High School Youth Group <div> Online Registration </div>

Contact Us

Matthew Santucci

Coordinator of Faith Formation (Youth and Young Adult)

732-264-4712 ext. 12
santuccistbenedictnj.org
Carol Cesario

Administrative Assistant, Faith Formation

732-264-4712 ext. 24
cesariostbenedictnj.org

Join the HS Youth Group!

Welcome to the High School Youth Group registration page.
We are always welcoming new members.

Please fill out High School Youth Group registration
form below.

High School Youth Group Registration Form

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Date REQUIRED Please fill out this field. Please enter a date.
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name 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.
Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Parent Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Date of Birth Please enter valid data.
High School Please enter valid data.
Graduating Class of Please enter valid data.
Mother's First/Last Name Please enter valid data.
Father's First/Last Name Please enter valid data.
If Applicable:
Guardian/Stepfather's First/Last Name Please enter valid data.
Guardian/Stepmother's First/Last Name Please enter valid data.
Whom do you live with? Mother Father Stepmother Stepfather Guardian/s Other
What Parish is your family registered in? Please enter valid data.
Please check all of the sacraments you have received: Baptism Reconciliation/Confession Communion Confirmation All of the above
List talents/hobbies/interests:
I Agree Please select this field.

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High School Youth Group Online Registration

If Applicable:

High School Youth Group
Online Registration