St Henry's Catholic Church Youth Night and Sacramental Preparation Registration Form 2025-2026
Youth Night is for all students in grades Kindergarten through 11th grade! We want to make sure everyone feels welcome. Youth Night is a fantastic opportunity for students to connect, have fun, and build community in a safe and engaging environment, and learn how to be kind with our words, helpful with our hands, and loving with our hearts, just like Jesus! We'll have a variety of activities designed to appeal to all age groups. We're excited to see all the familiar and new faces! We start off the year with family fun night to meet the volunteers that make Youth Night Possible!! There will be an email sent out in August with all the details!
Student Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
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Year
Grade Level for the 2025/2026 School Year
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
Gender
*
Please Select
Male
Female
Has your child received the following Sacraments (if your child will be receiving his or her First Holy Communion or Confirmation this year, please submit a copy of their Baptism Certificate)? Please also note that in order to receive the Sacrament of Confirmation, there is a requirement of a 2 year prep. If you did not have sacramental prep in 10th grade for confirmation and are currently in 11th grade, please indicate that below.
*
Baptism
First Communion
Confirmation
Is there anything about your child that you would like us to know about? For example, special learning needs, language barrier, food allergies, etc...
Add another Student?
Yes
No
Student 2 Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
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2002
2001
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Grade Level for the 2025/2026 School Year
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
Gender
*
Please Select
Male
Female
Has your child received the following Sacraments (if your child will be receiving his or her First Holy Communion or Confirmation this year, please submit a copy of their Baptism Certificate)?
*
Baptism
First Communion
Confirmation
Is there anything about your child that you would like us to know about? For example, special learning needs, language barrier, food allergies, etc...
Add another Student?
Yes
No
Student 3 Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Grade Level for the 2025/2026 School Year
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
Gender
*
Please Select
Male
Female
Has your child received the following Sacraments (if your child will be receiving his or her First Holy Communion or Confirmation this year, please submit a copy of their Baptism Certificate)?
*
Baptism
First Communion
Confirmation
Is there anything about your child that you would like us to know about? For example, special learning needs, language barrier, food allergies, etc...
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Parent Information:
Please enter the information for the Students Parent or Guardian.
Primary Parent/Guardian
*
First Name
Last Name
Mobile Number
*
Home Phone
Work Number
Email
*
example@example.com
Children that have finished the 8th grade and entering 12th grade are invited to Steubenville! Here is a link for more information regarding Steubenville. If you would like more information when we start the sign up, please let us know here!
My child may be interested in attending in 2026
My child may be interested in attending in 2026 and I would love to Chaperone!
My child is not able to attend, but I would love to be a Chaperone!
No thank you, not at this time.
Add another parent/guardian
Yes
No
Parent/Guardian
*
First Name
Last Name
Mobile Number
*
Home Phone
Work Number
Email
*
example@example.com
Is your family current members of St. Henry's Catholic Church?
*
Please Select
Yes
No
If not, where are you currently registered?
Is there someone other then a Parent or Guardian that should be an emergency contact?
Yes
No
Emergency Contact information
Please indicate someone that we can contact in the event of an emergency if you are unavailable
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
St. Henry's offers an amazing program that is free for all students. To make this possible, we need volunteers to assist both inside and outside of the classroom. Please let me know how you can help!
I would love to help lead a class!
I would be an amazing classroom helper...
Count me in for preparing meals on Wednesday night!
Sign me up for wherever I can help!!
I am not sure I can be of any help but would like to visit about the opportunities!
Join our Team Reach and the NCACC Youth Group page!
Team Reach code: resthenry56573
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