Please enter valid data.
  
  Email Please enter an email address.
  
  Occupation Please enter valid data.
  
  Work Phone Please enter valid data.
  
  Religion
  
  Marital Status REQUIRED Please fill out this field.
- Number of Children REQUIRED Please fill out this field.
  
  Child 1
  
  First 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 Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace Please enter valid data.
  
  List any allergies/health concerns that may need to be addressed
  
  Child is registering for: REQUIRED Please fill out this field.
  
  Has the child received the sacrament of Baptism? REQUIRED Please fill out this field.
  
  Has the child received First Reconciliation? REQUIRED Please fill out this field.
  
  Has the child received First Eucharist? REQUIRED Please fill out this field.
  
  Has the child received the sacrament of Confirmation? REQUIRED Please fill out this field.
  
  Registration Fee30.0
  
  Child 2
  
  First 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 Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace Please enter valid data.
  
  List any allergies/health concerns that may need to be addressed
  
  Child is registering for: REQUIRED Please fill out this field.
  
  Has the child received the sacrament of Baptism? REQUIRED Please fill out this field.
  
  Has the child received First Reconciliation? REQUIRED Please fill out this field.
  
  Has the child received First Eucharist? REQUIRED Please fill out this field.
  
  Has the child received the sacrament of Confirmation? REQUIRED Please fill out this field.
  
  Registration Fee30.0
  
  Child 3
  
  First 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 Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace Please enter valid data.
  
  List any allergies/health concerns that may need to be addressed
  
  Child is registering for: REQUIRED Please fill out this field.
  
  Has the child received the sacrament of Baptism? REQUIRED Please fill out this field.
  
  Has the child received First Reconciliation? REQUIRED Please fill out this field.
  
  Has the child received First Eucharist? REQUIRED Please fill out this field.
  
  Has the child received the sacrament of Confirmation? REQUIRED Please fill out this field.
  
  Registration Fee30.0
  
  Child 4
  
  First 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 Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace Please enter valid data.
  
  List any allergies/health concerns that may need to be addressed
  
  Child is registering for: REQUIRED Please fill out this field.
  
  Has the child received the sacrament of Baptism? REQUIRED Please fill out this field.
  
  Has the child received First Reconciliation? REQUIRED Please fill out this field.
  
  Has the child received First Eucharist? REQUIRED Please fill out this field.
  
  Has the child received the sacrament of Confirmation? REQUIRED Please fill out this field.
  
  Registration Fee30.0
- Medical and Liability Release Statement
  
  I understand in the event medical intervention is needed, every attempt will be made to contact immediately the persons listed on this registration form. In the event I cannot be reached in an emergency, and a healthcare professional must be sought, I understand that my insurance coverage for my child will be used as primary coverage in the event medical intervention is needed. Coverage by Notre Dame Church through its accident policy will be used as a backup for what my family insurance does not cover. I understand all reasonable safety precautions will be taken at all times by Notre Dame Church Youth and Family Ministry and its agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possiblity of risk. I agree not to hold Notre Dame Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form.
  
  I agree to the above statement. Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Emergency Contact (other than parent) REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone REQUIRED Please fill out this field. Please enter valid data.
- Promotional Advertisement and Media Releases
  
  Permission for my child's name and/or photograph to be used as in the capacity of Youth & Family Ministry advertising and/or media releases REQUIRED Yes, I give my permission to use my child's name or photograph No, I do not give my permission for my child's name to be used or photographed Please fill out this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
- Flocknote
  
  By supplying your cell phone and email, you will automatically be registered for Flocknote - our email/text mass communication system. We use Flocknote to quickly inform you of important information.
- Email Confirmation
  
  Email Please enter an email address.
Total:

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