St. Mary's Introduction to Catholicism for Youth

St. Mary's ITC for Youth 2026-27

For Youth wanting to become Catholic (ages 13-17)
Date

MonthDayYear
Today's Date
Student Information
Name

First NameMiddle NameLast Name
Birthday

MonthDayYear
Grade in school
Where do you attend school?
Student Phone Number (if applicable)
Please enter a valid phone number.Format: (000) 000-0000.
Student Email address (if applicable)
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Baptism Information
This information is required
If Baptized other; what denomination?
Have you received my First Holy Communion?
If you attend weekend Mass at St. Mary's which one do you generally attend ?
Medical and Special needs: Please explain any medical conditions, allergies, special needs, or learning disabilities that we need to be aware of.
Please feel free to add any more information about yourself that you would like to share.
Parent/Guardian Information
Mother's Title
Mother's Name

First NameMiddle NameLast Name
Mother's Maiden Name
Mother's Religion
Mother's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mother's email
example@example.com
Father's Title
Father's Full Name

First NameMiddle NameLast Name
Father's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Father's Email Address
example@example.com
Father's Religion
Step-Parent/Guardian Name (if applicable)

First NameLast Name
Step-parent/Guardian Address (if applicable or different than student's address)

Guardian Street Address

Guardian Street Address Line 2

Guardian CityGuardian State / Province

Guardian Postal / Zip Code
Step-parent/Guardian Phone (if applicable)
Please enter a valid phone number.Format: (000) 000-0000.
Student Resides with:

Other
If other; please explain
Emergency Contact

First NameLast Name
Emergency Contact Relationship
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Registration Fees

There is a registration fee of $40 to cover required materials for Class. Please pay prior to the first Class on Wednesday 19 August
If these fees are a burden to anyone please notify the Religious Education office at 864.679.4110

Please pay fees priot to the first class on Wednesday 19 August

Class will be 6:30 - 7:45 pm; location and more information will be coming soon.

TO PAY ONLINE:

You can pay online once you submit the registration. The link to pay online is found on the thank you page confirming your submission. If you have any issues please contact Linda Jackson at: linda.jackson@smcgvl.org or (864) 679-4110

OR

CHECKS and CASH:

Cash or Checks can be dropped off at the parish office, Checks can be made out to St. Mary's Catholic Church and may be mailed to:

Linda Jackson

St. Marys Catholic Church

111 Hampton Avenue

Greenville, SC. 29601

For OFFICE USE
Registration Fee Paid
Payment Method
Check #
Should be Empty:

St. Mary's ITC for Youth 2026-27

Student Information

Parent/Guardian Information

Registration Fees

For OFFICE USE